Non-institutional care for the elderly. A Danish model.

Area of Science:

• Gerontology
• Public Health Policy
• Healthcare Management

Background:

• An action research project was conducted over four years in a Danish municipality to reorganize elderly care services.
• The project's conceptual framework integrated the principles of self-care and the World Health Organization's "Health for All by the Year 2000" strategy.

Purpose of the Study:

• To assess the social and health service needs and preferences of individuals aged 67 and above.
• To redesign and coordinate services and facilities for the elderly, promoting citizen participation in decision-making.

Main Methods:

• Development of a conceptual framework emphasizing self-care and community health.
• Conducting a survey to identify the needs of the elderly population.
• Implementing comprehensive interdisciplinary staff training.
• Reorganizing a former nursing home into a multi-functional health care center.

Main Results:

• Successful transformation of a nursing home into a health care center offering sheltered flats, guest flats, and a day center accessible to all ages.
• Gradual implementation of changes to accommodate existing residents and staff during the transition.
• Establishment of a 24-hour service to meet evolving community needs.

Conclusions:

• The project demonstrated a successful model for reorganizing elderly care by integrating self-care principles and community-based services.
• The initiative highlights the importance of careful planning, staff training, and phased implementation in healthcare service transformation.
• The creation of a versatile health care center improved access to services and promoted a more inclusive approach to elder support.