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Services access in old age Hugary. László Patyán University of Debrecen Faculty of Health Institut for Social Studies Hungarian Scientific Research Fund (OTKA) 81667. Changes – Crises – Reactions (Adaptation of local organizations of social services in peripheral countries in Europe).

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services access in old age hugary

Services access in old age Hugary

László Patyán

University of Debrecen

Faculty of Health

Institut for Social Studies

Hungarian Scientific Research Fund (OTKA) 81667.

Changes – Crises – Reactions

(Adaptation of local organizations of

social services in peripheral countries in Europe)

slide2
Promotion of population aged 65 and over % of total population of selected countries(Yearbook of Welfare Statictics, 2010)
slide3
Europe is getting older…Old age dependency ratio compareing the going rate in selected years(Yearbook of Welfare Statictics, 2010)
general informations
General informations
  • Social services are provided by the state (redistribution)
  • Health services provided by the state (insurance)
  • LTC belongs to the social care area
  • The main responsibility organising services: Local Government
income pension allovance 2010 yearbook of welfare statictics 2010
Income, pension, allovance 2010 (Yearbook of Welfare Statictics, 2010)
  • Average income: 135.000 HuFt (450 €)
  • Average pension: 86.361 HuFt (288 €)
  • Minimum pension guaranteed: 28.500 HuFt (95 €)
  • Old age allovance: 27.421 HuFt (91 €)
  • Nursing allowance: 28.567 HuFt (95 €)
present movements ideologies
Present movements - ideologies
  • Re-paternalisation of the welfare area
  • The state wants to get back the direction, organisation, financing, controlling, and service providing

(culture, education, employing area, health, social services)

  • Church organised services still in the highlited positions (94,5% extra finance)
problems with the service providing area
Problems with the service providing area
  • Service path-dependency (focus on the institutional services, especially LTC)
  • Non determined social risks (ADL-type scales from 2008) and service users
  • General aims, governmental startegies, and short term plans (changes rapidly)

(1993, 2004, 2008, 2009, 2011)

problems with the service providing area1
Problems with the service providing area
  • Methods of care giving focused to the physical care
  • Service users: paternalistic attitudes, and way of thinking
  • Low number of provided services compareing to the European trends
  • The provided services has special caracteristic, it depends the size of the settlement
datas about services 2010 yearbook of welfare statictics 2010
Datas about services2010…(Yearbook of Welfare Statictics, 2010)
  • Every 145-th elders relative can have nursing allowance
  • Every 30-th elder had domestic care (organised by Local Governments)
  • Every 16-th elder used catering
  • Every 90-th elder had alarm system based home assistance
  • Every 60-th was a member of the day center for elderly
  • Every 2.128-th could use the special day service for elder people with dementia
  • Every 47-th lived in long term residential care for old people
main discussions
Main discussions
  • Active aging
  • Sustainable services (in the growing number of elderly)
  • Quality
  • Ecual access
  • Focus on the family care, and self responsibility
  • Modern technologies (ICT) for reduceing costs, and developing access
main components of access used research methods and results
Main components of access (used research methods, and results)
  • Life Quality Research of Nyíregyháza 2008-2010

(reprezentative sample, N=286; N=196)

  • Services located and served in a small area (strenghten the physical access)
  • Services cumulated in some area and weak access in other areas
  • The older age, the less services (benefits)
  • Main caracteristic of the service providers. User selecting methods, practices (interview, and test shopping)

25 service provider (Local Government, County, Subregion, Church, Non-Govermental Firms) Szabó Judit 2009.

  • The service providers select the users (care giving, financial status)
  • The selection methods are not specialised for one kind of provider
slide13
POSKE Service Accessability test-research University of Oulu, Northern Finnland Excelence on Social Welfare, MTA PTI, Debreceni Egyetem
  • Simply random method (Random walking)
  • 22 settlements (Esztergomtól Biharkeresztesig)
  • 200 answerer (over 65 years old)
  • Almost a half of the sample lived alone
do you use info communication technologies
Do you use info-communication technologies?
  • 79,7% has a mobile phone
  • 26% has PC
  • 26,8% has Internet access
summary
Summary
  • Develop the method of the family support:

The family takes important part of careing elderly, but they do not have specialised supportive services.

  • How can we give more informations about the services:

Family doctors, home care nurses, and the social professionals of the home help are the most popular persons for elderly. They need to konw about all the accessable services.

  • Active aging 2012?

Elderly people wants to have more physical activity, free entertainments, and cultural programs.

  • The infocommunication techniologies are quite new for the elder people. They prefer the mobile phone, so it can be the further way developing ICT-based services.
  • More centralisation of services means less services to reach for old people
more information about the service access
More information about the service access
  • Peer Review in Social Protection and Social Inclusion and Assessment in Social Inclusion(Hungarian Country Report by Balazs Krémer)

http://www.peer-review-social-inclusion.eu/peer-reviews/2009/combining-choice-quality-and-equity-in-social-services

slide31
Kiitos

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