Zsuzsa Szeman Demographic Change in Central and Eastern Europe JPI More Years Better Lives Vienna 24 March 2015 Demographic changes in Hungary httpwwwkshhuinteraktivkorfakorszaghtml ID: 342477
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Slide1
Challenges and Possible Answers of Home Care in Hungary
Zsuzsa
Szeman
Demographic Change in Central and Eastern Europe
JPI More Years, Better Lives
Vienna, 24 March 2015Slide2
Demographic changes in Hungary
http://www.ksh.hu/interaktiv/korfak/orszag.htmlSlide3
Development o
f
Long-term care
1993
Social Welfare Act –
home care
is a mandatory task of local government: maximum 4 hours daily help/care
contracting out with NGO-s, churches possible
1994
- amendment of regulations, elaboration of better conditions for residential homes
2003-2005
model of obstacle free environment
2006
incorporation of the social alarm into
the Social Welfare Act
Slide4
Withdrawing state
2009
Residential homes only for those with more than 4 hours care need
Decreasing budget of social alarm
2011
New Constitution: care - task of family
2013
Financing of home care - decreased by 30%
Home care with social alarm centralised
2015
Criteria to receive home care - made stricter
Slide5
CONSEQENCE
Increasing care demand – not enough caregiver
s
1995
1
caregiver
3
.
6
old persons
2011
1
caregiver
7
.
3
old persons
2012
65+ 6
.
4% received care
but more care demand!
Shift from care to
nursing
- no suitable structure
Gap
: older people with
milder care
need – out of formal careSlide6
Trend of social innovation in LTC, models and programs
1992-1994
social alarm – model
1990s
dissemination of social alarm
2003-2005
obstacle-free home – model
2009
dissemination of obstacle-free homeSlide7
LATEST TRENDS - 3 MODELS
Skype Care 1 2011-2014
Skype Care 2 2015 in progress
Complex home care 2015 in progress
*Slide8
OLDER PEOPLE
in home care
PLANNING
NGO
Research
ACTION
young
volunteers
FINANCING
NGO
(
private
)
SKYPE CARE MODEL 1
Secondary educationSlide9
OLDER PEOPLE
in
home
care
PLANNING
Research
, NGO
Local
Gov
.
ACTION
young
volunteers
!
FINANCINGLocal Gov.MarketTender
SKYPE CARE MODEL 2
Teaching
Secondary education
Tertiary education
HOME CARERS
TrainingSlide10
comprehensive home care*
OBJECTIVE:
complex home care,
service for elderly with milder care need
HOW?
Incorporate ICT / ICT market
New human resource
Professional carers with new skills
Special labour market - public workers
= program elaborated to avoid unemployment
Help for family carers
Prevent abuse
Quick, reliable information
Provide training
RESPONSIBLE ACTOR: LOCAL GOVERNMENT
!
Elaborated by Zs. Szeman, Jeneiné Dr. Cs. RubovszkySlide11
CENTRE:
ICT
CASE MANAGER
CARER
TRAINING
MARKET/
INTERNET
PROVIDER
MARKET/
EQUIPMENT
LOCAL GOVERNMENT
LABOUR M./
PUBLIC WORKER
INFORMAL HUMAN RESOURCE
YOUNG STUDENTS
SOCIAL WORKER
STUDENTS
OTHERS
FAMILY
SERIOUS CARE NEED
HOME CARE
MILDER CARE NEED
OUT OF CARE SYSTEM
POLICE
INFOCUMMUNICATIONSlide12
What is characteristic for the recent hungarian innovation trend?
Models are built on earlier ones
.