In many cultures and nations of the world is a custom that adults, youth and children feel the warmth, love and pleasant company of their grandparents around them, living together in a big family and sharing with them from their first and remote memories, until reaching a point in life when older adults should be momentarily overtaken; On the other hand, in many developed countries of the world it is very common for elderly people to retire to retirement villages to spend their last days with tranquility, fun and a very high quality medical care. France is one of the most beautiful and attractive European countries of the old continent, being one of the countries in which older people share as much time as possible with their families, however, when these can no longer take care of themselves or need medical attention, the highest quality in some cases, they have the best care centers, we tell you why. In France nowadays the elderly society is taken care by their relatives, therefore, the homes or retirement homes (that provide equipment and spaces where they can receive, with no limits, all the medical attention appropriate to their age and needs) were less common than in other countries.

However, this has been gradually changing, surveys conducted by one of the sociological research centers of France, establishes that almost ninety percent of people who are 50 years old or more prefer to stay in their homes as long as possible, but the People who are 85 years old or older are in one of the specialized centers. France is known for being one of the countries in which people have the longest life expectancy, so the world health organization, rated its health system as one of the best in the world, in this country its population thinks if they pay more they get more, that is why only if the elderly people consider that they need specialized medical care or more care, they leave their homes and go to these centers for the care they require according to their circumstances. Today in France almost a quarter of the population is aged 60 or older, which means that by 2030, the demand for these specialized centers will have a considerable increase.

In France today, there are two types of centers for the elderly.

In France today, there are two types of centers for the elderly, which could be a center or home for elderly people under state or private management, of which some have specialized medical care and others do not, so the costs for the activities required by the elderly may vary. Expenses for their activities, which may be accommodation, general care or medical treatment (which are paid by the person who receives the services) can in some cases be supported by the regional department, to which it belongs if qualified, the Council Social Development Department will send funds to pay for medical care received, or it may be covered by health insurance. Homes for low-income elderly people are found on campuses: Foyer Logement, which is usually fully occupied by older people. Foyer soleil, it differs since people of different ages live in it. At home they can leave the organization of domestic activities in case the resident wants autonomy, which may be accompanied by assistance or supervision if the resident wishes, the laundry, kitchen and general chores are shared by the residents. There is another type of homes for seniors who have better economic possibilities, which have the option to buy and may come furnished or not according to the variety.

Financing

Since 2002, the benefits for the elderly who need specialized attention have been provided by a system called APA (Allocation personnalisée à l’autonomie). The funds for these benefits are provided by local councils and the newly created CNSA agency (Caisse nationale de solidarité pour l’autonomie). The CNSA, which is not financed solely by tax credits, also gathers funds for an additional day worked by employees taking an additional tax of 0.3% on employers, also demanding collaboration from the existing system of health care budgets. These benefits are usually used to care for the elderly, however, they strongly keep the idea that the elderly can keep their autonomy as long as possible. Most older people still prefer to live at home until they consider that specialized care is absolutely necessary or indispensable for their subsistence. On the other hand, each day we can often observe that family members cannot care for their elderly relatives. “Children often cannot care for their parents under the same roof,” says Thierry Morosolli of GDP Vendome. “It’s too expensive for them,” he adds. In many of these cases, the best solution is specialized care for the elderly, these centers are not medical centers but they fulfill this function including social work, their main function is not to treat a disease but to fulfill a social function, which is to provide shelter, better living conditions and specialized medical attention when age becomes a vulnerability for these people who require special care, regularly and permanently.

The EHPAD system originated 20 years ago.

“What we started 20 years ago, has undergone different changes around the social and economic conditions of the time, now people with neurological diseases, cognitive disorders, Alzheimer’s disease, which has become a particularity of vital importance are accepted. 63% of the elderly, refugees in these centers suffer from these diseases, which has complicated the required attention a bit, but applying the experience acquired by France, Russia will be able to benefit in about 20 years from learning about mistakes made by France, by which, they have learned by themselves.” According to Mr. Morosolli, in particular, the experience has to do directly with the way in which they obtain financing the acquisition of medicines and personnel for the care of the old people. In France, more than 680,000 people live in one of these specialized care centers, where the equipment have facilitated the application of long-term medical care. The third categoryMentioned above, these institutions are public or private, but besides of them, there is a third category which consists of a private-social partnership. The places in these institutions are financed from three sources: the general expenses are covered by the APA, the medicines and the care are covered by the health system and the medical insurance, to which the elderly belong, and the food and the accommodation is paid by the elderly or their relatives. The difficult thing is being able to establish an average of the cost of these centers, because they change according to the fundamental needs of each one of the residents, which includes the services of television, hygiene, medicines, etc. The cost also has to do with the quality with which these different services are provided. Although the General Inspectorate of Social Affairs, l’Inspection générale des affaires social, has an approximation, which establishes the average amount of 2,200 euros per month. Older people in this country can receive an average pension of 1,200 euros. The difference can be covered by family members, however, it is important to emphasize that this cost is not as significant with the expenses that would actually generate personalized and specialized care, including medication and medical devices to treat different sicknesses.

There are different options when it comes to choosing the center where they provide specialized care to elderly people in France. There are different homes for the care and retirement of the elderly, as well as options for the care and specialized attention from their own homes. If you are looking for a town exclusively for retirees ( dentiste garde ), of which France does not have as many, the few that exist are mainly in the south of the country, these only offer facilities and activities to live to cover the attention of the tenants. The general term for a retirement home in France is ‘maison de retraite’. These are often privately running, that is, sponsored by non-profit companies or organizations, which can be insurance companies, foundations or even hotel chains. The other category of public management is administered by local authorities, mainly under the direction of a hospital or the local council. It is the departmental council that establishes the rate of fees for retirement homes in the district to which they belong. The council can also provide information through social workers to find appropriate information from the households. offering various degrees of medical care according to the needs of the individual, the centers that are occupied only to retire are known as “lobbies-logements” if they are administered by local authorities or called service residences if they are sponsored by the private company; with its own independent accommodation, generally an apartment, with divisions shared by the residents. If what you want is a traditional retirement home, then you can be guided by “etablissements d’hebergement pour personnes agées” or “établissements d’hebergement pour personnes agées dependantes” “residences for the elderly” or “facilities for the dependent elderly” if older people already depend on other people to be able to take care of themselves daily. The accommodation has a room, dining room and living room shared among the inhabitants. Older people who consider themselves dependent will have access to medical care when they need it. This type of residential home has the obligation to provide a good level of specialized care to the elderly, while the local authorities are responsible for inspecting it periodically.

For those older adults who require periodic medical attention, there are “unité de soins de longue duree – unit of long-term care” that offers long-term care. They are usually part of a hospital or clinic. The units known as “Cantous” used to be available for the care of people with alzhaimer, however, they are replaced little by little by “Unités de vie protégée spécialisée Alzheimer”, these are small units that are separate, but at the same time they are part of a larger complex. Older people have the option to qualify for the APA benefit (aide personnalisée à l’autonomie), which has the objective of helping people to live an independent life, for as long as possible. This is designed to provide older people with the necessary resources to maintain a level of independence or autonomy. It is available for people who still live in their own home, as well as for those who have already moved to some type of retirement accommodation, who can perform the tasks of their personal care without the need for specialized medical attention.

If you are in France or if you have an elderly relative who can qualify for this benefit, application forms can be provided to you at the local town hall or the staff of the residential house in which you are staying, if the older person lives in a house, the money is usually used to reduce the expenses that normally result from living in a house when it comes to medication, basic services and others. Therefore, in France the elderly try to spend as much time as possible with their families, conserving their independence or autonomy, hardly using the homes or retirement homes, however, a quarter of the population is 60 years of age or more; and their care over time is more difficult for family members because they need specialized medical care and attention most of the day, that is why homes or retirement homes play a key role in society, since they are the only places where elderly people can get personalized attention and quality, with medical care appropriate to their ages. Households or retirement homes have undergone many positive changes over the years, now elderly people suffering from mental illness or chronic diseases are accepted, supervised by the competent authorities, in fact the whole society has been getting involved to help the maintenance and the quality of them, so in France we have a good model to follow for our future elderly people to get the care and the attention they shall need.