Transition and public health in the Slovak republic

Gulis, Gabriel; Korcova, Jarmila; Letanovsky, Peter; Marcinkova, Daniela

doi:10.1136/bmj.331.7510.213

Cited by 4 publications

(2 citation statements)

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“…Following the decentralisation of powers to regional and local governments, from 2002, and decentralisation of financing from 2005, the authority for coordination and responsibility for public services for citizens on nation-wide, regional, and local level becomes a most critical question. Key factors enabling and obstructing advances in public health include overall macroeconomic and social conditions, lack of multisectoral collaboration, and better consideration of policy options (15).…”

Section: Discussionmentioning

confidence: 99%

Analysis of Long Term Care in the Context of Social and Health Services in Social Institutional Facilities in Slovakia

Lezovic

2009

Cent Eur J Public Health

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SUMMARYObjectives: Long-term care for people with chronic illnesses and disabilities present an urgent challenge around the world. Existing systems of care, which typically rely on unpaid family members, are not by themselves enough to meet growing demands. This analysis includes survey on the structure of services provided in selected social facilities in Slovakia.Methods: The survey on structure of provided services includes social facilities providing services to the target groups involved in this analysis: Elderly people in retirement age; Disabled and chronically ill citizens in working age. For data collection from social facilities we used questionnaire method. The data were obtained from the managements of these facilities (n=405).Results: In social facilities, the age range of clients was 76-85 years (31%); the length of stay of a patient in a social facility was in 36% patients 11 years and longer. The most frequently performed activities in employees were related to services and activities (31%) and social care (30%). For 52% social facilities is waiting time 1 year and longer. The length of stay of patient in social facilities is affected in 83% by combination of health and social problems and as to the diagnosis structure the most prevalent conditions are ischemic heart diseases, heart attack, hypertension (39%), locomotor disease (36%). In 2006 the budget resources of social facilities were in 72% contributions from the state budget.Conclusion: Long-term care is closely interlinked with other programmes and systems, which can reduce the need for long-term care or which complement it.

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Section: Discussionmentioning

confidence: 99%

Analysis of Long Term Care in the Context of Social and Health Services in Social Institutional Facilities in Slovakia

Lezovic

2009

Cent Eur J Public Health

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“…Despite formally wide acceptance of the Winslow ( 1920 ) and Acheson/WHO definition of public health (available at https://www.euro.who.int/en/health-topics/Health-systems/public-health-services ), understanding of what public health is different not only by countries, but also by different pillar of the systems. Research and education picked up the public health terminology rather quickly and introduced new education programs (Adany et al 2011 ; Gulis et al 2005 ); all manuscripts presented in this volume are coming from academia or research institutions. Unfortunately, manuscripts coming from next pillar, public health practice, are absent.…”

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confidence: 99%