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Title:Model merjenja družbene vrednosti socialnih inovacij v dolgotrajni oskrbi : doktorska disertacija študijskega programa tretje bolonjske stopnje Socialna gerontologija
Authors:ID Mežnarec Novosel, Suzanna (Author)
ID Bogataj, Marija (Mentor) More about this mentor... New window
ID Rogelj, Valerija (Comentor)
Files:URL https://d.cobiss.net/repository/si/files/279444227/178306/Me%C5%BEnarec_Novosel_Suzanna_dr_2026.pdf
 
.pdf Meznarec_Novosel_Suzanna_dr_2026.pdf (15,63 MB)
MD5: 165EB108F94FBDC5B47934612A419680
 
Language:Slovenian
Work type:Doctoral dissertation
Typology:2.08 - Doctoral Dissertation
Organization:UAMEU - Alma Mater Europaea University
Abstract:Doktorska disertacija obravnava vprašanje, kako v razmerah starajočih se družb in naraščajočih potreb po dolgotrajni oskrbi zagotoviti kakovostne in dostopne storitve ob hkratnem ohranjanju javnofinančne vzdržnosti sistema. Izhodišče raziskave je razvoj integriranih modelov dolgotrajne oskrbe v skupnosti, ki poleg podpornih in oskrbovalnih storitev vključujejo tudi reaktivacijske pristope, usmerjene v ohranjanje in izboljševanje funkcionalnih sposobnosti in zmožnosti uporabnikov. Disertacija z uporabo aktuarskega modela mnogoterih stanj razvije model vrednotenja socialnih inovacij, ki povezuje spremembe funkcionalnega stanja uporabnikov s prehodi med kategorijami dolgotrajne oskrbe ter z ocenami pričakovanih doživljenjskih javnih izdatkov, izraženih v aktuarski sedanji vrednosti. Družbena vrednost reaktivacije je operacionalizirana kot razlika v pričakovanih javnih izdatkih ob prehodu v nižjo kategorijo oskrbe, donosnost pa kot razmerje med diskontiranimi prihranki in stroški storitev (SROI). Empirični del temelji na podatkih pilotnega projekta integrirane dolgotrajne oskrbe v občini Krško MOST. Rezultati kažejo, da integrirani reaktivacijski pristopi pomembno povečajo verjetnost izboljšanja funkcionalnega stanja, zlasti na telesnem in socialnem področju, ter omogočajo prehode v nižje kategorije oskrbe. Takšni prehodi so povezani z nižjimi pričakovanimi doživljenjskimi javnimi izdatki, pri čemer se pozitivna donosnost kaže predvsem pri pravočasnih in ciljno usmerjenih intervencijah. Disertacija prispeva metodološki okvir za celostno vrednotenje socialnih inovacij v dolgotrajni oskrbi ter ponuja empirično utemeljena priporočila za oblikovanje, financiranje in implementacijo trajnostnega sistema dolgotrajne oskrbe v skupnosti.
Keywords:integrirana dolgotrajna oskrba, oskrba na domu, socialna inovacija, družbeni eksperiment, družbena vrednost, model mnogoterih stanj
Place of publishing:Maribor
Place of performance:Maribor
Publisher:S. Mežnarec Novosel
Year of publishing:2026
Year of performance:2026
Number of pages:233 str., [71] str. pril.
PID:20.500.12556/ReVIS-13889 New window
COBISS.SI-ID:279444227 New window
UDC:364.65-053.9:368.914:336.14(043.3)
Publication date in ReVIS:26.05.2026
Views:93
Downloads:4
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Secondary language

Language:English
Title:A model for measuring the social value of social innovations in long-term care
Abstract:This doctoral dissertation addresses the question of how, in the context of ageing societies and growing demand for long-term care, high-quality and accessible services can be ensured while maintaining the fiscal sustainability of the public system. The research is grounded in the development of integrated community-based long-term care models that, in addition to supportive and care-related services, incorporate reactivation approaches aimed at maintaining and improving users, functional abilities and capacities. Using an actuarial Multiple Decrement Model, the dissertation develops a framework for valuing social innovations that links changes in users functional status to transitions between long-term care categories and to estimates of expected lifetime public expenditures, expressed in actuarial present value terms. The social value of reactivation is operationalised as the difference in expected public expenditures resulting from a transition to a lower level of care, while cost-effectiveness is assessed as the ratio between discounted savings and service costs (SROI). The empirical analysis is based on data from the pilot project of integrated long-term care MOST implemented in the Municipality of Krško. The results show that integrated reactivation approaches significantly increase the probability of improvements in functional status, particularly in physical and social domains, and enable transitions to lower care categories. Such transitions are associated with lower expected lifetime public expenditures, with positive returns observed primarily in timely and well-targeted interventions. The dissertation contributes a methodological framework for the comprehensive evaluation of social innovations in long-term care and provides empirically grounded recommendations for the design, financing, and implementation of a sustainable community-based long-term care system.
Keywords:integrated long-term care, home care, social innovation, social experiment, social value, multistate transition models


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