Developments such as aging and dejuvenation are putting increasing pressure on the affordability and accessibility of care and welfare for (vulnerable) elderly people. This calls for a future perspective on care for the elderly. Specialists in geriatric medicine from geriatric care organizations in the Gooi, Vechtstreek and Almere regions have used a scenario analysis to develop a picture of their possible position and role in and on the road to elderly care in 2030.
The program Specialist geriatric medicine in the future (SO-GVA) has been set up in the region. The guiding scenario is the starting point for this. To arrive at this scenario, the RUs first mapped out the most important trends and developments. These are then summarized in seven themes, namely technology, housing, quality of care, personal responsibility, financing, shifting care and prevention including well-being. Four scenarios, or possible future scenarios, were then sketched on the basis of these themes. The third step was all about deepening and ‘living through’ the scenarios. Following on from this floor, the leading, or guiding scenario, has been drawn up.
According to the SOs, the guiding scenario looks like this:
Healthcare professionals and organizations are responding to the increasing demand for healthcare by focusing on:
Network care to organize care more efficiently, effectively and consciously (sensible care).
In the ‘t Gooi, Vechtstreek and Almere regions, close collaboration will take place in 2030 between healthcare professionals, local authorities and citizens to create a society in which vital elderly people still participate fully. Where necessary, a network of various healthcare professionals provides and coordinates jointly coordinated, useful care and guidance for the elderly. The network is district-oriented and consists of SOs, general practitioners, GZ psychologists, physician assistants, nurse specialists, medical specialists, nurses, carers and paramedics. They jointly provide and coordinate coordinated, useful care and treatment for the elderly. The way of financing healthcare fits in with this. Within the network, we work with the aid of a single system on the simple, secure and complete exchange of data regarding the health and well-being of the elderly.
The SO as an expert, because in addition to caring for individual elderly people, the SO plays a major role in sharing his/her expertise in the leading scenario. Both medically and organizationally.
In 2030, even more so than now, SOs will be the experts when it comes to network medicine and collaboration. They have a proactive role in areas such as (vital) aging, medical and legal questions from the elderly and the right care in the right place. The use of the expertise of the geriatric specialist is independent of location (home, temporary admission, intramural). The various healthcare professionals in the network are deployed at various times in order to add maximum value and structural coordination takes place. When there is a complex demand for care or one of the forms of prevention appropriate to the expertise of the SR, the general practitioner, medical specialist in the hospital, nurse specialist or basic doctor calls in an SR. The director is determined in joint consultation. The care professionals work according to the stepped care or harmonica model.
In order to reduce the increasing demand for care from (vulnerable) elderly, this scenario is based on:
- Attention and active commitment to prevention and positive health. The network’s activities focus on primary, secondary and tertiary prevention of the elderly. The SO plays a role in tertiary and sometimes secondary prevention in particular.
- Stimulating the elderly and their carers to take personal responsibility;
- Stimulating more social involvement and participation of citizens;
- Deployment of healthcare technology and innovations. The starting point here is technology, unless. This means that the SO uses technology in at least 50% of the care questions. From prevention to monitoring.
Possibilities and opportunities network care
The guiding scenario outlines which topics and challenges the SOs and the elderly care organizations in the Gooi, Vechtstreek and Almere regions will be confronted with or want to focus on in the near future.
It will probably be a mix of the different themes and scenarios. By going through the various steps with the geriatric specialists, including living through the scenarios, a supported image is created as a prelude to choices. This concerns, among other things, the possibilities and opportunities of network care. From a network of professionals in the field of care and welfare, attention is paid to, and an active commitment is made to, prevention, personal responsibility, technology and social participation. By fully committing to this, care, treatment and guidance for (vulnerable) elderly people will remain accessible, high-quality and affordable in the future. Therefore, strengthening regional cooperation is the first thing that needs to be done. The SO-GVA program wants to install a regional SO committee for this purpose. From this regional SO committee, geriatric medicine specialists can (continue to) fulfill a joint role in providing advice, participation and participation in regional issues and they work together to realize the elderly care of tomorrow.
Through: Eveline van Opstal, medical program manager SO – GVA and specialist geriatric medicine. Curious about our approach and next steps with regard to the regional SO committee? Please contact Eveline van Opstal via email@example.com.