Integrated Care for Seniors as a Challenge for Slovakia

  • Michaela Vaceková Mgr. Department of Social Services and Counselling, Faculty of Social Sciences, University of Ss. Cyril and Methodius in Trnava
  • Jana Levická prof. PhDr. Mgr.PhD. Department of Social Services and Counselling, Faculty of Social Sciences, University of Ss. Cyril and Methodius in Trnava
Keywords: Integrated care, case study, social work, seniors


Older age can be accompanied by a lot of changes in the field of health, which influence the social functioning of seniors.One of the factors influencing the quality of life of seniors is the connection of healthcare and social care, built on the interdepartmental cooperation. This approach is still absent in Slovakia.The aim of the paper is therefore to emphasize the importance and need of integrated care and to describe the barriers that prevent its implementation in Slovakia. In search of answers to the questions: “When and why was the healthcare and social care department of seniors established in Slovakia? What are the reasons persisting in this condition? What are the consequences of this divided care for the seniors in practice? What strategies use facilities for seniors to overcome this situation during the COVID-19 pandemic?” the authors used the method of the case study (Yin, 2003) focused on the Trnava self-governing region. Persistent structural, procedural, legislative and political factors have been identified as the main barriers. Specific for Slovakia is the existence of a barrier of the profession, which is caused by the low interest of social workers in the issue. The authors state that the situation in Slovakia is caused mainly by the reflection of integrated care as a political problem. In the end, the authors make several suggestions for solving the situation.


Act No. 448/2008 on social services.

Andersson, J., Ahgren B., Bihari Axelsson S., Eriksson, A., & Axelsson, R. (2011). Organizational approaches to collaboration in vocational rehabilitation – An international literature review. International Journal of Integrated Care, 11(4).

Boyd, C. M., Boult, C., Shadmi, E., et al. (2007). Guided care for multimorbid older adults. Gerontologist, 47(5), 697–704.

Briggs, A. M., Valentijn, P. P., Thiyagarajan, J. A., & de Caevalho, I. A. (2018). Elements of integrated care approaches for older people a review of reviews. BMJ Open, 8(4).

Cangár, M. & Machajdíková, M. (2017). Dlhodobá starostlivosť v Slovenskej republike. Potreba systémovej zmeny. 28 p.

Creswell, J. W. (2007). Qualitative Inquiry & Research design. Choosing Among Five Approaches. Second Edition. Thousand Oaks: SAGE.

Decree of the Ministry of Health of the Slovak Republic No. 92/2018.

Threapleton, D.E., Chung, R.Y., Wong, S.Y.S., Wong, E., Chau, P., Woo, J., Chung, V.C.H., Yeoh, E.-K. (2017). Integrated care for older populations and its implementation facilitators and barriers: A rapid scoping review. International Journal for Quality in Health Care, 29(3), 327–334.

Hugges, G. (2017). New models of care: the policy discourse of integrated care Gemma Hughes. People, Place and Policy, 11(2), 72-89.

Imrovič, M. (2021). Volunteering and volunteer activities of students during the COVID-19 pandemic in Slovakia. In: Bočáková, O., Levická, J. & Draková, Z. (eds.). COVID-19 Pandemic in the European region (scientific studies). Brno: Tribun EU, 40-47.

Levická, J., et al. (2009). Sociálna práca II. Trnava: Oliva.

Levická, J., et al. (2015). Identita slovenskej sociálnej práce. Trnava: Typi Universitatis Tyrnaviensis; VEDA.

Levyová, M., et al. (2019). Strategy of long-term social and health care in Slovak Republic.

Ministry of Labour, Social Affairs and Family of the Slovak Republic. (2020). 11 fakúlt vysokých škôl a ministerstvo sa prvýkrát stali partnermi pre spoluprácu v zariadeniach sociálnych služieb.

Ministry of Health of the Slovak Republic. (2019). Stratégia dlhodobej sociálno-zdravotnej starostlivosti v Slovenskej republike.

Ministry of Health of the Slovak Republic. (2020). COVID-19: V teréne poskytujú pomoc intervenčné tímy.

Organisation for Economic Co-operation and Development (OECD). (2020). OECD Health Statistics 2020 - Definitions, Sources and Methods.

Program Statement of the Government of the Slovak Republic for the period 2021 – 2024. (2021).

Repková, K. (2011). Dlhodobá starostlivosť v kontexte integrovanej sociálnej práce. Bratislava: IVPR.

Repková, K., a kol. (2011). Dlhodobá starostlivosť o starších ľudí na Slovensku a v Európe (3). Správa, riadenie a financovanie. Bratislava: IVPR.

Statistical Office of the Slovak Republic. (2020).!ut/p/z1/hY7LDoIwEEW_hQVbOqQg1V01hkeIEaIRuzFgEDDQklLh923UhQsfs7tzz5kMYihDjOdjU-WqETxvdT6y2SnxQrJc2hTIJl1DuKNbP40cGxwXHf4BTNfwZShonz2QlU8Dx4sBSOy7ENJgn84TjIHiF_DjRoRY1Yri-S7lBSYVYrK8lLKU1k3qda1UPyxMMGGaJqtoeGWdRWfCJ6EWg0LZO4f6LoOr244xNYw7xYwiZg!!/dz/d5/L2dBISEvZ0FBIS9nQSEh/

Statistical Products and Services Provision Section. (2016). Trnavský kraj in figures.

Švaříček, R., Šeďová, K., et al. (2014). Kvalitativní výzkum v pedagogických vědách. Praha : Portál.

Trnava self-governing region (TSGR). Koncepcia rozvoja sociálnych služieb na území Trnavského samosprávneho kraja 2021–2023.

Trnava self-governing region (TSGR). Vstupná Správa pre vypracovanie PHRSR TTSK 2022 – 2030.

Uittenbroek, R. J., Kremer, H. P. H, Spoorenberg, S. L. W. & Reijneveld, K. W. (2017). Integrated Care for Older Adults Improves Perceived Quality of Care: Results of a Randomized Controlled Trial of Embrace. J Gen Intern Med., 32(5), 516–523.

Wagner, E.H., Austin, B.T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: translating evidence into action. Health Aff (Millwood), 20(6), 64–78.

World Health Organization (WHO). (2016). Framework on integrated, people-centred health services. Geneva.

World Health Organization (WHO). (2016). Integrated care models: an overview.

Yin, K. R. (2003). Case Study Research: Design and Methods. 3th edition. London: SAGE Publications.

How to Cite
Vaceková, M., & Levická, J. (2022). Integrated Care for Seniors as a Challenge for Slovakia. LUMEN Proceedings, 17, 689-705.