Programs

A central problem :
1- Old age and taking account of each person’s life plan (ACP, Approach Centred on the Person)
And three main lines of approach :
2 - New conceptions of the habitat (individual and collective)
3 - New behaviours and new interdependencies
4 - Industrial strategies (notably the question of the co-ordination and pricing of services)
Having noted that a century after Alois ALZHEIMER’s description of the effects of degenerative maladies, the socio-economic impact of these pathologies has still not been properly taken into account by decision makers, The Institute has decided to privilege ALZHEIMER in the proposals issuing from its research.
To consult the documents on the lines of research, click here
In connexion with priorities defined by the Scientific Council, some work groups are being constituted. They gather together members of The Institute coming from the different sub-groups who are concerned with a particular subject. Bringing together those with special competencies and professional experience, they contribute collectively to increasing knowledge on the subject and to developing concrete medium and long- term proposals.
By the end of March 2006 three working groups have been created:
- Home services
- Insurance for dependency and alternative solutions
- Co-ordinating the co-operation of health and socio-medical concerns
G1 Home Services working group
The Borloo law of 26 July, 2005 has a strong impact on the organization of care-giving for aged dependent persons in their homes.
Its principal provisions:
- to make access to services simpler and less costly for our fellow citizens, notably by the institution of the universal service employment cheque (CESU), which is a tool for bringing solvency to the situation created by the problem of demand.
- to develop some national designations.
- to reinforce supply by clarifying and enlarging the list of acceptable activities, and by enhancing the value of personal service occupations.
In fact it’s a matter of a veritable re-structuring of the personal service sector, and particularly of the care-taking of aged dependent persons taking up more than 51% of its activity.
Gilles DUTHIL, in the name of The Institute, presented a conference on 16 March, 2006, organized with the Association of the Elderly HEC (a public of executives and company managers): a high level of participation (more than 110 persons), and especially, a high level of interest.
Another conference is under study on the same subject, for executives in the field of social economy.
Parallelly The Institute has undertaken work on editing, between now and the end of the first semester, a documentary dossier to be distributed first to members and then to a wider public. The printer FOI has been solicited to make a proposal. Jean-Noel LESELLIER, a specialist in personal services, a former general delegate of SESP (Union of Personal Service Businesses), a former general director of IRCEM (Pension Fund for Household Employees), a member of The Institute, has excepted editorial responsibility for it.
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Work Plan
Préface I - Personal Services before the BORLOO law II - The development plan for personal services
III - Personal Services after the Borloo Law IV - Perspectives |
G2 Work group on insurance for dependency and alternative solutions
Insurance for dependency has had difficulty in finding a market in France. The number of insured is low, as is the interest of the insurers. Besides the economic model has not been properly worked out, as the rare existing contacts are in deficit.
What new business model is there to propose? This is the aim of the work group. An interim report is foreseen for September 2006, after interviews with the principals (including ministers and professional federations).
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Work Plan
introduction I - Constat
II - Experiences
III - The choice of a medium/long-term logic
IV - Proposals
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Work group for co-ordinating the co-operation of health and socio-medical concerns (GCSMS)
One of the difficulties is the division in the organization of the care-taking of aging dependent persons between the health sector and the social sector, but equally between life at home and in an institution (retirement home or health-care centre).
How can we imagine a different type of organization, centred on the individual and his life project? What economic model can we envisage in a context of increasing numbers (already nearly 4% of the French population)?
The aim of The Institute is to actively contribute to the considerations initiated by the DGAS on the GCSMS) and the DGS on case management) on the subject.
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The stakes of individual follow-through
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Aged dependent person |
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Entourage (family, neighbours …) |
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Case manager(in connection with finances, local communities, CNAM, private insurers…) |
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Auxiliaries for life |
Health in the home(Adapted techniques and medical devices) |
Health Professionals |
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Support systems (or communal activities) |
Comfort(including the socio-psychological dimension) |
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Emergency services and hospitals |
The management of emergencies |
Follow-up care |
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Placement in institutions (EPHAD) |
Extreme dependency |
Palliative care and the end of life |
The objective of The Institute is to extract concrete propositions from some recurrent problems connected with ageing. Its publications carry these proposals: once published they are widely distributed, but in a targeted manner, where they serve as a basis to lobby for some ideas in the media, with decision makers, and more generally in the arena of public opinion.
Reports issuing from the exchanges of ideas within a working group presided over by a qualified person, and co-ordinated by a reporter who supervises the final editing.
- Documentary type dossiers, comprising the most important texts on a given subject.
- Synthesizing memoranda written by experts, giving an individual perspective on a current topic and bringing out the impacts on the concerned actors.
- The newsletter composed in response to information concerning the economy of ageing.
To get these publications, click here
With the Association of the Elderly HEC The Institute, presented a conference on 16 March, 2006 on the BORLOO law on personal services.The public consisted of 110 executives or entrepreneurs affected by the law in their development projects.
