CASE STUDIES INTERVIEWS Urban Boljka Oliver Ilievski Lea
CASE STUDIES / INTERVIEWS Urban Boljka, Oliver Ilievski, Lea Lebar, Nejc Vidrih, Sanel Ramović
Purpose • to complement the study with user perspective; • to (try to) complement the study with approximate cost-benefit calculations on the individual cases; • to show for which cases is FCN useful from financial and social perspective; • to identify the benefits of CONSENSO on micro level; • to identify the issues unsolvable by CONSENSO model (and to suggest modifications to the model); • to show the project (Consenso) integrates within already established health and social care system.
Methodology • interviews with senior citizens; • approximate start: January; • interviews conducted by qualitative analysis professionals (not nurses!) in order to avoid potential bias; • 10 interviews per country
Nurses from each region collectively decide on whom to interview, suggestions: 4 cases: elderly with at least three (curative) visits; with either numerous untreated symptoms/poor health condition; at least two with low socio-economic status and at least one with prevented hospitalizations / nursing care admissions, where activation of other networks went successfully Whom to interview? 2 cases: elderly with at least three (curative) visits; with either numerous untreated symptoms/poor health condition; at least one with low socio-economic status and at least one with prevented hospitalizations / nursing care admissions, where activation of other networks was not successfull 2 cases: (younger) elderly in need of change in life style, with successful health prevention activities 1 case: (younger) elderly in need of change in life style, with un successful health prevention activities
BACKGROUND / PERSONAL STORY: QUESTION CATEGORIES ATTITUDE TOWARDS CONSENSO: 1. housing and family circumstances 2. health state (diseases, disability, pain, mental state) 3. social network (relationship with close people, relationship outside home, who is helping? , why is helping? , member of any association? ) 4. everyday life (housework, cooking, hobbies…) 5. financial state of the elder and his/her family (income, costs, barriers) 1. benefits of CONSENSO model on personal/micro level 2. changes made by CONSENSO 3. implemented activities that led to change 4. unsucessful CONSENSO interventions
Possibility of calculations of savings, related to FCNs, on micro level Needed: • • • Cost-benefit angle • • • the number of prevented hospitalizations (user / nurse perspective) information regarding admission to nursing home (user / nurse perspective) calculations of 1 day of nursing home / hospitalization costs calculation of elderly‘s personal budget to see whether he can afford to pay for the costs; detailed individual plan regarding provision of care (formal carers / informal carers) cost of formal carers Potential issues: • • Based on assumptions Home care is actually more expensive than institutional care
- Slides: 6