Transcript Document

Integration Of Home
Care; “How To Deal With
This Difficult Task?”
ÜNALAN C.Pemra,
ÇİFÇİLİ Serap
Marmara University Medical FacultyDepartment of Family Medicine
Home Care Unit of the Hospital
10 September 2013 EFPC/ İstanbul
Integration of Home Care within levels of health
care; different sectors; governmental and nongovernmental organizations and different branches
of care.
Purpose: To discuss
opinions and experiences of
the participants in terms of
integrating home care in a
country which is in a
transformation period of
primary health care services
and recently organized home
care service delivery.
•A new health delivery system has been
introduced in 2003 by the Turkish MoH.
•primary and secondary care were reorganized.
•“home visit or calls” were defined to be
delivered by primary health care workers and
nurses were allowed to deliver private home
health services, too.
•hospital based home health services have
been started without creating the necessary
environment.
But, none of these met the current definition of
“home care”.
Services enabling people to living in their home
environment
In 1996, private organizations started to deliver
home care services.
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totally paid by the patients
no legal regulation at that time
the need to service was extremely great,
private
sector was soon followed by local
administrations
limited to design of the organizations!!!
In 2005, with the help of the efforts of the service
deliverers and non-governmental and academic
organizations working in the area, a by-law was
announced by MoH called “Regulation of Home
Health Services”.
In 2004, a few governmental hospitals, mostly
located in small towns started to deliver home
health services.
No payment by the Social Security System due to
lack of regulations.
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“Regulation of Home Health Services
Delivered by Ministry of Health” in 2010, and
rapidly organized hospital based services
across the Country.
At least; the payment system was declared!!!
A “window dressing” activity without any
background organization.
Preventive health services of home care,
primary level health services and follow-up of
chronic diseases of home-bound patients,
was defined as duty of primary care team.
As a conclusion;
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In Turkey there are many different organizations of home
care in the field.
Social home care services are directed by an other
govermental organization.
We as a country have many organizations that allocated
resources to better meet the needs of this population.
Lack of the experience of care coordination for people
with multiple health and social needs,
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a methodical approach to deliver integrated service,
human resources trained appropriate for this issue,
standarts to deliver the home care service
to measure the outcomes while ensuring efficient access to the
health care system.
Evidence suggests that Integrated Home Care, which
could be defined as; “integrated pathway between
hospital services, primary care and social services for
patients with home care”
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What strategies can be used to integrate home care
services within different levels of care?
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How could social and health aspects of home care be
integrated?
What is the role of reimbursement system in
integration of home care?
Thank You...
Şeker Ahmet Paşa