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EN
Relations between social support, social network, social ties, and risk of death and health-related quality of life have been shoved based on well-documented data from different countries as well as using the data coming from studies performed in different cohorts of older citizen of Krakow.
EN
Medical sociology has not paid special attention to observed demographic changes associated with the “greying of societies”. Lack of interest in ageing has resulted in the necessity to develop a new subdiscipline - sociology of aging. The evolution of this subdiscipline has been described in relation to social gerontology. Theories of aging (healthy, successful) have been presented in relation to new changes. Dilemmas and intractable problems focus on prejudices concerning the older persons, gender-related differences in the quality of life in older age, elderly abuse, and quality of life in mentally ill old people as well as other issues.
PL
Śledząc rozwój socjologii choroby i zmiany, jakie się w niej dokonały za sprawą stosowanych perspektyw teoretycznych i paradygmatów, zwrócono uwagę na choroby nowotworowe w relacji do psychospołecznych konsekwencji diagnozy, leczenia i życia po raku. Odwołując się do własnych doświadczeń badawczych ukazano znaczenie zachowań w chorobie oraz koncepcji jakości życia uwarunkowanej stanem zdrowia dla „społeczeństwa remisji”.
EN
Following the development of the sociology of illness and observed changes in relation to used theoretical frameworks and paradigms, special attention has been paid to cancer due to psychosocial consequences of cancer diagnostics, medical treatment and “living with cancer”. Based on empirical experiences coming from performed sociomedical studies, the role of illness behaviors in cancer patients and subjective assessment of health-related quality of life by survivals have been presented in the increasing “society of remission”.
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EN
Changes related to the ongoing process of aging and the social transformations taking place in Polish society, require proper organization of the system of services for older people living in the community. As a part of the project “Improving Access to Community-Based Services for Older People Living at Home” the review of the literature on the community-based services for older people was conducted. In this article the accessibility and availability of the community-based services for older people which are offered within the frame of health and social care system were presented; additionally the SWOT-analysis of the functioning of the system was conducted.
PL
Zmiany związane postępującym procesem starzenia się oraz przeobrażeniami społecznymi, zachodzące w społeczeństwie polskim, wymagają odpowiedniej organizacji systemu usług, z których osoby starsze mogłyby korzystać w swoim środowisku zamieszkania. W oparciu o przeprowadzony w ramach projektu „Zwiększenie dostępu do środowiskowych form opieki dla osób starszych, mieszkających w gospodarstwach domowych” przegląd literatury przedstawiono dostępność do tego rodzaju usług oferowanych seniorom w ramach systemu opieki zdrowotnej i pomocy społecznej oraz dokonano analizy SWOT istniejącego formalnego systemu wsparcia oraz jego funkcjonowania.
EN
In recent years more and more attention is paid to the role of social workers not only in diagnosing problems, identifying the needs and providing effective assistance to people in the need of help, but also in activating and organizing local communities. This article is based on personal experiences of people involved in the “Improving Access to Community-Based Services for Older People Living at Home” project. Potential benefits, opportunities and threats in the cooperation between representatives of the local community and social workers, employed in local social services center were presented. Some elements essential for satisfactory cooperation between social workers and older people were also indicated.
PL
W ostatnich latach coraz więcej uwagi poświęca się roli pracowników socjalnych nie tylko w diagnozowaniu problemów, identyfikacji potrzeb oraz zapewnianiu skutecznej pomocy potrzebującym, ale także aktywizacji i organizacji społeczności lokalnych. Odwołując się do doświadczeń uczestników projektu „Zwiększenie dostępu do środowiskowych form opieki dla osób starszych, mieszkających w gospodarstwach domowych”, w artykule zaprezentowano potencjalne korzyści, szanse i zagrożenia wynikające ze współpracy przedstawicieli środowiska lokalnego z pracownikami socjalnymi, reprezentującymi ośrodek pomocy społecznej. Wskazano również niektóre elementy istotne dla satysfakcjonującej współpracy pomiędzy pracownikami ośrodka pomocy społecznej a osobami starszymi.
XX
The paper presents the regional differences in an informal social capital in older age and the role of socio-medical determinants such as the role of self-rated health, migration and socio-demographic characteristics of individuals across NUTS1 regions of Poland. Data based on 1299 interviews performed among people aged 65 and older. Analysis confirmed statistically significant differences between regions in relation to social participation, social support, social network, trust and loneliness, but also different determinants of mentioned dimensions of social capital observed in the considered regions.
PL
Przedstawiono różnice w ocenie nieformalnego kapitału społecznego przez osoby starsze. w sześciu regionach Polski według Klasyfikacji Jednostek Terytorialnych (NUTS). Podstawą analizy były badania przeprowadzone wśród 1299 starszych mieszkańców w Polsce. Oceniano poziom zaufania społecznego. sieci społeczne. wsparcie społeczne i poczucie samotności. W odniesieniu do determinantów oceny kapitału społecznego przez osoby starsze wzięto pod uwagę obok cech demograficzno-społecznych. subiektywną ocenę stanu zdrowia i zmiany miejsca zamieszkania. Badania pokazały zróżnicowanie kapitału społecznego w zależności od regionu – najwyższy w regionie południowo-zachodnim. najniższy w regionach: północno-zachodnim i wschodnim. Wśród determinantów obok poziomu wykształcenia i stanu cywilnego, zła subiektywna ocena stanu zdrowia i zmiany środowiska zamieszkania odgrywały istotną rolę w ocenie poszczególnych wymiarów kapitału społecznego.
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EN
Demographic changes of the European societies cause the great enlargement of the needs for care services in the elderly population. The development of the care counseling services is therefore essential. The international project “Improving Access to Community-Based Services for older People Living at Home” was launched to help elderly people and their caregivers to find the appropriate health care services and to encourage them to take advantage of such services. Testing of the access strategies to care counseling targeted at older people enabled to prepare specific recommendations. The recommendations stressed among other the role of mediators during informing process and the necessity to tailor the services to the expectations of older people.
PL
Przemiany demograficzne społeczeństw europejskich powodują, że znacznie wzrasta zapotrzebowanie na usługi opiekuńcze w populacji seniorów, stąd bardzo istotną sprawą jest rozwój poradnictwa w tym zakresie. Międzynarodowy projekt „Zwiększenie dostępu do środowiskowych form opieki dla osób starszych, mieszkających w gospodarstwach domowych” miał za zadanie uświadomić osobom starszym i ich opiekunom dostępne formy pomocy oraz zachęcić ich do korzystania z nich. Testowanie różnych strategii dostępu do poradnictwa ukierunkowanego na osoby starsze pozwoliło na wypracowanie zaleceń zawartych w rekomendacjach, które m.in. zwróciły uwagę na rolę pośredników w przekazywaniu informacji i konieczność dostosowywania oferty świadczeń do potrzeb osób starszych.
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EN
Objectives: This paper aims to assess the relationship between the determinants of the psychosocial work environment, as expressed in terms of JDC or ERI models, and all-cause mortality in older individuals. Materials and Methods: The baseline study was conducted on a cohort comprising a random sample of 65-year-old community-dwelling citizens of Kraków, Poland. All of the 727 participants (410 women, 317 men) were interviewed in their households in the period between 2001 and 2003; a structured questionnaire was used regarding their occupational activity history, which included indexes measuring particular dimensions of their psychosocial work environment based on Karasek's Job Demand-Control model and Siegrist's Effort-Reward Imbalance model, as well as health-related quality of life and demographic data. Mortality was ascertained by monitoring City Vital Records for 7 years. Analyses were conducted separately for men and women, with the multivariate Cox proportional hazard model. Results: During a 7-year follow-up period, 59 participants (8.1%) died, including 21 women (5.1% of total women) and 38 men (12%) (p < 0.05). Significant differences in the number of deaths occurred regarding disproportion between physical demands and control in men: those with low physical demands and low control died three times more often than those with high control, regardless of the level of demands. The multivariate Cox proportional hazard model showed that significantly higher risk of death was observed only in men with low physical demands and low control, compared to those with low physical demands and high control (Exp(B) = 4.65, 95% CI: 1.64-13.2). Conclusions: Observed differences in mortality patterns are similar to the patterns of relationships observed in health-related quality of life (HRQoL) level at the beginning of old age; however, the relationship between efforts and rewards or demands and control and mortality was not fully confirmed.
EN
The advancing ageing of Polish society along with transformations in the contemporary model of family cause the rise of demand for services supporting functioning of elderly people in their home environment. As part of the project “Improving Access to Community-Based Services for Older People Living at Home” there were organized two focus groups in order to examine the perception of health and social services directed to older persons by senior citizens and service-providers. The main reasons for using community-based services, the most common sources of information on services as well as the barriers and factors facilitating the using of the community-based services were identified.
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Content available remote

Elderly Patients Satisfaction with Medical Services

45%
EN
Authors discuss factors that affect patients’ satisfaction from the use of health care services by older adults participating in the national Polish survey PolSenior. The aim of the study was to assess the patterns of use of health care services by older adults and what is the level of their satisfaction from received care, moreover, to determine factors responsible for reported high level of satisfaction or dissatisfaction. It was noticed that majority of Polish people over 65 reported high level of satisfaction, which might be related to their low expectations.
EN
ObjectivesThe study explores the direct and indirect associations (i.e., through the extent of the level of loneliness and perceived social support) between internet use for instrumental purposes and the quality of life (QoL) among elderly females and males in Poland.Material and MethodsThe analysis was based on 2001 face-to-face interviews performed among randomly selected individuals aged ≥65 years from the general population. The collected data was weighted to generalize the study sample for the reference population. The analysis was conducted using multiple linear regression models. The mediation effect was tested according to the Baron and Kenny approach.ResultsThe obtained results indicate that internet use for instrumental purposes is directly related to a better QoL of elderly Polish males. This positive effect among men also occurs indirectly, through the decrease in loneliness levels as well as the increase in social support scores. It has also been shown that among elderly females, the effect of internet use for instrumental purposes is not related to a better QoL, either directly or indirectly.ConclusionsInternet use for instrumental purposes seems to be important in enhancing a successful life among elderly male adults. However, these technologies are not associated with better QoL among females. Practitioners should be aware of these gender differences. The study adds to the previous studies by demonstrating that the feeling of loneliness and social support mediates the relationship between internet use for instrumental purposes and QoL among elderly males, whereas among elderly females this effect does not occur.
EN
Objectives Current demographic trends, such as society aging, the spreading of chronic diseases, as well as early retirement choices, lead to the dwindling labor market population. Taking into consideration the foregoing tendencies and their consequences, the issue of the shrinking labor force resources seems to be the most important challenge for the labor market. In response to it, this paper identifies individual and institutional causes of withdrawal from the labor market, and explores the views of Polish stakeholders on existing strategies for the occupational re-integration of persons with chronic diseases (PwCDs). Material and Methods Polish results of 2 European projects: “Participation to Healthy Workplaces and Inclusive Strategies in the Work Sector” (the PATHWAYS project) and “The Collaborative Research on Aging in Europe” (COURAGE in Europe) complemented each other. The cross-sectional population data and data from stakeholders’ interviews were used. Results The authors identified several causes which could encourage people to withdraw from the labor market before attaining the official retirement age at 3 different levels: individual, occupational, and institutional. Although research has shown that the macro-level situation is crucial to staying occupationally active, in Poland stakeholders have reported the lack of effective coordination in the implementation of policies for the occupational re-integration of PwCDs. Conclusions A decision to cease work prematurely reflects a combination of many different factors, such as individual determinates, work characteristics, personal convictions, and systemic solutions. The study demonstrated that, despite the awareness of the dwindling resources of labor force, the employment-related challenges faced by PwCDs as well as people who are close to the retirement age remain unaddressed. Int J Occup Med Environ Health. 2019;32(5):695–721
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