Output: Model care for the elderly Deliverable: FCN Model validation Project n°: ASP 286 Title: Model care for the elderly and FCN Model validation Output n°: 2.1 Deliverable n°: 3.2.1. Authors: Social Protection Institute of the Republic of Slovenia and ASL Città di Torino Date: September 2018 Version: 4.0 Table of contents 1. Objective of the report.......................................................................................................................... 5 2. Description of CONSENSO participating countries at the macro level.................................................7 2.1. Austria (Carinthia).........................................................................................................................7 2.2. Italy (Piedmont, Liguria)................................................................................................................9 2.3. France (Provence-Alpes-Côte d’Azur)........................................................................................13 2.4. Slovenia (the Coastal-Karst region)............................................................................................16 3. Methodology....................................................................................................................................... 19 3.1. Micro level analysis.....................................................................................................................19 3.1.1. The “CONSENSO app” and datasets.................................................................................19 3.1.2. The analysis of individual plans..........................................................................................21 3.1.3. Interviews with clients.........................................................................................................23 3.2. Mezzo and macro level analyses................................................................................................24 3.2.1. Focus groups with FCNs.....................................................................................................24 3.2.2. Stakeholder mapping and the stakeholder satisfaction survey...........................................26 4. The CONSENSO model.....................................................................................................................27 5. Results................................................................................................................................................ 29 5.1. The CONSENSO app analysis (the first interview).....................................................................29 5.1.1. The description of pilot areas..............................................................................................29 5.1.2. Visits to clients....................................................................................................................31 5.1.3. The basic demographics of participants..............................................................................32 5.1.4. FCN activities and clients....................................................................................................36 5.1.5. Health status of CONSENSO participants..........................................................................38 5.1.6. (In)dependence of CONSENSO participants......................................................................42 5.1.7. The frailty level of CONSENSO participants.......................................................................45 5.1.8. Social networks of CONSENSO participants......................................................................47 5.1.9. The quality of life (QOL)......................................................................................................49 5.2. Results (a comparison of the first and the final interview)...........................................................49 6. The implementation of the CONSENSO project in different regions...................................................53 6.1. Carinthia..................................................................................................................................... 53 6.2. Liguria......................................................................................................................................... 58 6.3. Piedmont..................................................................................................................................... 62 6.4. Slovenia...................................................................................................................................... 68 6.5. Var.............................................................................................................................................. 73 7. Discussion and conclusion.................................................................................................................79 8. Sources and literature......................................................................................................................... 83 9. Appendences...................................................................................................................................... 85 9.1. Appendix 1: Consenso interviews manual..................................................................................85 2 9.2. Appendix 2: List of information collected in the first interview.....................................................90 9.3. Appendix 3: Multi stakeholder satisfaction survey (MSSS).........................................................95 9.4. Appendix 4: Focus groups questionnaire..................................................................................100 9.5. Appendix 5: External factors, system specifics.........................................................................103 9.6. Appendix 6: Working with stakeholders....................................................................................107 Table of figures Figure 2.1: Aging index in Italy (comparison Liguria and Italy), data for all Italian regions.........................11 Figure 5.1: Map of the testing area of the model with basic information.....................................................29 Figure 5.2: Number of individual plans vs. the number of clients involved, by region.................................30 Figure 5.3: Percentage of clients participating in the project, by region (N: 4.878).....................................30 Figure 5.4: Average share of clients per FCN & the average share of visits per FCN, by region...............31 Figure 5.5: Average number of visits to clients (with minimum and maximum number of visits), by region31 Figure 5.6: Type of visits, by region (%).....................................................................................................32 Figure 5.7: Percentage of clients, by gender (N: 4.842).............................................................................32 Figure 5.8: Gender of clients involved (%, by region).................................................................................33 Figure 5.9: Age of clients participating in the project, by region (average, min, max).................................33 Figure 5.10: Place of living by number of residents, by region...................................................................34 Figure 5.11: Type of living, by region..........................................................................................................34 Figure 5.12: Marital status, by regions (%).................................................................................................35 Figure 5.13: Highest educational level achieved, by regions (%)...............................................................35 Figure 5.14: Average number of children in clients, by region....................................................................36 Figure 5.15: Assessment of goals, by region (%).......................................................................................36 Figure 5.16: Model of binary logistic regression.........................................................................................37 Figure 5.17: Percentage of clients reporting the present issues with listed diseases, by region................39 Figure 5.18: Health status of CONSENSO participants (%), by region.......................................................40 Figure 5.19: Health status of CONSENSO participants (%), by gender (N:4842).......................................40 Figure 5.20: Health status of CONSENSO participants (%), by age group (N:4866)..................................41 Figure 5.21: Health status of CONSENSO participants (%), by education (N:4489)..................................41 Figure 5.22: Percentage of clients who use various aids, by region...........................................................42 Figure 5.23: Percentage of independent clients in performing the following activities, by region (%).........42 Figure 5.24: Independence index (percentage of clients who are dependent, somewhat dependent and independent), by region (%)....................................................................................................................... 43 Figure 5.25: Independence index (percentage of clients that are dependent, somewhat dependent and independent), by gender (%) (N: 4649)......................................................................................................43 Figure 5.26: Independence index (percentage