Effectiveness of New Reactivation Approaches in Integrated Long-Term Care—Contribution to the Long-Term Care Act

<b>Objectives:</b> This study evaluates the effectiveness of an innovative, integrated healthcare approach based on the "Long-term Care (LTC) in the Community" pilot project, aimed at testing solutions for the new LTC Act and associated regulations in Slovenia. It is based on a small sample, which can be financed from European project funds. This methodology is crucial for the subordinate legislation derived from the LTC Act. <b>Methods</b>: We selected beneficiaries who decided to receive integrated services in their home environment in rural areas. Among 132 beneficiaries who received various care services at home, 75 beneficiaries received integrated services to maintain independence, while a control group of 57 persons did not receive these despite eligibility. The hypothesis that the new reactivation and other services to strengthen and maintain independence facilitate a transition to a lower category of LTC within the system of different states of abilities and that new approaches with integrated home care are much more successful were tested using the Z + 4 test. <b>Results</b>: Seven out of eight users' abilities were improved by an inventive approach to LTC at home, including reactivation activities, with <i>p</i> < 0.025. The probability that the new methods will outperform the old ones for an arbitrarily selected senior eligible for LTC exceeded 0.89. Thus, we used quantitative methods to confirm the reasonableness of the decisions included in the LTC Act and will help to estimate savings in the health fund. <b>Conclusions</b>: These positive results promote the implementation of integrated care strategies, norms, and standards, which will be further articulated in subordinate legislation.

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Publication Details

Journal
Healthcare
Published
2025-05-19
DOI
https://doi.org/10.3390/healthcare13101187
Primary Topic
Frailty in Older Adults
Type
article
Field-Weighted Citation Impact
0.00

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article

Effectiveness of New Reactivation Approaches in Integrated Long-Term Care—Contribution to the Long-Term Care Act

David Bogataj, Eneja Drobež, Marija Bogataj, Suzanna Mežnarec-Novosel
Healthcare
Frailty in Older Adults
article

Effectiveness of New Reactivation Approaches in Integrated Long-Term Care—Contribution to the Long-Term Care Act

David Bogataj, Eneja Drobež, Marija Bogataj, Suzanna Mežnarec-Novosel
article en

Abstract

<b>Objectives:</b> This study evaluates the effectiveness of an innovative, integrated healthcare approach based on the "Long-term Care (LTC) in the Community" pilot project, aimed at testing solutions for the new LTC Act and associated regulations in Slovenia. It is based on a small sample, which can be financed from European project funds. This methodology is crucial for the subordinate legislation derived from the LTC Act. <b>Methods</b>: We selected beneficiaries who decided to receive integrated services in their home environment in rural areas. Among 132 beneficiaries who received various care services at home, 75 beneficiaries received integrated services to maintain independence, while a control group of 57 persons did not receive these despite eligibility. The hypothesis that the new reactivation and other services to strengthen and maintain independence facilitate a transition to a lower category of LTC within the system of different states of abilities and that new approaches with integrated home care are much more successful were tested using the Z + 4 test. <b>Results</b>: Seven out of eight users' abilities were improved by an inventive approach to LTC at home, including reactivation activities, with <i>p</i> < 0.025. The probability that the new methods will outperform the old ones for an arbitrarily selected senior eligible for LTC exceeded 0.89. Thus, we used quantitative methods to confirm the reasonableness of the decisions included in the LTC Act and will help to estimate savings in the health fund. <b>Conclusions</b>: These positive results promote the implementation of integrated care strategies, norms, and standards, which will be further articulated in subordinate legislation.

HealthcareVol. 13(10)
Alma Mater Europaea (SI)
Javna Agencija za Raziskovalno Dejavnost RS
Partnerships for the goals
Openalex Percentile: Top 88%
Frailty in Older Adults
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