Anisimov V N, Redko A A, Finagentov A V, Khavinson V K, Shabrov A V
N.N.Petrov National Medical Research Center of Oncology, 68 Leningradskaya str., Pesochnyi, St. Petersburg 197758, Russian Federation, e-mail:
Public Organization «Saint Petersburg Professional Association of Medical Workers», 52 str. Bolshaya Morskaya, St. Petersburg 191002, Russian Federation, e-mail:
Adv Gerontol. 2020;33(5):825-837.
The article examines the outlook and challenges relating to the provision of system-based support of healthcare providers and social services in the course of delivering their healthcare, mental health and social services to elderly people, in particular amidst a crisis, such as the COVID-19 pandemic. The article gives the definition of integrated health and social care, its structure and the algorithm of delivering integrated health and social care to elderly people. The article argues that a system of integrated health and social care will improve the quality of life of older populations and extend their active longevity through a person-centered social services plan offered according to an older person's needs. The article gives the definition and a detailed description of the goals of system-based support of integrated health and social care for older populations. It describes the conditions for providing such system-based support in one specific region of the country. The article analyses the structure, aims and type of entity of the Geriatric Service which is viewed by the authors as a building block of the system of integrated health and social care for elderly people, and discusses the issues relating to coordination of activities among various divisions of the Geriatric Service and their cooperation with social services and healthcare providers. The article explains why it is important to establish a special research and methodological unit - the Center for System-Based Support - within the Geriatric Service.
本文探讨了在为老年人提供医疗、心理健康和社会服务的过程中，特别是在诸如新冠疫情这样的危机期间，提供基于系统的医疗服务提供者和社会服务支持所面临的前景和挑战。文章给出了综合健康和社会护理的定义、其结构以及为老年人提供综合健康和社会护理的算法。文章认为，综合健康和社会护理系统将通过根据老年人需求提供以人为本的社会服务计划，提高老年人群的生活质量并延长他们的健康长寿期。文章给出了为老年人群提供基于系统的综合健康和社会护理支持的目标的定义及详细描述。它描述了在该国一个特定地区提供这种基于系统的支持的条件。文章分析了老年服务机构的结构、目标和实体类型，作者将其视为老年人综合健康和社会护理系统的一个组成部分，并讨论了老年服务机构各部门之间活动协调以及它们与社会服务和医疗服务提供者合作的相关问题。文章解释了为何在老年服务机构内部设立一个特殊的研究和方法单位——基于系统的支持中心很重要。
