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Position of the primary care in the care for elderly in Slovakia

Position of the primary care in the care for elderly in Slovakia. www.vpl.sk. Peter Liptak, Iveta Vaverkova , Jana Bendova, Peter Pekarovic Slovak Society of General Practice SkMA EFPC Conference Pisa 31.08.2010. Slovakia. Fate of chronic polymorbid elderly patient in Slovakia. D I A

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Position of the primary care in the care for elderly in Slovakia

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  1. Positionoftheprimarycarein thecareforelderlyin Slovakia www.vpl.sk Peter Liptak, Iveta Vaverkova, Jana Bendova, Peter PekarovicSlovak Society of General Practice SkMA EFPC Conference Pisa 31.08.2010

  2. Slovakia

  3. Fateofchronicpolymorbidelderlypatient in Slovakia D I A B E T O L Ó G I S T GERIATRICIAN P S Y C H I A T R IST I N F E C T O L ÓG I S T INTERNIST A LLERGOLO GI S T N E U R O L Ó G I S T PNEUM OLÓGIST C A R DI O L ÓG I S T ☻ ... SPECIALISTS – DISPENSARISATION CARE no power(no competences) GP - P H C - Chronicpolymorbidelderlypatient This patient is early exhausted. In the best case he ends up in a good private institution for elderly - outside of community. Too expensive and inefficient care. Insufficient public health care.

  4. Pim´s questions... b? homevisits by GP's, nurses and otherhealthworkers in order to prevent or recognizeearlydeteriorationofthehealthofelderlypeople? ThenumberofGP´shomevisitsisreduced. Homevisits are notsupported by paymentsfrominsurancecompaniesneither by policyofhealthcaresystem. GP withoutcompetences in hisofficeisn´tmotivated to providehomecare.Nurses do thehomevisitsrarely. In thepast - one GP used to have 2 nurses – oneforhomevisits. Thissystemisnotsupportedanymore. Independenthomenursingcareagenciesoperate in thecommunitywithlimitedcompetencies, humanaswellasfinancialrecouces. a? in howfar do geriatricians/specialistsin elderlycareoperateinprimarycare? Do theyassist/trainGP's, do theyoperate in parallel to GP's? Theyoperate in parallel to GPs, Theyhavecompetences, buttheydon´toperate in community in primarycare. Thereis a meaningfulcoordinationwithGPsmissingCoordination is assuredviatransportingpatients to geriatricians/specialists officeswithambulances or otherwise. Often, thisprocessemploysthewholefamily... c? preventionoffallsathome (falls are animportantcauseofdisability and dependence) - doesprimarycareplay a role?Identicalwith b)

  5. Privateinstitutionsforelderly are trendy...outsideofcommunity, outsideof PHC... expensive – ineffective - insufficient Primary care as a hub of coordination? SLOVAKIAPoliticians prefer business/market models in healthcare for elderly...

  6. Thistroubleshootingrequires a veryentusiasticpeople XXXI. Annualconference in Bojnice 21 – 23 October 2010 We are invitingyou...

  7. Thank you for your attention!

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