engleski

Alzheimer`s disease - resource providing and economics for ensuring care of patients in palliative medicine

Introduction Present health economics results demonstrate that there is a significant amount of unnecessary hospitalizations making patients spend too many days institutionalized and quite low quality and lack of palliative care, whereas the numbers from secondary data analysis indicate that hospital capacities and possibilities may provide high quality hospital palliative care. Aim: to demonstrate possible ways of organizing and providing resources in palliative care of Alzhemier`s disease patients in Croatia, using health economics and supporting centre. Methods: Analysis of present hospital and other capacities, epidemiology, current health approaches, recommendations based on real life and secondary data. The research revealed numerous potential sources of financing and providing resources for palliative care for Alzheimer`s disease patients. Such are insurance companies (basic, additional, private) ; philanthropy and humanitarian actions ; volunteers ; donations in money, services, drugs and goods ; taxes (state, county and city) ; foundations, real estate ; scientific, professional and marketing projects ; sponsorships, bank loans etc. Unfortunately most of these sources are inadequately or totally unused or unrecognized. On the other hand, numerous organizational and direct health costs in Alzheimer`s disease palliative care come in terminal disease phase, additionally burdening life of patients and their families: facility, overhead, various services, insurance, material and drug, food, human labour (professionals and volunteers) and transport costs. All of these indicate that palliative care should be based on a non profit model. Conclusion: It is necessary to completely redesign organizational approach in Alzheimer`s disease palliative care. Such redesign should be funded from various resources, one national centre with counties` network to organize and rearrange capacities, enabling higher quality in care with decreased number of doctors and nurses.

Alzheimer`s disease; resource; palliative medicine

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