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Zoltan Balogh PhD MSc RN PT

Semmelweis University Faculty of Health Sciences Department of Nursing Science Council of the Hungarian Health Paramedical Professionals. Quality Measurement of Long Term Care in Hungary. Zoltan Balogh PhD MSc RN PT. 21st May 2010, London School of Economics - United Kingdom.

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Zoltan Balogh PhD MSc RN PT

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  1. Semmelweis University Faculty of Health Sciences Department of Nursing Science Council of the Hungarian Health Paramedical Professionals Quality Measurement of Long Term Care in Hungary Zoltan Balogh PhD MSc RN PT 21st May 2010, London School of Economics - United Kingdom

  2. DEMOGRAPHIC CHANGES IN THE WORLD 1proportion of the population aged 65 years and over in 1996 2 WHO, 1997

  3. DEMOGRAPHIC CHANGES IN THE WORLD 2proportion of the population aged 65 years and over in 2020 3 WHO, 1997

  4. POPOULATION BY SEX1890-1941-2008 1890 1941 2008 WOMEN MEN WOMEN MEN WOMEN MEN Hungarian Central Statistical Office 4

  5. Estimates and projections of the proportion of the population aged 65 years and over in Hungary1995-2050 László Hablicsek, Pál Péter Tóth, 1999. 5

  6. MILESTONES IN THE HISTORY OF LONG TERM CARE Foundation of home nursing and hospice care (1991-95) Reducing the number of hospital bed (1995/1996) Introducing the new concept for home nursing (1995/1996) New Health Act (1997) Introducing the Nursing Departments/ Nursing Institutes (1998) Introducing Hospice Home Care teams (1999) Minimum human and material resources (2003) New professional requirement(2009) New professional standards in home care (2010) 6

  7. QUALITY MEASUREMENT OF LTC 1 Clinical audits Professional guidelines and standards Nursing protocols 7

  8. QUALITY MEASUREMENT OF LTC 2 Clinical audits organised by NPHMOS: • Personnel working conditions: • Prescribed specialised training • Employment contracts • Liability insurance • Retrospective analysis of nursing documentation • Examination of patent’s rights • Material working conditions: • Existence of equipments 8

  9. QUALITY MEASUREMENT OF LTC 3 Professional guidelines and standards by Ministry of Health and Hungarian Scientific College of Nursing Role of GPs and District and Home Nurse Patient’ admissions Process of home and palliative care Hungarian Healthcare Service Standards 9

  10. QUALITY MEASUREMENT OF LTC 4 Protocols in the field of home care nursing Nursing and rehabilitation of stroke patients Nursing and rehabilitation of MS Dietotherapy of chronic cardiac failures Physiotherapy of hip joint endoprothesis Incontinence management Wound management 7

  11. QUALITY MEASUREMENT OF LTC 5 ISO Standards Activities of management Resources management Process control Measurement, analysis and improvement Ministry of Health published the recommendation of application of the ISO 9001:2000 standards in the home and hospice health care services. 7

  12. INTERNATIONAL CONCEPTS 10

  13. „For health and for the sick with representing our profession” Thank you for your kind attention! 11

  14. REFERNCES Balázs E. Interjú Boldogné Csurik Magdolnával az Országos Tisztiorvosi Hivatal Ápolási Szakfelügyeleti Osztálynak vezetőjével. Otthonápolás. 2005;1(5):5-9. Balogh Z, Borbas I, Lako E. Nursing in Hungary. Budapest: Institute for Basic and Continuing Education of Health Workers; 2008. Hajnal MP. Minőségfejlesztés – egy korszak kezdete – tovább egy megkezdett úton. Otthonápolás. 2005;1(5):14-16. Hegedűs K. HPPA: the rise of Hungarian hospice and palliative care. European Journal of Palliative Care 2010;17(2):98-100. ICN. Delivering quality, serving communities: Nurses leading chronic care. Geneve, 2010. p. 2-42. Modly D, Zanotti R, Poletti P, Fitzpatrick JJ. Home Care Nursing Services. In: Balogh Z, Modly D.: Home-Based Health Care in Hungary. (Chapter 12) New York, USA Springer Publishing Company, Inc.; 1997. p. 127-132. Richard B, Figueras S & J. Europen Health Care Reform. WHO Regional Office for Europe, Coppenhagen, 1997. p. 22-28. Stubnya G, Balogh Z., Csetneki J. Zur beruflichen Situation von Pflegefachkräften und Geburtshelfern in Ungarn. Pflegerecht 2009;9:428-434. 7

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