1. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Centers of Gerontology - Institute of Public Health and Gerontology Centers IN THE CITY OF ZAGREB AND CROATIA 1

2. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Smart Housing for Elderly   ensure an older person to stay in his home and in his local community as long as possible 2

3. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
GERONTOLOGICAL CENTERS (out institutional care) – CROATIAN MODEL OF SUCCESSFUL PRACTICE and SMART HOUSING FOR ELDERLY IN THE CITY OF ZAGREB AND CROATIA 3

4. GERONTOLOGICAL ACCESS FOR HEALTHCARE OF THE ELDERLY
PSYCHOSOCIAL ENVIRONMENT
aktiv old person
BIO - MEDICAL ENVIRONMENT
PHYSICAL ENVIRONMENT
AN OLDER PERSON IS THE BEST TEACHER FOR AGEING

5. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology 5

6. Referentni centar Ministarstva zdravlja
RH za zaštitu zdravlja starijih osoba - Centar za zdravstvenu gerontologiju
Izvor: 6

7. Referentni centar Ministarstva zdravlja
RH za zaštitu zdravlja starijih osoba - Centar za zdravstvenu gerontologiju
Izvor: 7

8. (Gr. gerōn = old man; Gr. logos = word,reason)
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Gerontology
(Gr. gerōn = old man; Gr. logos = word,reason)
Multidisciplinary science on biological, psychological and social aspects of aging and old age. Practical application in gerontologic-public health service. Elie Metchnikoff from Pasteur's Institute in Paris was the first to use the term in 1903 in his biological study of aging. In Croatian his Gerontology is a sub-specialization of public health specialization 8

9. Centers of Gerontology
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Centers of Gerontology
Centers of Gerontology have been established at Public Health Institutes (PHI) of particular Croatian counties, City of Zagreb and Republic of Croatia, to perform gerontologic-public health service (Official Gazette 126/06), according to the Program of monitoring, studying, evaluation, reporting, health care needs and functional ability of the elderly, proposing the Program of measures and procedures in health care of the elderly and Program of primary, secondary, tertiary and kvartary prevention for the elderly. 9

10. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Gerontologic team at the Center of Health-Gerontology, Zagreb PHI, has a standard catchment population of 30,000 elderly aged ≥65. Gerontologic-public health team consists of various professionals: specialist in public health/epidemiology – gerontologist, registered nurse/occupational therapist for the elderly, and gerontologic-health care statistician. 10

11. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Gerontology Center
The service of Gerontology Center covers non-institutional care for the elderly. Gerontology Centers perform programs of primary prevention for the elderly; ensure daily assistance, care and rehabilitation; continuous physical, mental and occupational activities; cultural events and enterainment; recreational activities; psychological, medical, social and legal counseling; geronto-service and geronto-hosts; day-care for the elderly; meals on wheels; orthopedic and other aid rental shop for the elderly. The main objective is to enable the elderly stay at home with the family as long as possible. 11

12. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
 City of Zagreb is facing a rapidly aging population - the population aged 65 and over now makes up more than 18,04 % (N= / 65+) of the population (2014) (N= )
 it’s important to offer the elderly population a lot of opportunities for active and healthy ageing at the out institutional/GERONTOLOGICAL CENTERS 12

13. Old people’s homes aren’t always the best solution!
DO NOT FORCE an older person to live at an old people’s home if he actually doesn't want to!
old people's home

14. Old people’s home / DOMOVI ZA STARIJE – 2014.g.
STRUKTURA UDJELA KORISNIKA DOMOVA ZA STARIJE PO ŽUPANIJAMA HRVATSKE (N= / 2%) , 2014.G.*
Red.br.
ŽUPANIJE I GRAD ZAGREB
Old people’s home / DOMOVI ZA STARIJE – 2014.g.
DRŽAVNI (OSNIVAČ RH)
DECENTRALI-
ZIRANI
DRUGI OSNIVAČI
UKUPVNO DOMOVA
UKUPNO DOMSKIH KORISNIKA PO POJEDINOJ ŽUPANIJI**
postotak korisnika po pojedinim županijama 1
GRAD ZAGREB - 10 24 34
4607
30,27 2
ZAGREBAČKA 14
469
3,08 3
BJELOVARSKO-BILOGORSKA 4 5
359
2,36
BRODSKO-POSAVSKA
280
1,84
DUBROVAČKO-NERETVANSKA 6
443
2,91
ISTARSKA 7
714
4,69
KARLOVAČKA
303
1,99 8
KOPRIVNIČKO-KRIŽEVAČKA
388
2,55 9
KRAPINSKO-ZAGORSKA
384
2,52
LIČKO-SENJSKA
353
2,32 11
MEĐIMURSKA
591
3,88 12
OSJEČKO-BARANJSKA
942
6,19 13
POŽEŠKO-SLAVONSKA
PRIMORSKO-GORANSKA
955
6,27 15
SISAČKO-MOSLAVAČKA
423
2,78 16
SPLITSKO-DALMATINSKA 17
1317
8,65
ŠIBENSKO-KNINSKA
473
3,11 18
VARAŽDINSKA
825
5,42 19
VIROVITIČKO-PODRAVSKA
114
0,75 20
VUKOVARSKO-SRIJEMSKA
525
3,45 21
ZADARSKA
368
2,42
HRVATSKA UKUPNO 45
100
148
15221
100.00 14

15. GERONTOLOGICAL CENTERS (outinstitutional care)
Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
AIM Maintain functional ability of elderly people to
ensure them to stay at home / ECO SMART as long as possible 
GERONTOLOGICAL CENTERS (outinstitutional care)

16. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
 Basic aim: keep an old person in his home and so in his local community as long as possible and to ensure him an active way of life and therefore also active and healthy ageing 16

17. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
1. Gerontological center ensures immediate care in health protection of functionally active and functionally disabled elderly in the local community /ECO SMART Housing for elderly where old people live and create. 17

18. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
2. Gerontological center is a center of coordinative multiprofessional activities in choosing measures from the Programme of primary, secondary and tertiary prevention for the elderly in the local community where old people live and create. 18

19. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
3. Gerontological center is the central meeting place of the elderly for the promotion and prevention of risk factors for sick aging, place of constant physical, psychical and working activities of the elderly, teaching, reeducation and reintegration of older and younger people in the care for the elderly. 19

20. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
4. Gerontological center ensures interdisciplinary approach and coordinate activity, efficacy, rationality, systematics and programming in integral activity of various carriers of health and social care for the elderly. 20

21. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
5. Gerontological centers are centers of gerontological continuous education for older and younger people about old age and ageing as well as mini-educational and creative institutions for the preparation of people for retirement and old age. 21

22. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
 Gerontological centers ensure everyday help, care and rehabilitation for the elderly living in their own homes  the provide daily stay, offer adequate services according to the Programme of primary, secondary and tertiary prevention for the eldery 22

23. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
 permanent physical recreation, creative working and cultural activities together with health, psychological and economic advisory services  professional teams carry out all the necessary actions for detection and systematic care of the elderly 23

24. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Gerontological centers as noninstitutional care for elderly can be within old people's homes (but not necessarily) 24

26. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Zagreb started in 2004 with 4 Gerontological centers. In the meanwhile there are, because of the big success and demand for it, 13 Gerontological centers in Zagreb and in the entire Croatia there are 116 Gerontological centers. 26

27. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
Development of gerontological centers, promotion of outinstitutional care for the elderly in their local community and infrastructure connection with old people's homes allows resistance to the present passivity and social isolation (loneliness) of the elderly to healthy active and productive ageing of Croatian old population. 27

28. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
GeroS / CEZIH (Central Health Information System of the Rebublic of Croatia) SUBSYSTEM FOR MONITORING AND EVALUATION OF HEALTHCARE NEEDS AND FUNCTIONAL ABILITY OF GERONTOLOGIC INSUREES AND GERIATRIC PATIENTS 28

29. Source: Croatian Institute of Health Insurance and Department of Health Gerontology, Dr Andrija Štampar Institute of Public Health Teaching Unit (CIHI and DHG, Dr Andrija Štampar IPHTU) 29

30. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
GeroS/CEZIH  computerization of the geriatric healthcare at all three levels of primary healthcare for the elderly  enables rationalization of the rising geriatric healthcare cost and upgrading of healthcare for the elderly  enables monitoring, study, evaluation, reporting and planning of the healthcare needs and functional ability of the elderly (institutional as well as outinstitutional care) 30

31. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
GeroS /CEZIH includes the following entities:  primary health care for elderly  specialist consulting healthcare  hospital healthcare and long term/paliativgeriatrics treatment  old people's homes and social and health care centers 31

32. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
 GeroS allows regular revision of the list of drugs used by a geriatric patient (age 65+)  GeroS enables gerontologic NONduplication (NONoverlapping) and differentiation of healthcare procedures  Nutritional gerontologic standards for the elderly are also included as a link in GeroS 32

33. Reference Center for Healthcare of the Elderly of the Ministry of Health of the Republic of Croatia – Department of Health Gerontology
IMPORTANCE OF CONTINUING EDUCATION in gerontology, geriatrie and geriatrics nursing health care 33