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Kapunk tárva,a szívünk még inkább!
Miklós Lukacsnurse director, hospice coordinator
e-mail: [email protected], [email protected]
Web: www.irgalmasokpecs.hu, www.pecshospice.hu
HOME CARE IN HUNGARY
CARE TRAINING PROGRAMBRUSSELS
08.-09. October 2012.
Kapunk tárva,a szívünk még inkább!
TOPICS
STATISTICAL DATA IN HUNGARY
NURSING HOME CARE/HOSPICE CARE – STATISTIC, MILESTONES, STAFF
FINANCING, TASKS
ACCESS TO CARE
Kapunk tárva,a szívünk még inkább!
STATISTICAL DATA IN HUNGARY
Kapunk tárva,a szívünk még inkább!
STATISTICAL DATA IN HUNGARY
►Number of population: 10.076.581
►Number of death: 135.732
►Cancer death: 30.000
►Number of care: 40.000
►Number of ill: 2.500.000
Kapunk tárva,a szívünk még inkább!
P
E
P
S
I
•Physical•Emotional•Psychological•Spiritual•Inter Personal
Calman (1993)
WHY NURSING HOME CARE?WHY HOSPICE HOME CARE?
The reduction of costly hospital care The social care needs of humános conditions.
The reduction of costly hospital care – hospital care one day – 7-8000 HUF 29 EURThe social care needs of humános conditions.
Kapunk tárva,a szívünk még inkább!
Nursing Care milestones
► 1990 – nursing home care concept
► 1993 - Hungarian nursing care movement is founded.
► 1996/1999 – Nursing Care minimum standards which gives official licences and special financing. (600 million HUF one year)
Kapunk tárva,a szívünk még inkább!
350 NURSING HOME CARE
COVERAGE OF THE COUNTRY’S 95%
COVERAGE OF THE NURSING HOME CARE ORGANIZATION
Nursing Home Care= umbrella organization Hungarian Association for Home Care
Kapunk tárva,a szívünk még inkább!
Hospice-Palliative milestones
► 1991 - Hungarian hospice movement is founded.
► 1997 - Hungarian Health Law declares the human right of palliative care and defines hospice care.
► 2002 - Palliative care guideline is launched
► 2004 - Hospice minimum standards which gives official licences and special financing. (800 million HUF one year)
► 2006 - Hospice is in the National Cancer Control Program
Kapunk tárva,a szívünk még inkább!
COVERAGE OF THE HOSPICE CARE ORGANIZATION
- 84 hospice organisation- 10 Inpatient Palliative Care Units, 162 beds- 69 Home care teams- 2 Nursing home 15 beds- 3 Consultant teams in Hospitals - 1 Hospice House, 10 bedsHospice organization = umbrella
organization Hungarian Hospice Palliative Association
Complex servicesBudapestMiskolcPecs
inpatient unit, hospice home care, hospital mobile team, day care centre, pain outpatient clinic, psycho-oncological outpatient clinic, telephone mental health service, bereavement service, education centre
Kapunk tárva,a szívünk még inkább!
PATIENTS IN NURSING HOME/HOSPICE HOME CARE
NURSING HOME CARE
► 40.000 PATINETS 800.000 VISIT
► Averige care time: 78 day
HOSPICE CARE► Patients: 7019
► Inpatient Palliative Care Units: 2355
► Hospice home care: 4086
► Day centres: 449
► 94% of patients have a cancer diagnosis
► Averige care time: 36 day
► Using beds: 79,6%
Kapunk tárva,a szívünk még inkább!
STAFF IN NURSING HOME/HOSPICE HOME CARE
NURSING HOME CARE
► 3000 PERSONS
► nurse► physiotherapists
HOSPICE CARE (multidisciplinary team)
► 1507 PERSONS► doctors► nurse► physiotherapists► psychologists and mental
health experts► volunteers► priests► social workers► dietists► coordinators► occupational therapists► bereavement counsellors
Kapunk tárva,a szívünk még inkább!
ACCESS TO IN NURSING HOME/HOSPICE HOME CARE
NURSING CARE
► physician recommends
► GP’s ordered
► patient's or family consent, compliance
HOSPICE CARE
► physician recommends
► GP’s ordered
► patient's or family consent, compliance
Kapunk tárva,a szívünk még inkább!
FINANCE IN NURSING HOME/HOSPICE HOME CARE
NURSING CARE► insurance pays for a day
home care: 3200 HUF – 11 EUR – visit day, insurance-funded day vizit - 42 day
► insurance pays for a day nursing hospital care: 5600 HUF – 20 EUR care day
HOSPICE CARE► insurance pays for a day
home care: 3840 HUF – 14 EUR – visit day, insurance-funded day vizit - 150 day
► insurance pays for a day hospice unit care: 9520 HUF – 34 EUR – care day
Kapunk tárva,a szívünk még inkább!
TASKS IN NURSING HOME/HOSPICE HOME CARE
NURSING CARE
► nursing tasks
► physiotherapist tasks
► speech therapy
► wound management
HOSPICE CARE
► nursing tasks
► physiotherapist tasks
► symptom management
► Dieticians tasks
► Social task
► Spiritual tasks
► Psychical tasks
► Physician tasks
Kapunk tárva,a szívünk még inkább!
Thank you for your attention!!
