1. Health and Ageing Risk and Uncertainty in National Network for Integrated Continuous Care Joint World Conference on Social Work and Social Development:Action and Impact 11 July 2012, Stockholm, Sweden Jorge Lopes da Costa Researcher and Clinic social worker School of Social and Political Sciences Technical University of Lisbon

2. JUSTIFICAÇÃO DO OBJECTO 2 Distinction between possibility and reality (risk); Risk as a continuum which never ceases; Ability of organisations to plan and act upon situations of uncertainty; Risk as an instrument of social control and surveillance over the territory and over populations New concept of solidarity (diagnosed and introduced by empirical facts) – risk parameterization Background: Risk and Uncertainty in National Network for Integrated Continuous Care

3. OBJECTIVOS DA INVESTIGAÇÃO 3 Evaluation of the Integrated Continuous Care Network (RNCCI), in light of risks and uncertainties of the national policy. MAIN OBJECTIVE

4. METHODS:

5. PRINCIPAIS C RESULTS 5 Aging and dependence carry with it, a host of other problems such as proliferation of chronic diseases and the onset of multiple comorbidities. The effects of demographic change and potentiate the global costs of Long term care; Portugal will be the 4th country in European Union with the highest percentage of elderly (31,9%); Decreasing in deaths and live births simultaneously (increment the dependence ratio of elderly). Between chronic disease and family burden The weight of demographic factors

6. 6 New social facilities are need for strategic areas (mental health and palliative care); Skilled professionals/differentiation of care including a more diversified number of health professionals (reabilitations physicians, phsyiotherapists, social workers); Training to keep the guarantee quality standards. The balance between structure and human resources

7. 7 It is important that the role of state in all its functions could focus on the Long term care/NHS continuing care over investment in the hospital sector Diversity of funding and proper mix of services( formal and informal) as the best prescription for future sustainability (Un) Sustainability of National Network - RNCCI

8. : 8 Monitoring at the base of continuing care supply; The prediction of the need of Continuous Care over times requires an investment in studies, surveys and audits that allow valid comparisons; It can be possible monitorize the evolution of dependent and vulnerable people (eg. Cancer and chronic diseases patients) Demand and Supply of RNCCI

9. 9 The concerns about sustainnability of continuing care has been related to the diversity of funding and the appropriate combination of services by formal and informal caregivers To overcome the unpredictability of demand and supply of continuous care the importance of studies is emphasized. These are often supported by external evaluations that will redirect existing answers to create more adjusted measures. Conclusions

10. : 10 Thank you all for Listening jlopesdacosta@hotmail.com