Anisimov V N, Serpov V Yu, Finagentov A V, Khavinson V Kh
N. N. Petrov National Medical Research center of Oncology, 68, Leningradskaya str., Pesochny, St. Petersburg, 197758, Russian Federation;
Saint-Petersburg Geriatric Medico-social center, 21, Rizhskij pr., St. Petersburg, 190103, Russian Federation;
Adv Gerontol. 2017;30(4):486-497.
The publication is the second part of the analytical review on the new stage of development of gerontology and geriatrics in Russia. Components of social support system for senior citizens and the structure of social-medical care as its crucial components are presented. The problem of positioning of geriatric care within the system of social support for senior citizens, as well as its peculiarities and the algorithm providing geriatric care are discussed. The analysis of this algorithm allowed us to justify the indissoluble link and continuity of individual components of geriatric care and its cost-effectiveness. The position of the Russian Federation Ministry of Health concerning of introduction of geriatric care as an element in the system of medical care for older citizens was looking through. The pilot project «Territory of Care» proposed by the Russian Federation Ministry of Labor and Ministry of Health for establishment of long-term system of medical and social care to citizens of the older generation on the principles of multidisciplinary and interdepartmental interaction was elucidated as well. Some failures of the project have been highlighted and recommendations for its development were stressed. The role of gerontology as a systemic basis for creation of geriatric service in Russia and for the development of an integrated social and medical care to citizens of the older generation was underlined. The main priorities in the field of aging in the forthcoming decade are formulated. The most promising areas of research in the field of gerontology were discussed, the implementation of which will allow to realize the State social policy goals focused on the quality of life of senior citizens. Finally, the position of Gerontological Society of the Russian Academy of Sciences on the creation of mechanisms of scientific support for the renovation of geriatric services, including collaboration with experts in the field of practical medicine, social workers, and organization of scientific coordination of all efforts for the development of geriatric care to citizens of the older generation are presented.
该出版物是关于俄罗斯老年学和老年医学发展新阶段分析综述的第二部分。介绍了老年人社会支持系统的组成部分以及作为其关键组成部分的社会医疗保健结构。讨论了老年护理在老年人社会支持系统中的定位问题、其特点以及提供老年护理的算法。对该算法的分析使我们能够证明老年护理各个组成部分之间不可分割的联系和连续性及其成本效益。审视了俄罗斯联邦卫生部关于将老年护理作为老年公民医疗保健系统要素引入的立场。还阐述了俄罗斯联邦劳动和卫生部提出的“关爱领域”试点项目，该项目旨在基于多学科和跨部门互动原则建立针对老年一代公民的长期医疗和社会护理系统。强调了该项目的一些失败之处并提出了其发展建议。强调了老年学作为俄罗斯创建老年服务体系以及发展针对老年一代公民的综合社会和医疗保健的系统基础的作用。制定了未来十年老龄化领域的主要优先事项。讨论了老年学领域最有前景的研究领域，这些领域的实施将有助于实现以老年公民生活质量为重点的国家社会政策目标。最后，介绍了俄罗斯科学院老年学协会在创建支持老年服务更新的科学机制方面的立场，包括与临床医学领域专家、社会工作者合作以及组织协调各方力量开展针对老年一代公民的老年护理发展工作。
