However, the construction of policies for older people remained the responsibility of several bodies, while the need for national political leadership appeared central to the promotion of integrated care. “Method of Action for Integration of Health and Social Care in the field of Autonomy,” were implemented as the first real model of integration services in France involving all stakeholders in the medical, psychological, social, administrative, and environmental fields, at all levels of responsibility, from national to local and clinical. New innovative organizations called MAIA, 1 i.e. Regarding governance, the regional level had been strengthened and simplified by the creation of regional health agencies that manage both the financing and planning of healthcare, as well as medical-social care and services and the supervision of health policies for older people. Ten years ago, in spite of attempts to improve their articulation and coordination, French health and social services appeared fragmented. Fragmentation is apparent as “lack of coordination between the different levels and settings of care, duplication of services and infrastructure, unutilized productive capacity, and health care provided at the least appropriate location, especially hospitals.” It impairs users’ access to services and continuity of care. The goals are to enhance quality of care and quality of life, patient satisfaction, and system efficiency for patients with complex problems cutting across multiple sectors and providers. In this policy paper, we define integration, according to the definition of the French Society of Geriatrics and Gerontology, as a process designed to overcome the fragmentation of services for vulnerable people, requiring an inter-sectoral and multilevel approach, and, according to the definition of Kodner and Kyriacou, as a set of techniques and organizational models designed to create connectivity, alignment, and collaboration within and between the treatment and care sectors at the funding, administrative, and/or provider levels. Public spending on dependent older people is anticipated to rise by 2060 to 2.07% of GDP, and total spending will almost double to 2.78% of GDP. Over three-quarters of this amount is provided by the public authorities. 1.40% of the gross domestic product (GDP). All payers considered, it was 30.0 billion€ in 2014, i.e. In France, as in other European countries, spending on the care of older people is increasing. France could have around 4 million senior citizens with a loss of autonomy in 2050, representing 16.4% of people aged 60 or over (compared to 15.3% in 2015). Projections indicate that this number will increase by 200,000 to 410,000 (+15% to +33%) between 20. About 1,459,000 people over 60 years of age living at home are currently deemed to be dependent, to which should be added 584,000 people living in institutions, meaning that there are just over 2 million dependent older people in France. As in all developed countries, the number of older people had been increasing for over 30 years, with a spurt since the mid-2010’s with the arrival of the so-called baby boom generation. In January 2020, over one-quarter of the French population was aged 60 or more.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |