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Development dynamics of health and social infrastructure for the long-term care – The case of the Posavje region Cover

Development dynamics of health and social infrastructure for the long-term care – The case of the Posavje region

Open Access
|Oct 2021

Figures & Tables

Figure 1

Composition of Slovenian municipalities in LAGs we studied.

Figure 2a

Demographic projections for 2019–2070 of cohort 80+ in the Posavje region.

Figure 2b

The ratio between the active population and the population 80+ in the Posavje region.

Table 1

The projection of LTC demand in five LAGs given today’s structure of housing and services based on the no-migration demographic projections.4

<1515-6465-7980+
LAS Posavje201911.14948.95811.2734.17975.559343171.398
20509.21034.88814.01910.06668.1845515152.960
Growth rate 2050/2019-17-2924141-1062112
LAS Goričko 202020196.05329.9258.0342.53846.550231569353
20505.03619.3878.8936.37639.6923512352.0203
Growth rate 2050/2019-17-3511151-1551116
LAS Obsotelje in Kozjansko20194.68220.3334.3481.47730.84012115419
20503.87314.6515.9074.15128.5822212081.026
Growth rate 2050/2019-17-2836181-781145
LAS Pri dobrih ljudeh 202020194.09719.9485.0121.48430.5411364323
20503.41113.1155.9374.14426.607211105771
Growth rate 2050/2019-17-3418179-1364139
LAS Prlekija20195.05423.8556.3121.97537.1961568813
20504.18715.9847.0345.05932.2642311041.787
Growth rate 2050/2019-17-3311156-1353120

[i] 1At the same standard of number of nurses per population

2Note that demand is more than 50% higher than existing capacity today in nursing homes- NHs

3Waiting line in LAG Pri dobrih ljudeh and LAG Prlekija is registered in LAG Goričko

4The calculations by authors based on the European population projection 2018 data – no migration scenario.

5Estimate of demand by 2050 (number of persons) assuming the same structure of applicants: 1/4 of the care recipients in the cohort 65-79 and 3/4 among the population 80+ (based on the no migration scenario)

Table 2

Expenditure of municipalities and users in 24 housing units of greenhouse facilities.

TotalMunicipality 70%
A*5/5/336,60825,626457.6
B**3/2/114,0809,856176
ZN***1/1/1000
Integrated care2/1/0+1/1/17,0404,92888

[i] *According to the currently valid norms of homecare (see (3) and (22-23)).

**Possible reduction also in the case of the category of care III with the partial help of relatives and volunteers. A high percentage of relatives and volunteers are willing to participate (3).

*** We assume that all patients are members of the health insurance scheme. From the expected structure of care categories and norms in DSO, we summarize the minimum requirements: 1 nurse and two medical technicians, each in their 8-hour shift.

**** Well-organized integrated care with partial help from relatives and norms in the NH for health-insured patients: a: morning; b: afternoon; c: night: a/b/c.

Table 3

Optimal construction dynamics of facilities in Posavje in terms of number of beds.

Cat.ICat.IICat.IIICommunity OS+GHNursing home DSO+NH
20203222861001046735697
20253483231131180830787
20303773651281332936888
2035407412144150310571002
2040440465136169611931131
2045476525184191513461276
2050515592207216115191441
Table 4

Projections of the structure of needs for providers in the Posavje region.

YearUadFHOS+GHDSONH
202519640.180.420.390.02
203022010.170.440.350.05
203524660.170.430.330.08
204027640.160.430.340.07
204530990.150.430.350.06
205034570.150.440.360.06

[i] Notation

U-users

adFH-homecare

OS-sheltered-assisted living housing

GH-greenhouses and daily living-assisted living

DSO-Nursing home organised as today

NH-Nursing hospital for long-stay there

Table 5

Staff/user norms in healthcare and the required number of staff per user per unit for OS, GH, and NH.

Cat. I:II:III=39%:14%:47%
Nursing technician1.981.5919.74
Senior physio-therapist0.180.151.32
Graduate of senior nurse0.540.436.58
B.Sc. Work therapist0.190.151.98
Nurse-caregiver3.122.527.72
Server0.570.450
Specialist doctor0.020.010.1
Total6.65.2857.42

[i] *The calculated values are derived from the expected structure of categories of care as given in the studied LAGs. Source: ZZZS [18]

Table 6

The construction dynamics of the assisted living units and the projection of staff needed in the Posavje region.

UHCP+SC*** 0.54/UUHCP+SC*** 0.59/UNo. of OS*UHCP+SC*** 0.54/UNo. of GH**
202534876.718820244.499710322.725.85
203037782.920423651.9115.6812126.630.35
203540789.422025957126.9813229336
204044096.923829264.2143.1914932.837.37
2045476104.825733072.6161.71016837427
2050515113.327837281.8182.31219041.847.58

[i] * Limit is 30 apartments with one or two beds. We consider that in each group, there are at least 10% of those with two beds (married couples)

**Article 8 of PRAV10060 stipulates that the maximum possible number of care recipients in one unit is 24.

***Max. for 20 hours weekly/U

DOI: https://doi.org/10.2478/sjph-2021-0036 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English, Slovenian
Page range: 269 - 277
Submitted on: Feb 24, 2021
Accepted on: Sep 2, 2021
Published on: Oct 20, 2021
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services

© 2021 David Bogataj, Marija Bogataj, Marta Kavšek, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.