Тhe integrated approach in the care of people with disabilities from the social Forum of Studies of Society, International Conference on Social Sciences and Humanities, Third edition. Enna, Italy, 21.11.2020, Editura Pro Universitaria, Bucharest, Romania, Indexed in Clarivate Analytics Conference Proceedings Citation Index (former Thomson Reuters - ISI Web of Science) Bucharest, Romania
The indicators measuring the public health in Bulgaria are characterized by an unfavourable trend of continuous population ageing, increase in chronic morbidity and deterioration of health status. This puts significant financial pressure on the health and social systems and creates preconditions for deepening health and social inequalities. As a result of the Covid-19 pandemic, this negative effect will further increase and in the long run will exacerbate the inequalities and the existing deficits among the most vulnerable groups in society. In response to the emerging challenges, the country is looking for new approaches and models of care related to the integration of health and social services. The changes are aimed at both meeting the needs of users more fully and at achieving greater efficiency in the provision of care.
The paper presents the results of a survey among professionals working in the social sphere (social workers, health care professionals, psychologists, rehabilitators) on the challenges of the integrated approach to the care for people with disabilities. The study was conducted in the period July-September 2020 in Ruse and VelikoTarnovo regions. The results show that the respondents expect clear regulation of the scope of the provided integrated care, the mechanisms of interaction and subordination between the two independent systems (health and social), operating in the conditions of systemic underfunding; financial sustainability and staffing of health and social services, in order to ensure their adequacy and good quality; emphasize the need to expand partnership and to create networks of different professionals involved in the care of people with disabilities.
integrated care, health and social care, people with disabilities