Adults

Pilot implementation

Seven pilot implementations will take place on three locations in the framework of the WP 2 – Adults. Pilot testing of renewed preventive programmes that will enable their evaluation and optimization, will be implemented in the following organizations: Community Health Centre Celje (Zdravstveni dom – ZD Celje), Community Health Centre Sevnica (Zdravstveni dom – ZD Sevnica), Community Health Centre Vrhnika (Zdravstveni dom – ZD Vrhnika.

Community approach towards better health and reducing inequalities in health in local environment

Based on the new concept of community approach for health promotion and reduction inequalities in health, we will test the operation and cooperation of establishments and stakeholders in local environment. Community approach focuses on the users; therefore, it is adapted to their needs. The emphasis is on skill and competences of all participants and on the respect of individual’s autonomy. Community approach enables better access to services and programmes, the development of supportive networks and self-help groups, and it appreciates formal and informal forms of help.

Inclusion of vulnerable groups with various obstacles in access to healthcare service into the healthcare system and preventive treatment

We will determine how vulnerable groups with various obstacles in access to healthcare service are involved in healthcare system and what their treatment is like. We will pay special attention to the identification of vulnerable groups and to the role and networking of individual experts, organizations (nongovernmental organizations, social work centres, and employment offices) and local environment in their entrance into the healthcare system. Intersectoral cooperation, which is foreseen by the community approach model, is very important, and so is the empowerment of participants for working with vulnerable groups.

Elimination of the reasons for non-responsiveness of invited to preventive health examinations and further treatment within healthcare service

We will research the reasons for non-responsiveness of invited to preventive health examinations and their treatment within healthcare service. New approaches will include a home visit of community nurse at people who are still not responsive after the third invitation to preventive examination in referral clinic or family medicine clinic. This would ensure higher motivation for participation; otherwise, community-nursing service would perform the preventive examination during the home visit.

The operation of newly established health promotion centre within community health centre and in local environment

We will transform existing health education centres to health promotion centres and test their operation. Health promotion centre enables the reinforcement of care for public health and reduction of inequalities in health on local level. It also improves the rationalization and optimization of funds usage for health promotion and prevention for general population as well as for chronic patients and those at risk for CNDs on local level. The focus is on assuring quality of personnel and programmes, and improvement of health indicators and determinants of health on local level. 

Implementation of new programmes for the support in changing lifestyle and empowerment

In health promotion centres, we will test the treatment of persons with risk factors for CNDs, those at risk for CNDs and patients with CNDs. We will implement programmes of non-medicament treatment and empowerment for health promotion and for living with CND, especially in the field of mental, physical and social health.

Networking, cooperation and communication pathways of preventive programme providers

We will test networking, cooperation and communication pathways of preventive programme providers in accordance with the process of preventive programme implementation and patient’s path in preventive programme. We will thoroughly monitor patient’s pathways, process of community-nursing service in the treatment of vulnerable groups and pathways of networking and cooperation of health professionals with nongovernmental and other organizations as well as with the local environment.

Adequacy of public health educational programmes

We will test the adequacy of public health educational programmes in the following fields:

-          Education for understanding inequalities in health, vulnerable groups and community approach to health promotion and reducing inequalities;

-          Education for the implementation of the “Programme for integrated prevention of CNDs and reducing inequalities in health”;

-          Education for the implementation of the Programme for health promotion in Health promotion centres;

-          Education for community nurses for the implementation of integrated prevention of CNDs during home visits;

-          Interdisciplinary education for risky and harmful alcohol consumption;

-          Education on screening for anxiety and functional disability; and

-          Module for developing cultural competences – training of health workers for working with vulnerable groups.