Dansk Gerontologisk Selskabs Årsmøde 2009

1. Dansk Gerontologisk Selskabs Årsmøde 2009 Hvordankankronisksyge’slivsverdenforbedres? • et 3 årigt EU projekt Lis wagner, Dr.PH, Professor Enheden for sygeplejeforskning, SyddanskUniversitet

2. Titel: Sundhedssystemer og longtermcare (LTC) forældre i Europa. Udviklingaf en model der beskriverberøringsfladenemellemforebyggelse, rehabilitering, kvalitet i ydelserne og uformelpleje

3. Baggrund: • EU’s 7’ende Rammeprogram • Second Call Health: Health systems and • long-term care for older people in Europe 2006 • Ansøgningen blev placeret som nr. 1 ud af 18 • Forberedende første møde i Wien primo 2007 Presented by Kai Leichsenring • Vienna, 2009-01-15

4. Deltagere: 16 fra 14 lande • CMT Prooptiki ltd. (EL) • University of Valencia – Polibienestar (ES) • Studio Come S.r.l. (IT) • Vilans (NL) • Institute for Labour and Family Research (SK) • Institute of Public Health (SI) • Forum for Knowledge and Common Development, Stockholm County Council (SE) • University of Kent (UK) • University of Birmingham (UK) • European Centre for Social Welfare Policy and Research,(A) Coordinator • Ecole d'études sociales et pédagogiques (CH) • University of Southern Denmark • Institut de Recherche et Documentation en Economie de la Santé - Irdes (FR) • National Research and Development Centre for Welfare and Health – Stakes (FI) • InstitutfürSozialeInfrastruktur (DE) • WissenschaftszentrumfürSozialforschung, Berlin (DE)

5. Mod et integreret system for LTC? IntegreretLTC system Social- væsnet Sundheds- væsnet Vision – Kultur Strategier – Politik Financiering Mennesker - ProcesserMetoder- KvalitetskriterierForskning - UdviklingTræning Ydelser Hjemmepleje Institutioner Proffessioner Udbydere Metoder Regelsæt Politik Ydelser Hospitaler Professioner Udbydere Metoder Regelsæt Politik Brugere/klienter/patienter/borgere

6. Mål(2008-2011) • At udvikle en metodetil at beskrive og analyserer LCT og forløbs-koordineringenmellemsundheds- og socialvæsnet og eget hjem. • At sammenligne LCT forløb over grænserne • At udviklepraktiskeværktøjertil at måle og støttefremgang, med udgangspunktikronisksygeslivsverden og eksempler på god praksis • At identifiserer god praksis, somkanhjælpe med at guide og formepolitik og praksisiandremedlemslandeiretningaf at: • Fremmeforebyggelse og rehabilitering • Vurderekvalitetenafplejen • Støttepårørende • Forbedreledelseogfinansiering

7. Design: Final Conference Modelling and Validation by WPs 3-6 PHASE 3 Modelling 3WP 7 Sounding Board 2 Quality of serviceWP 4 Prevention and RehabilitationWP 3 Informal careWP 5 Governance and FinancingWP 6 PHASE 2 Modelling 2WP 7 Sounding Board 1 Prevention and Rehabilitation WP 3 Quality of serviceWP 4 Informal care WP 5 PHASE 1 Modelling 1 WP 7 Kick-off meetingWP1 - WP2

8. Nøglespørgsmål i forskningen: • Hvordankaneffektivitet, ydeevne og finansielbæredygtighedisundhed og LTC,for kronisksygeældre, - planlægges og sikresi et internationaltperspektiv? • Forebyggelseogrehabilitering • Kvalitetiplejen • Støttepårørende • Ledelse og finansiering • Hvilkeelementer, strukturer og organisatoriskeaspekterkanføretil et succesrigtsamarbejde over grænserne ?

9. Førsteopgave: Vignettes • To historieromkroniskepatientforløbblevbeskrevetaf • allelandene og blevdrøftetved “Kick off” mødeti Wien, Østrig, • Marts 2009

10. Vignette #1 • Mrs. L.T. Care, an 83 year old woman, had an acute stroke, was admitted to hospital and is now discharged with partial hemiplegia (a paralysis affecting one side of the body). She is incontinent and living alone in a relatively large apartment owned by herself (second floor, with small lift). She receives an average widows-pension. Her daughter and her son-in-law are living and working in a nearby town (20 km).

13. Mr. L.T.C. Dementia is 87 years old. His wife died recently and, during the past few months, he started to become confused and the neighbours found him several times already out in the road not knowing where he was (onset of Dementia of the Alzheimer type). His family lives (average income, both son and daughter-in-law are close to pension age but still working) in the same town and is increasingly worried about his behaviour. He is living with a small pension but owns the small house he is living in. Please describe how Mr. L.T.C. Dementia and his family would access and use the services that might be appropriate to their needs in your area, using the following questions as a guide. Mr. L.T.C. Dementia is 87 years old. His wife died recently and, during the past few months, he started to become confused and the neighbours found him several times already out in the road not knowing where he was (onset of Dementia of the Alzheimer type). His family lives (average income, both son and daughter-in-law are close to pension age but still working) in the same town and is increasingly worried about his behaviour. He is living with a small pension but owns the small house he is living in. Please describe how Mr. L.T.C. Dementia and his family would access and use the services that might be appropriate to their needs in your area, using the following questions as a guide. Vignette #2 Mr. L.T.C. Dementia is 87 years old. His wife died recently and, during the past few months, he started to become confused and the neighbours found him several times already out in the road not knowing where he was (onset of Dementia of the Alzheimer type). His family lives (average income, both son and daughter-in-law are close to pension age but still working) in the same town and is increasingly worried about his behaviour. He is living with a small pension but owns the small house he is living in.

16. HvadNational Expert Panel, kangøreforINTERLINKS • Støtte den nationale del iDanmark • Udveksleforskning med nationaleforskningspartnere • Hjælpe med informationerompolitik, kultur og organisation • Inspirere og motivere • Læse og evaluerepublikationer • Deltageiendeligekonference: INTERLINKS 2011