Abstract

Home care responds to people's health and social needs by offering quality services where the recipient lives. Demand for these services is steadily increasing, especially due to the aging population. The purpuse of this study is to analyze the situation in the field of home care in the Republic of Moldova. The study is based on a methodological approach focused on the analysis of the normative framework, the opinions of the service providers (public and private), but also of the representatives of the local public authorities, including the beneficiaries. Quantitative and qualitative research methods have been used. Sociological survey based on a questionnaire was applied to 84 home care providers from 23 out of 35 Moldovan administrative territorial units. In-depth individual interviews were conducted with 2 categories of people: 20 home care beneficiaries and 24 mayors. The results of the assessment reveal shortcomings and achievements in the field of home care in the Republic of Moldova and gives recommendations for governmental and local authorities, public and private providers in order to develop home care services and policies in the field of home care, organization of advocacy activities.

Highlights

  • Home care responds to people's health and social needs by offering quality services at the recipient’s residence

  • A desk review was conducted on legal framework and analysis of provision home-based care characteristics and models. Additional to these data, field information was collected from home-based care service providers, service beneficiaries and local public authorities (LPA) at I and II levels

  • Medical home-based care service represents a public or private service provided, in accordance with the law in force, by a healthcare institution, irrespective of its type of ownership and legal form of organization, usually Civil Society Organization (CSO)

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Summary

Theoretical and scientifical journal

HOME CARE IN THE REPUBLIC OF MOLDOVA: THE CHALLENGES FOR HEALTH AND SOCIAL POLICIES. Diana CHEIANU-ANDREI1, PhD in Sociology, Associate Professor, State University of Moldova. Результаты исследования выявляют недостатки и достижения в области ухода на дому в Республике Молдова и предлагают рекомендации для государственных и местных органов власти, государственных и частных поставщиков услуг для развития политики в области ухода на дому, организации адвокационных мероприятий. The overall objective of the paper is to analyse the home care in the Republic of Moldova, to assess the home care service providers (private and public) and the needs of the population in such services, to help Moldovan authorities develop evidence-based policies and contribute to the sustainable home-based care development. A desk review was conducted on legal framework and analysis of provision home-based care characteristics and models Additional to these data, field information was collected from home-based care service providers, service beneficiaries and local public authorities (LPA) at I and II levels. One way of understanding the concept of home care is to describe the phenomenon, how it appears in practice, how it is provided, what are the underlying goals, who are recipients

Types of the home care services
Physical persons
Non government organizations Profit entities
Geographical National
Provider appointed by LPA
Profit entities
Advantages for beneficiaries
Disadvantages for beneficiaries
Mostly from rural areas
Saturdays and Sundays a week a week a week at request
Based on the eligibility Based on the eligibility Request from LPA
Free of charge
District Free of charge
Findings
Cost of the service paid by the beneficiary

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