DEVELOPMENT POSSIBILITIES OF PUBLIC AND PRIVATE HOMES FOR THE AGED FROM THE PERSPECTIVE OF ELDERLY PEOPLE SATISFACTION

V doktorski disertaciji je predstavljen zgodovinski razvoj in zakonodaja na področju skrbi za starejše ljudi, pomen institucionalnega varstva starejših oseb, izhodiščna dejstva o potrebi in pokritosti domskega varstva v Sloveniji. Opisan je standard bivanja v domovih za starejše, cena domskega varstva, struktura zaposlenih in kvaliteta življenja starostnikov v domskem varstvu. Predstavljeni so rezultati raziskave, ki je bila izvedena v domovih za starejše občane v Sloveniji. Na osnovi opravljene analize podatkov so predstavljene razvojne možnosti domov za starejše ter prednosti uporabe novega in modernejšega koncepta oskrbe, ki po programski kakor tudi arhitekturni zasnovi (z razporeditvijo prostorov) bolj ustreza željam in potrebam stanovalcev. Sistem naj bi zagotavljal dejavnosti primerno in vzdrževano infrastrukturo, sprejemljiv bivanjski standard in opremo, starosti in zdravstvenemu stanju primerno prehrano, socialno pomoč in pomoč pri ohranjanju stikov, aktivnosti za ohranjanje sposobnosti in samostojnosti, pomoč pri vzdrževanju osebne higiene, strokovno zdravstveno nego in rehabilitacijo, dostopnost specializiranih storitev zdravljenja in zadostno število usposobljenih sodelavcev za nudenje storitev. V prihodnje domovi za starejše kot izvajalci institucionalnega varstva pričakujejo strokovno in poslovno avtonomijo, razpolaganje z vodstvenimi in upravljavskimi mehanizmi, priznavanje realnih stroškov poslovanja ter zadostne vire financiranja za izvajanje, razvoj in širjenje dejavnosti. Le z upoštevanjem osebnih navad in potreb stanovalcev, izboljšanjem bivalnega standarda stanovalcev, delovnih pogojev zaposlenih in kakovosti življenja stanovalcev bodo domovi za starejše lahko zadovoljili sedanje in privabili nove stanovalce.The doctoral thesis presents the historical development and legislation in the field of care for elderly people, the importance of institutional care for elderly people and the baseline facts about the need and coverage of institutional care in Slovenia. It describes the standard of living in retirement homes, the price of institutional care, the structure of the employees and the quality of life of elderly people in retirement homes. Next follows a presentation of the results of a research which was carried out in the retirement homes in Slovenia. Based on the performed analysis of the data obtained, follows a presentation of the potential for development of retirement homes and benefits of using a new and more modern concept of care which is according to its programme as well as its architectural design (including room layout) better suited to wishes and demands of the residents. The system should provide for the maintenance of the infrastructure suitable to the performed activity, the acceptable residential standard and equipment, the meals appropriate to the age and health condition of residents, the social support and support in maintaining contacts, the activities to maintain skills and independence, the assistance in maintaining personal hygiene, the professional health care and rehabilitation, the availability of specialised treatment services and an adequate number of qualified personnel to provide services. In the future, the retirement homes as providers of institutional care are expected to gain professional and financial autonomy, disposal of management and administration mechanisms, recognition of real operational costs and adequate sources of funding to implement, develop and expand their activities. Retirement homes will be able to satisfy the existing and attract new residents only by taking into account personal habits and needs of the residents, improving their standard of living and quality of life as well as working conditions of the employees