The system of social support for elderly at home and in institutions according to the results of the coronavirus pandemic will require reform throughout the world, concluded the experts of the Higher school of Economics. They point out that in many cases the existing formats did not help to reduce the risks for senior citizens, but, on the contrary, contributed to the spread of infection. This modification will lead to an increase in public expenditure on long-term care, even at a constant number of those in need, despite the fact that in fact, the need for such services will continue to increase.The existing formats support seniors at home and in institutions has been difficult to adapt to the conditions of a pandemic, the work of the Higher school of Economics, devoted to the overview of social policy towards the elderly.Since the coronavirus was more dangerous to older age, including for existing diseases, this population has prescribed more severe isolation than the rest, the rules varied depending on the country. The Russian authorities demanded that the elderly not to leave home at all, some countries, such as United Kingdom, Argentina, Ukraine, introduced them to special hours of shopping and medical facilities.Although to reduce the number of contacts the elderly have proposed new ways of receiving social transfers (pensions began to deliver to your home or be transferred to the account, and to pay for multiple months), restrictions on movement has created a large demand for assistance in obtaining other services and purchase products. To provide these needs solely through the help of relatives for many was impossible, as a result, the isolation has created an unprecedented demand for the services of qualified volunteers. In those cases, when not enough or when the study volunteers were of poor quality, the risks of Contracting for the elderly increased.Even more unsafe for the elderly were institutions institutional care — nursing homes, where there were cases of very rapid spread of the virus. According to experts at the London school of Economics (data for 26 countries), the average proportion of deaths in nursing homes can be up to half of all who died from the coronavirus in the developed countries. If we calculate the proportion of deaths from the total number of residents of such institutions, it is up to 6% (which, however, may not include some cases that indirectly caused by the pandemic). So, in Italy and Spain cases of mass disease of physicians and nurses led to the death of disabled patients due to lack of care. The mass testing of workers and residents of nursing homes by the end of may, the second month of the epidemic, established, only a third ��Tran—members of the EU.Note that the experience of Russia, although the country is not open statistics on deaths from the coronavirus in nursing homes, it looks similar because of the large number of outbreaks in institutions. However, the scale of the contribution of these deaths to the overall death toll from the disease is limited to a relatively small number receiving such services according to the labor Ministry, their country is about 300 thousand people. It can be assumed that if additional measures to protect the elderly taken during the current pandemic, will become a permanent element of both home-based and inpatient care systems, the cost of this work will increase significantly (now in different countries, it is 0.1–1% of GDP), even for the same number of wards. Their number, however, by all estimates, the coming years will grow by several percent annually.Anastasia Manuylova
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