Barrie Dowdeswell: Improving care for older people
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Transcript of Barrie Dowdeswell: Improving care for older people
Improving care for older people and those with chronic conditions
Barrie Dowdeswell, Director of Research, European Centre for
Health Assets and Architecture, Netherlands
The ‘Aalto’ report
A European Social Fund Project
Vision for a service system of the near future Final Report, Service Facilities and Environments for an
Ageing Society project
Kymenlaakso
The impact of ageing was wholly predictable
as is the reduction in future resource availability
Across Europe the response is woefully late
We are here
Demography as a basis for economic risk assessment
The two critical dimensions of ageing - dependency and multi-morbidity
Barnett, Mercer, et al, 2012, Epidemiology of multi-morbidity and implications for health care
- 66% of patients admitted are over 65 60% - mental health issues Emergencies Rate of increase (10 year) - Over 75 plus 66% - Overall growth 35%
Most hospital systems are designed for single disease short-episode problems
Risk assessment incorporating healthcare forecasts – future cost profiling
Developing a sustainable reform model
The key to unlocking the problem • A community focused and innovative elderly care, chronic illness strategy • Innovative hospital reorganisation
Reform – through service integration
Changing the concept
Redistributing care (and resources) through pathway integration
Whole systems societal integration