646 KB54 KB198220252020Flaker, Vitoštevilka:4letnik:59str. 307-324ISSN:0352-7956COBISSID_HOST:30552835URN:URN:NBN:SI:doc-IGIKFLLQslFakulteta za socialno deloSocialno delocoronavirusdeinstitutionalisationdezinstitucionalizacijadolgotrajna oskrbadomovi za starekoronaviruslong-term caremental healthtotal institutionsold age homestotalne ustanoveCorona virus institutionalis - kronski institucionalni virus|The Covid-19 epidemic has mostly affected old people, not those who live at home, but those in old age homes. As many as four-fifths of those deceased in the epidemic were residents of these institutions. The analysis shows that the essential moment of infection is institutionality, not age, that it is almost an institutional epidemic. The total make-up of these institutions presents a significantly higher risk of transmission of infection % due to increased human concentration and increased frequency of contacts, but also because of the institutional structure and ethos that objectifies residents and deprives them of the power of action. The deceased residents can be seen as (passive) victims not only of the virus but also of the institutional nature of the organisation of care (prevailing in Slovenia). The debate has neglected this so far, the "safety" measures did not allow transfer to community care, which would give residents the same level of safety as the rest of the population, since such services allow for a greater degree of self-isolation and control of contacts. The deceased residents are victims of a delay in deinstitutionalisation and in introduction of a potent, community based long-term care. These are the pressing tasks for the future, if we are to ensure that old people at least have the safety, but also a decent life worth livingEpidemija Covida 19 je najbolj prizadela stare ljudi, pa ne tiste, ki živijo doma, pač pa tiste v domovih za stare. Kar štiri petine umrlih v epidemiji so stanovalci teh zavodov. Z analizo pokažemo, da je bistven moment okužb prav institucionalnost in ne starost, gre skorajda za institucionalno epidemijo. Totalni ustroj teh ustanov pomeni bistveno večje tveganje za prenos okužbe - zaradi večje koncentracije ljudi in večje pogostosti stikov, pa tudi zaradi institucionalnega ustroja in etosa, ki opredmeti stanovalce in jim jemlje moč ukrepanja. Umrle stanovalce imamo lahko za (pasivne) žrtve ne zgolj virusa temveč institucionalnega značaja organizacije oskrbe, ki v Sloveniji prevladuje. Dosedanje razprave so to spregledale, ukrepi niso omogočalo prehod v varnejšo skupnostno oskrbo, ki bi stanovalcem omogočila isto stopnjo varnosti kot preostalemu prebivalstvu, saj prav take oblike omogočajo večjo stopnjo samo-osamitve in nadzora nad stiki. Umrli stanovalci so žrtve zamujanja z dezinstitucionalizacijo in vzpostavljanjem nosilne skupnostne oskrbe. Prav to so pereče naloge za prihodnost, če naj zagotovimo starim ljudem vsaj varnost, pa tudi človeka vredno življenjeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverza v Ljubljani, Fakulteta za socialno delo