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CASE STUDIES / INTERVIEWS
Urban Boljka, Oliver Ilievski, Lea Lebar, Nejc Vidrih, Sanel Ramović
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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 how the project (Consenso) integrates within already established health and social care system.
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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
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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
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QUESTION CATEGORIES BACKGROUND / PERSONAL STORY:
1. housing and family circumstances 2. health state (diseases, disability, pain, mental state) social network (relationship with close people, relationship outside home, who is helping?, why is helping?, member of any association?) 3. QUESTION CATEGORIES 4. everyday life (housework, cooking, hobbies…) financial state of the elder and his/her family (income, costs, barriers) 5. ATTITUDE TOWARDS CONSENSO: 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
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Possibility of calculations of savings, related to FCNs, on micro level
Needed: 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 Cost-benefit angle Potential issues: Based on assumptions Home care is actually more expensive than institutional care
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