斯洛伐克面临的挑战:老年人综合护理

M. Vaceková, J. Levická
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引用次数: 0

摘要

老年可能伴随着健康领域的许多变化,这些变化影响到老年人的社会功能。影响老年人生活质量的因素之一是建立在部门间合作基础上的医疗保健与社会关怀的衔接。斯洛伐克仍然没有这种做法。因此,本文的目的是强调综合护理的重要性和必要性,并说明妨碍在斯洛伐克实施综合护理的障碍。寻求以下问题的答案:"斯洛伐克老年人保健和社会护理部门是何时以及为何成立的?造成这种状况的原因是什么?在实践中,这种对老年人的分散照顾的后果是什么?在2019冠状病毒病大流行期间,利用老年人设施克服这种情况的战略是什么?作者采用了案例研究(Yin, 2003)的方法,重点研究了特尔纳瓦自治区。一直存在的结构、程序、立法和政治因素已被确定为主要障碍。斯洛伐克的具体情况是,由于社会工作者对这一问题的兴趣不高,存在着专业障碍。提交人指出,斯洛伐克的情况主要是由于综合护理反映为一个政治问题造成的。最后,提出了解决这一问题的几点建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrated Care for Seniors as a Challenge for Slovakia
Older age can be accompanied by a lot of changes in the field of health, which influence the social functioning of seniors.One of the factors influencing the quality of life of seniors is the connection of healthcare and social care, built on the interdepartmental cooperation. This approach is still absent in Slovakia.The aim of the paper is therefore to emphasize the importance and need of integrated care and to describe the barriers that prevent its implementation in Slovakia. In search of answers to the questions: “When and why was the healthcare and social care department of seniors established in Slovakia? What are the reasons persisting in this condition? What are the consequences of this divided care for the seniors in practice? What strategies use facilities for seniors to overcome this situation during the COVID-19 pandemic?” the authors used the method of the case study (Yin, 2003) focused on the Trnava self-governing region. Persistent structural, procedural, legislative and political factors have been identified as the main barriers. Specific for Slovakia is the existence of a barrier of the profession, which is caused by the low interest of social workers in the issue. The authors state that the situation in Slovakia is caused mainly by the reflection of integrated care as a political problem. In the end, the authors make several suggestions for solving the situation.
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