Improving health and welfare for the most fragile elderly - PowerPoint PPT Presentation

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Improving health and welfare for the most fragile elderly

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Title: Improving health and welfare for the most fragile elderly Author: Eva Nilsson B genholm Last modified by: Eva Nilsson B genholm Created Date – PowerPoint PPT presentation

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Title: Improving health and welfare for the most fragile elderly


1
Primary care and the care for the elderly
2
Coordination of healthcare and welfare for the
elderly
  • Improving healthcare and welfare for the most
    fragile elderly
  • 500 million Euros 2011-2014
  • Strengthening incentives and conditions for the
    county councils and the municipalities
  • National coordinator

3
Regional level County Councils - Providing health
and medical care
  • Local Authorities
  • Municipalities
  • Social services, housing and
  • home-based elderly care
  • National level
  • Parliament and Government
  • Policy goals
  • Legislation, Supervision, Financial control
    measures

18 County Councils 2 Regions
290 Municipalities
4
Funding of healthcare
  • County council taxes
  • Supplemented by government grants
  • Small user fees
  • Long-term care for the elderly is financed and
    organized by the municipalities.

5
Increased life expectancy
Percentage change in number of people per age
group 20102050. Source Statistics Sweden 2010
6
Health care cost per year of age (SEK), 2004
Primary care
Inpatient care
Outpatient visits
7
Current situation
  • High quality healthcare and social care
  • Ageing population
  • Living longer with multiple health problems
  • Limited knowledge on multimorbidity
  • No uniform definition of multimorbidity

8
(No Transcript)
9
How do we meet the needs of the elderly?
  • Ask them!
  • Healthcare systems that suit persons with
    multimorbidity
  • System of free choise
  • Open comparisons

10
System of free choice
  • Opportunity to choose provider of social services
    and primary care
  • Move power from politicians to citizens
  • Promote a diversity of providers
  • Voluntary tool for municipalities
  • Mandatory for Primary care

11
Open comparisons
  • Open presentation of results each year
  • Health care and social care
  • Promote discussions on quality and efficiency
  • Peer pressure
  • Transparency
  • Political accountability

12
Challenges
  • Continuity and coordination
  • Funding
  • Competence
  • Organisation of healthcare
  • Improved use of medication
  • Research in elderly care

13
The role of primary care
  • Homebased care
  • Coordination of specialised care
  • Pallliative care
  • Care of persons with dementia
  • Multipharmacy
  • ??

14
Palliative care
  • All dying persons, regardless of diagnoses
  • Homebased care
  • Institutional care
  • National guidelines
  • Swedish Palliative register

15
The Swedish palliative register
  • Improve the care of terminally ill
  • Support care units
  • Continuous update
  • Evaluation of pain, nausea and anxiety
  • Information to patient and family

16
One municipality
17
Best municipality
18
Care for persons with dementia
  • Importance of early diagnose
  • Structured treatment and care
  • National guidelines
  • Swedish Dementia register
  • Dementia ABC primary care
  • BPSD register

19
Good use of medicines
  • Unsuitable medicines for the elderly
  • Unsuitable combinations of medicines
  • Inadequate use of neuroleptics

20
Coordinated and Integrated care
  • Homebased care
  • Prevention
  • Avoidable hospital care
  • Readmissions in 30 days

21
Thanks for your attention!
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