The DN of the Debate. Bet is in the care of the elderly relieve the pressure on strained medical care

in the Healthcare industry are large and obvious problems. One reason for this is that a high number of elderly people, that is, in the absence of safe and accessible care for the elderly time and time again, are forced to seek out the nation's emergency departments. Additional kömiljarder to the health care sector are very good, but it helps a little, if the parties of the januariavtalet are not able to resolve the challenges of long-term care.

in the Face of deployment count with the Municipal of the major investments in the care of the elderly, as it can relieve the pressure on the health service, and the quality and continuity of the service for the elderly. The challenges are great, and obvious. 8 of the 10 municipalities, 17 of the 21 regions, have announced that they are going to save up and make the cuts in the välfärdsverksamheterna of the year. It is also the year that the 40-talisterna completing 80 years of age. Ten years from now, there will be 50 per cent more people aged 80 years and over, compared with the current situation.

It is also possible to deal with. However, in such cases, we have more resources, work smart, and invest in both human and financial resources where they will have the greatest benefit. Then it is necessary for the long-term, and the brave political decision-making.

One of the only emergency slutenvårdsepisod equivalent to the average cost of the 56 physician visits in primary health care or 220 hemtjänsttimmar for the most ill elderly people.

And that's where we are today. The fact is that, today, in the care of frail older people is the quality of the poor and financially costly. The municipal believes that a key piece of the puzzle is to build a functional chain of care for older people in need of care and protection, among other things, through the strategic investments in long-term care.

the Municipalities did not succeed to meet the elderly's medical needs and the primary care gaps. As a result, the severely ill, older people between the acute hospitals, korttidsboenden and home care services, but some will take full responsibility. Sometimes it is written to the patient before they are completed, in regard to the follow-up to be taken over by the home care or residential care, but when the pressure is too high, although there is the patient, the patient is often back in the accident and emergency department within a short time.

the ädelreformen was carried out in Sweden in 1992, the municipalities, the collective responsibility for the long-term services, care and support for older people. Basically, it is a good reform that is designed to solve the problems of the previous long-term care. However, when we are still, 30 years later, has not built a äldreomsorgsinfrastruktur for the growing population of the older lands, many of these were in the hospital, in vain though.

It's not a good thing for anyone, and it's a huge waste of resources. The care of the hospital, which could have been avoided, resulting in poorer care for the patient, but also to the high costs involved. A single acute slutenvårdsepisod equivalent to the average cost of the 56 physician visits in primary health care or 220 hemtjänsttimmar for the most ill older people (No one in the hospital, in vain, and BEGIN in 2016). It will contribute to the vårdplatsbrist, and the chaos of the emergency room, as we are seeing now.

There is actually even a greater shortage of places in residential care than for care in the health care sector, almost a third location at the health and social care facilities for the elderly to have disappeared after the turn of the century.

in The health-promoting and preventive work is left in the dark. The number of expensive inpatients could be reduced if patients receive optimal care in the outpatient care. This requires a high quality of care for the elderly, which is based on trained staff, with very good working condition. To work within a care of the elderly requires an understanding of, among other things, medication, transmission, transfer between providers, as well as nutrition, cognitive disorders, and oral health. The care of the elderly be expected to prevent, among other things, malnutrition, injuries from falls, pressure ulcers and hospital-acquired infections. When sufficient knowledge about the symptoms and treatment in order to be able to observe and warn of a need. However, despite the fact that elderly care has become more sophisticated, the share of nurses has declined. The decline in the number of nurses in the public sector by 10% between 2014 and 2017, respectively.

business Continuity is both medically and economically, efficiently and effectively. The ability to provide a measure of continuity is found in the doctor's office, home for the elderly in the home, in which many different professionals work together, the patient and the omsorgstagarens best of the best. However, such a continuity is to be found not in the sönderfragmenterat the system, and not on the big hospitals.

If we are going to cope with the demographic challenge of maintaining the quality of the health care system, and the control of costs, the current structures are changing, and the use of resources within the health and social care to become more efficient. Swedish municipal workers ' union has come to the conclusion that the following changes are required:

1. more resources for business continuity outside the hospital. the recipe for success is based on investing in primary care and in the care of the elderly. The government's miljardsatsning in order to support the transition to the close medical care is a start, but alone is not enough. In this year's autumn budget would expect of a Municipal comprehensive äldreomsorgslyft.

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a High level of competence closest to the care recipient. , the the Medical expertise is increasingly sought after in the city's operations. In order to do this you need to care for the elderly to a greater extent, to be staffed by people with the right skills and training. Raise the level of competence closest to the care recipient through the employment of more nurses.

3 , Govern the profession of a nursing assistant. the quality assurance of the undersköterskornas skills through the introduction of a protected title, and in a nationally consistent, comprehensive health care and social care education at the upper secondary school and municipal adult education system. It is essential to make sure that training pays for itself within the welfare system.

4 , Management support for co-operation rather than competition. of Increasing fragmentation lead to a deterioration in health and social care for those who need the efforts of both the communities and the regions. In order to meet the needs of the required interactions between the various suppliers, and organizations, but also to the structures that support and facilitate collaboration, between the care of different professionals in their daily work.

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the State commitment to more and more homes designed for the elderly. In the Swedish survey, said the 127 municipalities that had a deficit in special forms of accommodation for older people by 2019. There are 11 communes and more than that in 2018, when the 116 municipalities reported that they had a deficit of this type of housing. The problem is bigger than what the numbers show, in which many of the municipalities in keeping the elderly at home with enhanced home care. In fact, today it is, above all, those who are very sick, who will get a place at a nursing home, after a long wait.

There is no one worthy of the care of older people who have been involved in building up the Swedish welfare state-and it's a waste of our collective resources. However, it is not reasonable to require the municipalities, in the moment, to be ready for a major expansion of the number of homes for the elderly. The challenge is a national and the state needs to take its responsibilities seriously.

It is about time to secure the right to a secure old age, to ensure that the välfärdsarbetarna have the ability to do their job and invest in a smart, effective care for the elderly with a high level of quality. This is the time to become more aware of how the pieces of the puzzle of welfare are intimately related.
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