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Prenova procesov dolgotrajne oskrbe v domačem okolju
ID Milavec Kapun, Marija (Author), ID Drnovšek, Rok (Author)

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Abstract
Raziskovalno vprašanje (RV): Kakšne so možnosti za integracijo procesov dolgotrajne oskrbe in kakšne so posledice za oskrbo starejših oseb v domačem okolju? Namen: Raziskati možnosti za izboljšanje kakovosti in uspešnosti dolgotrajne oskrbe v domačem okolju z osredinjenostjo na prejemnika storitev. Cilj je analizirati obstoječe procese teh storitev, ki jih izvajajo formalni izvajalci. Prav tako na osnovi popisa procesov in analize oblikovati predloge za integracijo procesov ter podati hipotetično oceno učinkovitosti prenovljenega procesa. Metoda: Narejen je predlog modela prenovljenega procesa dolgotrajne oskrbe z uporabo eEPC pristopa k modeliranju procesov. Rezultati: Narejen je popis procesov za pomoč na domu in patronažno varstvo. Oblikovan je predlog prenovljenega procesa dolgotrajne oskrbe oseb v domačem okolju, ki vključuje tudi nekatere ključne usmeritve novega zakona na področju dolgotrajne oskrbe. Z integracijo in prenovo procesov se je zmanjšalo število začetnih in zaključnih dogodkov in dogodkov v procesu, število aktivnosti in odločitev. Ocena finančnega učinka integracije procesov oskrbe je narejena hipotetičnem primeru. Stroški oskrbe bi bili nižji skoraj za 20 %, število delovnih ur formalnih izvajalcev pa bi se zmanjšalo za 7 ur na mesec. Organizacija: Z integracijo storitev oskrbe oseb v domačem okolju in prenovo procesov je možno dosegati višjo kakovost storitev, optimizacijo kadrovskih virov in večjo stroškovno učinkovitost. Družba: S sistematičnim proučevanjem procesov dolgotrajne oskrbe, integracije in optimizacije se lahko zagotavlja kakovostna in kontinuirana oskrba, ki podpira samostojnost posameznika pri skrbi zase. To lahko pozitivno vpliva na kakovost življenja prejemnikov oskrbe in laičnih oskrbovalcev. Prenovljen proces lahko pozitivno vpliva na družbene izdatke. Originalnost: Po našem najboljšem vedenju do sedaj ni bil narejen popis procesov v patronažnem varstvu ali v pomoči na domu. Z implementacijo Zakona o dolgotrajni oskrbi v domačem okolju se bo lahko predlog procesa dolgotrajne oskrbe preverjal in smiselno dopolnjeval. Omejitve/nadaljnje raziskovanje: Model še ni preizkušen v praksi. S testiranjem in uporabo se bodo lahko razkrile pomanjkljivosti prenovljenega procesa. Njegovo kontinuirano nadgrajevanje, osnovano tudi na raziskovanju posameznih elementov modela procesa, bo lahko zagotavljalo dolgoročno uspešnost modela procesa. Za to je pomembno nadaljnje proučevanje dejanskih finančnih in drugih učinkov predlaganega modela procesa prek strukturnih kazalnikov učinkovitosti prenove procesa.

Language:Slovenian
Keywords:dolgotrajna oskrba, starejši odrasli, pomoč na domu, patronažno varstvo, prenova procesov, integracija
Work type:Article
Typology:1.01 - Original Scientific Article
Organization:ZF - Faculty of Health Sciences
Publication status:Published
Publication version:Version of Record
Publication date:01.06.2022
Year:2022
Number of pages:Str. 120-123
Numbering:Letn. 11, ǂšt.ǂ2
PID:20.500.12556/RUL-138258 This link opens in a new window
UDC:005.6:614-053.9
ISSN on article:2232-5204
COBISS.SI-ID:113345795 This link opens in a new window
Publication date in RUL:13.07.2022
Views:824
Downloads:123
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Record is a part of a journal

Title:Revija za univerzalno odličnost. RUO
Publisher:Fakulteta za organizacijske študije
ISSN:2232-5204
COBISS.SI-ID:260228096 This link opens in a new window

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:01.06.2022

Secondary language

Language:English
Title:Renovation of long-term care processes in the home environment
Abstract:
Research Question (RQ): What are the possibilities for the integration of long-term care processes, and what are their implications for the care of older adults in their home environment? Purpose: The purpose is to identify opportunities to improve the quality and effectiveness of longterm care in the home environment through providing person-centred services. The aim is to analyse existing processes performed by formal caregivers. Based on the process inventory and analysis, opportunities for process integration will be created, and a hypothetical evaluation of the efficiency of the new process will be made. Method: An inventory of processes was taken, and a proposal for an integrated long-term care process model was developed using the eEPC approach to process modelling. Results: An inventory of home help and community health care processes was developed. A proposal for an integrated process of long-term care for people in their home environment was drafted, including some important orientations of the new law in the field of long-term care in Slovenia. With the integration of the processes, there has been a decrease in the number of initial and final events and events in the process, the number of activities and decisions. The evaluation of the financial impact of the integration of care processes is estimated based on a hypothetical case. The cost of care would decrease by almost 20% and the number of working hours of formal providers would decrease by 7 hours per month. Organization: By integrating care services in the home environment and process renovation, it is possible to achieve higher quality of services, optimization of human resources, and greater cost efficiency. Society: With a systematical approach to the research of care processes, integration, and optimization, it is possible to provide high-quality and continuous care that supports the independence of individuals in caring for themselves. This can have a positive impact on the quality of life of care recipients and their lay caregivers. This may also have a positive impact on social spending. Originality: To the best our knowledge, no inventory of community health nursing or home care processes has been conducted yet. With the implementation of the Long Term Care Act in home settings in Slovenia, the proposal for the care process will be able to be verified and may be improved in the future. Limitations/Future Research: The model has not been tested in practice. Its testing and use may reveal the shortcomings of the process model. Its continuous improvement, based in part on the exploration of individual elements of the process model, will ensure the long-term success of the model. It will also be useful to explore the actual financial and other implications of the proposed process model through structural indicators of the effectiveness of process renovation.

Keywords:long-term care, older adults, home care, community health care, process renovation, integration.

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