National strategy for reduction of poverty and social exclusion in the republic of macedonia


Increased access to services for long term care, through an efficient decentralization of these services and promotion of public – private partnerships



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Result 8: Increased access to services for long term care, through an efficient decentralization of these services and promotion of public – private partnerships.

  • Coordination and referral mechanisms

    1. Protocol for cooperation on national and local level

    2. Standardization of the quality of long term care services provided in the field of healthcare and social protection.

    3. Training of the stakeholders in using the local level mechanisms.

    4. Formation of a unified electronic system for monitoring and receiving feedback about the support of the long term care model at local level.

    5. Involvement of the private sector through public-private partnerships with a view of creating new and innovative methods for long term care in cooperation with the local communities.

    6. Establishment of a coordinating body with a multidisciplinary composition and approach to the implementation and monitoring of the long term care model.

    • Standardization of the quality of the long term care services

    1. Establishment of normative standards and bylaws for long term care in institutions and in a home environment.

    2. Establishment of regulatory mechanisms for accreditation, licensing, monitoring and evaluation of the services.

    3. Establishment of standards and good practices with respect to professional ethics for the service providers and a supervision system.

    4. Monitoring of the satisfaction of the users of the long term care services in institutions or in a home environment.

    5. Transparency of the reports on the use of long term care services.

    1. Training and retraining of human resources in the provision of long term care (members of families, volunteers, and young people) in institutions and elsewhere.

    2. Education of people requiring long term care and the people at risk of requiring long term care, on healthy lifestyles, active involvement in problem resolution, involvement in various preventive programs and timely release from hospitals, with a view of reducing the need for long term care.

    3. Training of the professional staff on how to provide long term care services in institutions.

    4. Introduction of the long term care model in the curricula for secondary and tertiary education and promoting and implementation of the gender concept.
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