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Planning elderly and palliative care in Montenegro
1University College London, 1-19 Torrington Place, London, UK.
International Journal of Integrated Care
|June 11, 2009
Summary
Montenegro can improve elderly and palliative care by integrating health and social services, even with limited resources. Strategic financial redirection and enhanced management are key to successful implementation.
Area of Science:
- Gerontology
- Public Health
- Health Services Research
Background:
- Montenegro, a new Balkan nation, is undergoing health care reform with World Bank support.
- Current elderly care relies on a single, under-resourced long-stay hospital.
- There is a need to develop integrated and improved elderly and palliative care services.
Purpose of the Study:
- To plan an integrated system for elderly and palliative care in Montenegro.
- To propose a model linking primary, secondary, and social care.
- To enhance end-of-life care accessibility and quality.
Main Methods:
- Estimating current financial expenditures on elderly care.
- Consulting with stakeholders to design an integrated care model.
- Proposing home-based care, local nursing homes, hospital-based services, and palliative care.
- Suggesting patient and carer perception monitoring for effectiveness.
Main Results:
- An integrated model can be developed by redirecting existing financial resources.
- Enhancements to elderly care budgets are also necessary.
- Key challenges include management capacity, professional engagement, and political will.
Conclusions:
- Middle-income countries can establish elderly and palliative care services through financial redirection.
- Successful implementation requires new service objectives, skilled staff, and integrated management.
- Patient and carer perceptions are vital metrics for evaluating care effectiveness.
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