Icke-inlagda patienter” - nomesco

THE HEALTH OF ELDERLY PEOPLE
part of the general welfare systems. The
trend in the Nordic countries is towards
more needs tested care of elderly people,
apart from in Denmark, where
these services include all elderly people.
DENMARK: The act governing social
services for elderly people is the Social
Services Act. This Act provides the legislative
basis for advice, support and a
series of services – including preventive
measures – to persons who have reduced
short-term or long-term physical
or mental functional abilities or who
have social problems.
The main aims of care are to enable individuals
to care for themselves, to make
daily living problem-free, and to improve
quality of life. The Act ensures the provision
of a series of services for elderly people.
The most important services are municipal
home help services, home nursing
services, physiotherapy, provision of aids
for handicapped people, chiropody,
meals-on-wheels, provision of support
persons and transport services. The level
of service provision can vary, as this is determined
by the individual municipality.
According to the Health Act, the muncipalities
are required to provide healthpromoting
conditions for elderly people,
as for other citizens, and to provide preventive
and health-promoting services. In
the Health Act there are also provisions
for health contracts between the region
and the municipalities, for example within
the following compulsory areas: discharge
for frail elderly patients and training.
These contracts shall, for example, ensure
that treatment services and preventive
measures in the region and in the municipalities
are harmonized and coordinated.
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det generella välfärdsystemet. Utvecklingen
i de nordiska länderna går mot
alltmer behovsprövad äldreomsorg
utom i Danmark där omfattar äldreomsorgen
alla äldre.
DANMARK: Lovgrundlaget for den sociale
service, der ydes til ældre, er Lov om
social service (Serviceloven). Formålet
med Serviceloven er at tilbyde rådgivning
og støtte samt en række serviceydelser
- der også kan have et forebyggende
sigte - til personer, der midlertidigt
eller varigt har nedsat fysisk og psykisk
funktionsevne eller sociale problemer.
Hovedsigten for hjælpen er, at den enkelte
skal kunne klare sig selv, at lette
den daglige livsførelse og at forbedre
livskvaliteten. Her sikrer loven en række
serviceforanstaltninger til de ældre,
hvor de vigtigste er den kommunale
hjemmehjælp og hjemmesygepleje, fysio-
og ergoterapi, fodpleje, madudbringning,
ledsageordninger, kørselsordninger
samt en række andre serviceydelser.
Kvalitetsstandarderne kan
variere, idet de fastlægges af den enkelte
kommune.
I følge Sundhedsloven er kommunen
forpligtet til at skabe sunde rammer og
forebyggende og sundhedsfremmende
tilbud til ældre såvel som andre borgere.
I sundhedsloven er der også fastsat
regler om sundhedsaftaler mellem region
og kommuner bl.a. med følgende
obligatoriske områder: udskrivningsforløb
for svage ældre patienter og
træningsområdet. Aftalerne skal bl.a
sikre at behandling og forebyggelse i
region og kommune er sammenhængende
og koordineret.