Sara Ulla has extended experience in research and evaluation in academia and in the public administration. Currently she holds the position of Coordinator of studies at the Institute for the Elderly and Social Services (Imserso), where she coordinates research and evaluation activities and she is responsible for international relations.
Previously she worked at the Cabinet of the Health Minister as Advisor for International Relations and Strategic Planning. She also held the position of Head of the Evaluation Division at the Ministry of Foreign Affairs, European Union and Cooperation, managing the strategic evaluations of the Spanish Cooperation for Development. Before she was Head of Unit in the National Agency of Public Policies Evaluation, being responsible for the design of a new strategic planning framework and codirecting an expert course in evaluation. And she was Associate Professor at the Universidad de Castilla-La Mancha, at the Psychology Department, being specialized in Health Psychology and Research Methods. She has participated in, directed and managed numerous evaluation and research works.
She has been the representative of Spain at the Steering Committee of the European Observatory for Public Policies and Services (WHO); at the Evaluation network of the OECD Development Assistance Committee (EVALNET); at the Steering Committee of the OECD Multilateral Organizations Assessment Network (MOPAN); among others.
She has PhD in Psychology and holds two Masters Degrees in Research Methods and in Applied Statistics. She is author or co-author of 4 books and she has written numerous papers in national and international research journals.
A global vision for a change of model towards community based and person-centred care
Sara M. Ulla Díez, Institute for the Elderly and Social Services (IMSERSO), Spain
Luis Alberto Barriga Martín, Institute for the Elderly and Social Services (IMSERSO), Spain
Berta Gonzalez Anton, Ministry of Social Rights and Agenda 2030, Spain
Spain has the longest life expectancy in the EU and the third in the world, only behind Switzerland and Japan. Currently, life expectancy at birth exceeds 83 years
Around the 20% of the population is 65 years or older. Although this rate is lower than in neighboring countries, during the next three decades the effects of demographic ageing will become more pronounced. Forecasts suggest that this percentage will rise to 23.8% in 2030 and could reach 31.4% around 2050.
Today a profound change is taking place in the model of care. To achieve this goal, there is a strong commitment to improving residential and community-based care services with the main lines of action:
- Inmediate solution to the most urgent problems: On January 15, 2021, the Territorial Council for the Autonomy and Dependency Care System (CISAAD) unanimously approved a Dependency Shock Plan 2021-23. There was consensus to increase the financing of the Autonomy and Dependency Care System (SAAD) and to dedicate it to reducing the waiting lists, ensuring better working conditions and introducing improvements in services and benefits, with a clear timetable for making these changes.
- A global strategic vision that will define the core principles that the care system must comply with, which will be be based on: dignity and respect, choice and the ability of people to control the care they receive, social participation and community and fully person-centered. attention
- A National Deinstitutionalization Strategy that responds to the international and National mandate to promote a process of transformation of the long-term care model and the development of community and person-centered services. The scope of these change is wide and profound, because it entails a transformation in the way in which support and care are conceptualized and provided; promoting people-centered attention based on a framework of rights.
- Important operational changes, in terms of gobernance, normative and legal framework; with respect to the accreditation system for services and centers, and for the accreditation of professionals and technical profiles to provide quality care and support.
- Changes in data collection and information systems. These are being carried out to allow an adjusted and updated knowledge of the reality of the LTC centers for accountability, improvement, learning and policy-making.
- Evidence-based decision making. A full evaluation of the LTC system is underway. This will allow a profound reform of the system in accordance with the evidence and recommendations provided by the evaluation.
The far-reaching social, institutional and regulatory changes require a long-term view, with a broad and inclusive strategic vision, where people are at the center of all policies. In this paper, we will present the whole model in detail as well as all the operative changes occurred to provide conceptual and practical information to all the interested participants.