Integrated Health Care for Older People in Denmark -Evaluation of The Skaevinge Project "Ten years on"
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概要
- 論文の詳細を見る
In 1984-87, the Skaevinge Municipality applied Integrated Home Care based on self-care theory and using the action research method. After 10 years (1997) the Municipal Committee, requested the Danish Institute of Health Care to undertake an impartial investigation of what effects the Skaevinge Project, had on the older population of the Municipality compared with the rest of the county and nationally. The goals were: 1) Health care was to be made available to all citizens in institutions and in their own homes. 2) Prevention and support to maintain and strengthen the citizens' own health and quality of life, were to be prioritised. The method used meant that citizens had jointly decision-making and the staff were given autonomy and competence, built on trust from the policymakers. The results derive from the perspectives of the citizen (questionaries), the staff groups (interviews) and the society at large (interviews and statistical analysis). More older people in 1997 (40.8%) assessed their own health as better in comparison with those of same age in 1985 (28.9%). The interviews seen from the staff perspective, the leadership and the politicians today, were a success due to: A long and thorough preparatory process; involvement indecision-making and the feeling of ownership and responsibility. The number of days citizens spend in hospital (67+years) fell by >30% and the municipality did not over the past 10 years experience waiting days for returning to the HealthCare Centre or to get immediate home care when needed.
- 大分県立看護科学大学の論文