质量和成本效益在长期护理和依赖预防:波兰的政策景观

S. Golinowska, A. Sowa
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引用次数: 2

摘要

随着人口老龄化,发展可持续的长期护理机构在许多欧洲国家具有重要意义。在波兰,目前占主导地位的传统和以家庭为基础的护理将随着老年人群体的增加而变得不足。本文讨论了该国长期护理政策的最新发展。长期护理机构在两个部门是分开的,几乎没有合作和协调活动的余地。在过去几年中,制定了处理与老龄化有关问题的政策,重点是积极的老龄化手段。预防依赖和积极老龄化是卫生和社会部门分别制定的国家政策的目标之一。信息政策和监测长期护理服务的提供仍然不足。活动的协调主要在地方一级进行。地方政府和非政府组织往往与老年人的代表合作,积极向社区的老年人提供服务,并经常在护理方面采用创新的解决办法。
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Quality and Cost-Effectiveness in Long-Term Care and Dependency Prevention: The Polish Policy Landscape
With the population ageing the development of sustainable long-term care institutions is of great importance in many European countries. In Poland, currently dominant, traditional and family based care will become insufficient with increasing cohorts of older people. Presented paper discusses recent developments in long-term care policy in the country. Long-term care institutions are separated in the two sectors, with little field for cooperation and coordination of activities. Over the past years policy addressing ageing related problems was developed, focusing on the active ageing instruments. Dependency prevention and active ageing are among goals of national policies formulated separately in the health and social sector. Information policy and monitoring long-term care services’ provision remains insufficient. Coordination of activities mainly takes place at the local level. Local governments and non-governmental organizations, often cooperating with representatives of older people, are active in providing services to older people in community and often incorporating innovative solutions in care.
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