Webinar 3rd of November 2020 13:30-17:00
Forum för Health Policy in cooperation with the Embassies and the Chambers of Commerce of the Netherlands and Switzerland organized an important international webinar on management, technology development, user influence, etc in Elderly Care in Sweden, the Netherlands and Switzerland.
Report_Innovation in Elderly Care
The corona pandemic has brought great challenges and difficult consequences, and not least a huge strain on elderly care throughout Europe. Demographic trends are already placing great demands on health care for the elderly throughout Europe. Elderly care is facing major challenges, not least financing, queues for special housing, slow development in the introduction of new processes, new technology and user influence.
Program: Innovation in Elderly Care – What can we learn?
Bengt van Loosdrecht, Ambassador, Embassy of the Netherlands
Claudia Fontana Tobiassen, Chargée d’Affaires a.i., Embassy of Switzerland
Peter Graf, Chairman of Forum for Health Policy
Privatization and choice in Swedish elderly care
Henrik Jordahl, Professor of Economics at Örebro University
Henrik Jordal is presenting the demographic background that is relevant for the need of elderly care in the future. The presentation is focusing on Sweden and the natural experiment of privatization and choice that has been made. Henric Jordal concludes:
- Privatization and choice had led to some improvements.
But challenges remain:
- Gatekeepers needed.
- Separate municipalities role at the system and provider level.
- Rules must allow private companies to introduce new technologies.
The New Elderly Care Quality Paradigm
Example from the Netherlands
Henk Nies, Director, Vilans – National Centre of expertise for Long-term Care, Professor of Organisation and Policy in Long-term Care, Vrije University Amsterdam
Henk Nies explains the three paradigm shifts in care sector and show us that long term care need to be adressed towards these three shifts. He also gives examples on system and social innovations that have improves both quality and safety in nursing homes in the Netherlands. Henk Nies says that int the future we will need to focus on:
- Views on health such as person centeredness, well-being, pleasure in life, safety, shared decision making, resilience
- Quality and outcomes: clients’ perspective, learning, improvement
- Socialtal context: eco-systems within normative frameworks
- Wellbeing of staff as a crucial factor of quality
- The quality of dialogue is key
Collaboration across silos
Example from Sweden
Karin Thalén, Managing Director, Stockholms Sjukhem
Karin Thalén gives an overview of the Swedish system and the need of working across silos. She talks about the need of better coordination to built seamless care to meet the individual’s needs and wishes. She points out some of the challenges in elderly care and medical skills:
- good health and long life,
- impaired mental health in the elderly,
- more elderly people receive care in ordinary homes,
- elderly people wait longer at emergency units,
- the municipalities lack of medical competence,
- the proportion of geriatrics unchanged,
- recruit and retain competent staff.
Part of the solution, she says, are brave leadership and management.
User-Centricity for the Elderly – how can technology help?
Example from Switzerland
Dr. Andrew Paice, Head of iHomeLab – Think Tank and Research Centre for Building Intelligence, Lucerne University of Applied Science and Arts
Dr. Andrew Paice talk about how people can have a selfdetermined lifestyle in all ages. In the iHomeLab they show examples of how we can live an independent life. Andres Paice says: ”Independent life is the most important thing – we have three basic needs: to feel competent, bw autonomous, have social interactions. We want to keep control. Technology make it possible for people to have control.”
Panel Debate: What can we learn? Challenges/possibilities
Comments from the panel:
”One of the big issues is implementation, we have a lot of solutions on the shelf. We can now see a fallback to longterm hospital care. We are working and learning from others to prevent us from going back. The biggest innovation we need are to solve how we can implement the good stuff we invent. I hope that it will be unequal care – because we need different solution. We need equal access to care but different solutions.”
Henk Nies – Vilans, Vrije Universiteit Amsterdam
”Can we speed up innovation? If we want to change the systeminnovation someone will allways lose. If we put technology in that mix it will be even more complex. Engineers, research, society – need to collaborate. We can not solve it with technology but we can find problems that technology can be used to solve. Maybe we can use technology to speed things up in care. Maybe we can use the younger generations approach, if they want to learn something they go to youtube and learn.”
Dr. Andrew Paice, iHomeLab, Switzerland
”Society saw elderly people as a collective before covid 19. Now we can see that we are individuals. That is good. Age-discriminated for years most stop, we haven’t been seen as a group that can contribute to innovation. To know what works we need better indicators for measure quality of life for elderly but also for staff. We can learn from Netherlands – the individual needs are met in a good way. We have to development and learn with a variety of solutions for different people needs as in Netherlands. Carehomes need to be a place where I want to wake up tomorrow. Be curious about tomorrow. Collaboration needs to take place, over silos as in Norrtälje. Better for patient, staff and economy. Technology is not the solution but it is one among many. To make me independent but it needs to be easy to use. How can we make it possible for people to be independent and stay home?”
Barbro Westerholm, Swedish Liberal Party, Sweden
”We can use more of volunteers in preventing thing. We need concepts for seamless care. We need politicians that are brave and take that kind of decisions. Caregivers must make it more exciting to work in healthcare.” Karin Thalén, Stockholms Sjukhem
”Summaries: regarding elderly persons with complex needs. We need to treat complex issues differently. Like Alaska, consumer driven and developed system better for economy, patient and staff. Today we are half way there in Norrtälje. Ex mobile team in Norrtälje, we treat them in their home. cheaper and better for patients. We don’t have a system that can support and measure this solution. It will not be implemented because of the silos, the economy system and so on. Researchers need to give an answer – how can we change this!”
Peter Graf, Forum for Health Policy, Sweden