Pietilia I, Dorofeev V, Pokh'elaĭnen P
Kuntokallio, Centre for Gerontological Training and Research, Kalevankatu 12 A, FIN-00100 Helsinki.
Adv Gerontol. 2002;9:30-41.
The sharp increase of absolute number and share of the aged population in St. Petersburg requires changes in the medico-social service provision for the elderly. IPSE survey study was realized in 2000 in St. Petersburg under support of the Tacis Bistro Facility of the European Commission (The findings, conclusions and interpretations expressed in the article are those of authors and should not be taken to reflect the policies or opinions of the Europian Commission). The aim of the survey was to analyse health status, functional ability and use of medical and social services by the 60-89 aged elderly of the city and to identify the groups of elderly population in the most need of help. According to the results of the IPSE survey study, there is a significant number of elderly people who are not able to live independently at home without other people's help (approximately 97,000 elderly people in St. Petersburg who need assistance in daily living). The group of elderly people with considerably declined functional abilities should be a priority in planning the elder care services. For this group intervention programmes need to be developed. Providing the elderly with sufficient home help services fosters their independent living and allows the elderly to live longer at own home. To live at home is often the best choice for both the elderly and also the service system due to lower costs.
圣彼得堡老年人口绝对数量和占比的急剧增加，要求改变为老年人提供的医疗社会服务。2000年，在欧盟委员会塔西斯小酒馆设施的支持下，圣彼得堡开展了IPSE调查研究（文章中表达的研究结果、结论和解释仅代表作者观点，不应被视为反映欧盟委员会的政策或意见）。该调查旨在分析该市60至89岁老年人的健康状况、功能能力以及医疗和社会服务的使用情况，并确定最需要帮助的老年人群体。根据IPSE调查研究结果，有相当数量的老年人在没有他人帮助的情况下无法独立在家生活（圣彼得堡约有9.7万名老年人需要日常生活协助）。功能能力大幅下降的老年人群体应成为规划老年护理服务的优先对象。针对该群体需要制定干预计划。为老年人提供充足的居家帮助服务有助于他们独立生活，并使老年人能够在自己家中更长时间地居住。由于成本较低，对老年人和服务系统而言，居家生活往往是最佳选择。
