Health and Ageing

Risk and Uncertainty in National Network for Integrated Continuous Care

Joint World Conference on Social Work and Social Development:Action and Impact 11 July 2012, Stockholm, Sweden

Jorge Lopes da Costa Researcher and Clinic social worker

School of Social and Political Sciences Technical University of

Lisbon

JUSTIFICAÇÃO DO OBJECTO

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•Distinction between possibility and reality (risk);

•Risk as a continuum which never ceases;

•Ability of organisations to plan and act upon

situations of uncertainty;

•Risk as an instrument of social control and

surveillance over the territory and over populations

•New concept of solidarity (diagnosed and introduced

by empirical facts) – risk parameterization

Background:

Risk and Uncertainty in National Network for Integrated Continuous Care

OBJECTIVOS DA INVESTIGAÇÃO

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• Evaluation of the Integrated

Continuous Care Network (RNCCI), in

light of risks and uncertainties of the

national policy.

MAIN OBJECTIVE

METHODS:

Collection and processing data

Theoretical basis InductivQualitative approach

Documentalanalysis

Depth InterviewsContent analysis

PRINCIPAIS C

RESULTS

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•Aging and dependence carry with it, a host of other

problems such as proliferation of chronic diseases and the

onset of multiple comorbidities.

•The effects of demographic change and potentiate the

global costs of Long term care;

•Portugal will be the 4th country in European Union with

the highest percentage of elderly (31,9%);

•Decreasing in deaths and live births simultaneously

(increment the dependence ratio of elderly).

Between chronic disease

and family burden

The weight of

demographic factors

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•New social facilities are need for strategic areas (mental

health and palliative care);

•Skilled professionals/differentiation of care including a

more diversified number of health professionals

(reabilitations physicians, phsyiotherapists, social workers);

•Training to keep the guarantee quality standards.

The balance between

structure and human

resources

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•It is important that the role of state in all its functions

could focus on the Long term care/NHS continuing care

over investment in the hospital sector

•Diversity of funding and proper mix of services( formal

and informal) as the best prescription for future

sustainability

(Un) Sustainability of

National Network -

RNCCI

:

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•Monitoring at the base of continuing care supply;

•The prediction of the need of Continuous Care over

times requires an investment in studies, surveys and

audits that allow valid comparisons;

• It can be possible monitorize the evolution of

dependent and vulnerable people (eg. Cancer and

chronic diseases patients)

Demand and Supply of

RNCCI

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•The concerns about sustainnability of continuing care has been

related to the diversity of funding and the appropriate

combination of services by formal and informal caregivers

•To overcome the unpredictability of demand and supply of

continuous care the importance of studies is emphasized. These

are often supported by external evaluations that will redirect

existing answers to create more adjusted measures.

Conclusions

:

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Thank you all

for Listening

jlopesdacosta@hotmail.com