Barrie Dowdeswell: Improving care for older people

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In this slideshow, Barrie Dowdeswell, Director of Research, European Centre for Health Assets and Architecture, Netherlands, describes the ‘Aalto report’, a European social fund project which aims to improve care for older people and those with chronic conditions.
Barrie Dowdeswell spoke at the Nuffield Trust European Summit 2014, which was supported by KPMG.

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Barrie Dowdeswell: Improving care for older people

  1. 1. Improving care for older people and those with chronic conditions Barrie Dowdeswell, Director of Research, European Centre for Health Assets and Architecture, Netherlands
  2. 2. 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
  3. 3. 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
  4. 4. Demography as a basis for economic risk assessment
  5. 5. The two critical dimensions of ageing - dependency and multi-morbidity - 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 Barnett, Mercer, et al, 2012, Epidemiology of multi-morbidity and implications for health care
  6. 6. Risk assessment incorporating healthcare forecasts – future cost profiling
  7. 7. Developing a sustainable reform model The key to unlocking the problem • A community focused and innovative elderly care, chronic illness strategy • Innovative hospital reorganisation
  8. 8. Reform – through service integration
  9. 9. Changing the concept
  10. 10. Redistributing care (and resources) through pathway integration
  11. 11. Whole systems societal integration

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