THE ANALYSIS OF SOCIAL SERVICES’ STRUCTURE IN A SPECIFIC REGION AND ITS SIGNIFICANCE FOR HEALTH AND SOCIAL POLICY IN SLOVAKIA - Polish Journal of Management Studies

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THE ANALYSIS OF SOCIAL SERVICES’ STRUCTURE IN A SPECIFIC REGION AND ITS SIGNIFICANCE FOR HEALTH AND SOCIAL POLICY IN SLOVAKIA

Abstracts > Vol 10.2

The analysis of social services’ structure
in a specific region and its significance for health and social policy in slovakia
Gavurová B., Štefko R., Bačík R. s20* Assoc. Prof. Beáta Gavurová, PhD. MBA, Faculty of Economics, Technical University of Košice, Němcovej 32, 040 01 Košice, Slovak Republic, Prof. Róbert Štefko, PhD. University of Prešov, Faculty of Management, Prešov, Slovakia, Radovan Bačík, PhD. MBA, University of Prešov, Faculty of Management, Prešov, Slovakia,
*Email: beata.gavurova@tuke.sk
*Email: robert.stefko@unipo.sk
*Email: radovanbacik@yahoo.com

Abstract: Social services represent a tool of social policy as well as a dynamic social system. This article focuses on a heterogeneous structure of social service providers and it gives rise to a debate of a network optimization of social facilities in the Slovak regions in the context of demographic changes as well as morbidity of inhabitants, social dependency due to various reasons, etc. The Prešov Region had been chosen to analyze the structure of social service providers in order to evaluate an actual situation and particularities in an existing social model of a given region. The analysis outputs showed inevitability of an access to deeply structured data and realization of multi-dimensional analyses that reflect demographic aspects, morbidity and social dependency of inhabitants in a given region.

Key words:
long-term health care, nursing home care agencies, ageing population, social system, health system, social service providers

Introduction

Development of social services is determined both by economic situation in
a country and by legal measurements (Man, et al., 2011; Ślusarczyk and Kot, 2012). In 2009, new Social Services Act has entered into force and it governs the system of social services as the first complex law in the Slovak history. It brought many significant changes that influenced quality and quantity of social services system (Gavurová and Šoltés, 2013; Vajda and Vravec, 2011). It implements many new mechanisms and processes into social services, especially in the field of finances (Szabo et al., 2013), (Užík and Šoltés, 2009; Grabara et al. 2010), dependency assessment on social service, in the area of receivers
rights of the social services, evaluation of conditions of social services provision, but also in the field of new types of social services implementation, and community planning of their development. Social Services Act regulates legal relationships and conditions of social services provision, whose primary aim is to support social incorporation of citizens and satisfy social needs of people from less favorable social backgrounds (Act No. 447/2008 Coll.), (Act No. 448/2008 Coll.). A state of social need of a person, family and community, where such a person, family or community occurs due to lack of fundamental life necessities that are necessary for its life habits, lifestyle, difficult health disability, or unfavorable health condition, due to reaching retirement age, a performance to nurse a person with a difficult health disability, a threat of other peoples behaviors, or as a consequence of human trafficking that such a person experienced is considered as unfavorable social situation (Man, et al., 2011).


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Conclusion
Demographic processes in the Slovak regions are not homogeneous, they are in progress differently and with a different intensity, while their differentiation deepens from the point of demographic ageing view. Slovakia belongs among the youngest European countries and it will grow old by uneven age structure and as
a consequence of a rapid decrease of birth rate, various morbidity rates, as well as life level in the future. Condition of social and health care of older people as well as health and social condition of dependent citizens in Slovakia is unsatisfactory. The higher the number of seniors, the higher the need of urgent solution for health service facility provision. In recent years, a system of subsequent health care, rehabilitation and after-treatment departments broke, as well as long-term medical institutions. Sufficient support of home nursing care is not provided in the natural patient
s environment. In the social service homes, there absent an interconnection with health care. Accessibility of social services is presently influenced by decision-making of self-governing regions and municipalities. Therefore, it is necessary to support a development of departments for long-term ill patients, nursing care homes, hospices and mobile hospices, as well as facilities of SSC connected to the home nursing agencies. This requires a formation and implementation of active social services model, which will reflect on actual and future needs of our inhabitants with regard to their potential health and social needs. Here, it is necessary to introduce a high-grade data base that is related as to SSP, so to a sound mapping of present health and social needs of our inhabitants with regard to their future needs. In Slovakia, there is an absence of a complex analysis that will focus on a specification of illnesses and identification of needs of disadvantaged people in health issues of various age categories with regard to their diagnoses and co-morbidities. In the future, the formation of health and social policy will be very difficult without these analyses, exact outputs, their interconnections and formations of needs on the basis of available sources.

The article suggests partial results of the research that is supported by VEGA project No 1/0929/14 “Multi-dimensional, economic and financial evaluation of implementation process and use of day health care and quantification of its financial impacts on health system in Slovakia.


References
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ANALIZA STRUKTURY USŁUG SOCJALNYCH
W OKRESLONYM REGIONIE I JEJ ZNACZENIE DLA ZDROWIA I POLITYKI SOCJALNEJ NA SŁOWACJI

Streszczenie: Usługi socjalne stanowią narzędzie polityki socjalnej, a także dynamiczny system socjalny. Niniejszy artykuł skupia się na niejednorodnej strukturze dostawców usług socjalnych i daje podstawę do dyskusji o optymalizacji sieci placówek socjalnych
w regionach Słowacji w kontekście zmian demograficznych, a także zachorowalności mieszkańców, zależności socjalnej z różnych przyczyn, etc. Region Preszów został wybrany do analizy struktury dostawców usług socjalnych w celu oceny rzeczywistej sytuacji i specyfiki w istniejącym modelu socjalnym danego regionu. Wyniki analizy wykazały nieuchronność dostępu do głęboko ustrukturyzowanych danych i realizacji wielowymiarowych analiz, które odzwierciedlają aspekty demograficzne, zachorowalność
i zależność społeczną mieszkańców w danym regionie.

Słowa kluczowe:
długoterminowa opieka zdrowotna, oddziały domowej opieki pielęgniarskiej, starzenie się społeczeństwa, system socjalny, system ochrony zdrowia, dostawcy usług społecznych


結構分析,社會服務,特別是區域及其意義衛生和社會政策在斯洛伐克

摘要:社會服務是社會政策的工具,以及一個動態的社會制度。本文主要討論社會服務提供者的異質結構,並提供了在斯洛伐克的人口變化和人口的發病率背景下的區域網絡優化社會制度的討論基礎上,根據各種社會原因等普雷紹夫州被選中來分析社會服務提供者的結構,以評估實際情況並在該地區現有的社會模式的特點。分析結果顯示,進入深度結構化數據的必然性和多維分析,反映人口,發病率和該地區居民的社會相關方面的執行情況。
關鍵字:長期醫療護理,家庭護理單元,人口老齡化,福利制度,醫療制度,社會服務提供者。


 
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