About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts
English

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣2 2015 (42) arrow ORGANIZATIONAL FRAMEWORK FOR GERIATRIC CARE IMPROVEMENT IN HEALTH FACILITIES OF DIFFERENT TYPES OF OWNERSHIP
ORGANIZATIONAL FRAMEWORK FOR GERIATRIC CARE IMPROVEMENT IN HEALTH FACILITIES OF DIFFERENT TYPES OF OWNERSHIP Print
Wednesday, 24 June 2015

Stasevich N. Yu., Smyslov I. N., Nemstsveridze E. Ya.
¹ Russian Medical Academy of Postgraduate Education, Moscow
² All-Russia Research Institute of Railway Hygiene, Moscow

Contacts: Natalya Stasevich, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Background. Economic changes taking place in the Russian Federation over the last decades had a significant impact on the level of governmental support of the social services and healthcare system.

Overcoming the economic crisis, the government undertakes all possible efforts to ensure sustainability of medical and social care delivery to the elderly and senile.

Therefore, elaboration of measures on improving organization of medical and social care delivery to the elderly in state and private facilities is crucial and timely.

The purpose of the study is to substantiate the necessity of organizational improvement of medical and social care delivery to the elderly in state and private health care facilities (exemplified by patients with hypokinesia).

Methods. The authors used sample integrated characteristics to describe the study results. The authors also used mean error of arithmetic average (for quantitative parameters) and mean error of relative index (for attributive parameters) to estimate reliability of the integrated characteristics

Results. Defect analysis of care delivery to the elderly in state and private facilities showed that defects in case history, lack of complete description of complaints in state polyclinics added up to 2.4+0.2%, and in private facilities - 2.5+0.1%.

Analysis of satisfaction of the elderly patients suffering from acute chronic diseases and attacks of chronic diseases of different body systems with services provided on the outpatient basis in state facilities showed high association with adequacy and efficiency.

160 (39.6%) out of 404 elderly patients were fully satisfied with medical care; 181 (44.8%) ľ partly satisfied and 63 (15.6%) were not satisfied.

Analysis of satisfaction of the elderly patients suffering from acute chronic diseases and attacks of chronic diseases of different body systems with services provided on the outpatient basis in private facilities showed high association with adequacy and efficiency

Comparison of satisfaction with services provided in both state and private facilities showed that the elderly patients paid a special attention to the format and duration of the primary examination and how the doctor communicated with the patient during the first encounter. In state facilities, the elderly patients also paid attention to the format of the final conversation.

Conclusions. The study shows that options to further develop and integrate state and private health care facilities in terms of care delivery to the elderly include development of a unified system of treatment and rehabilitation activities. This system should integrate methods of treatment, prevention and rehabilitation provided by facilities of different types of ownership into unified medical technologies with high population impact.

Keywords: geriatric care; state medical facilities; private medical facilities; improvement.

References:

  1. Arkhipova O.V. Obuchenie kak uslovie uspeshnoy adaptatsii pozhilykh lyudey v statsionarnykh usloviyakh [Training as a condition for successful adaptation of the elderly in inpatient facilities]. Aktual'nye problemy psikhologicheskogo znaniya 2011; (2): 99-105. (In Russian)
  2. Alekseeva G.S., Trifonova N.Yu., Viryasov A.V., Livshits S.A. Obosnovanie organizatsii vozrast-orientirovannoy modeli okazaniya meditsinskoy pomoshchi zhenshchinam pozhilogo vozrasta s nederzhaniem mocha [Rationale for organization of age-related model of providing medical care to elderly women with urinary incontinence]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2014; (6). Available from: http://vestnik.mednet.ru. (In Russian)
  3. Demin A.V. Funktsional'nye osobennosti postural'nogo kontrolya u muzhchin pozhilogo i starcheskogo vozrasta v zavisimosti ot vozrastnoy samootsenki [Functional features of postural control in elderly and old men depending on age self-assessment]. Vrach-aspirant 2011; (2): 172ľ179. (In Russian)
  4. Demin A.V. Osobennosti kachestva zhizni u muzhchin 65ľ89 let v zavisimosti ot postural'noy stabil'nosti i nestabil'nosti: [Features of life quality in men of 65-89 years depending on postural stability and instability]. Molodoy uchenyy 2011; (9): 241ľ244. (In Russian)
  5. Krivodonova Yu.E., Denisova O.P. Osobennosti mezhlichnostnogo vzaimodeystviya slepykh i slabovidyashchikh lyudey: [Features of interpersonal contacts between blind and visually impaired persons]. Karel'skiy nauchnyy zhurnal 2014; (3): 29 - 32. (In Russian)
  6. Novik A.A.. Ionova T.I. Rukovodstvo po issledovaniyu kachestva zhizni v meditsine [Manual on studying life quality in medicine]. Moscow: IDD źOLMA-PRESS Zvezdnyy mir╗; 2002. 320 p. (In Russian)
  7. Popov E.V. Mery po sozdaniyu bezbar'ernoy sredy dlya invalidov v Kurskoy oblasti i otsenka ikh effektivnosti: [Measures for creating barrier-free environment for the disabled in Kursk region and assessment of their efficiency]. Aktual'nye problemy sotsial'no-gumanitarnogo i nauchno-tekhnicheskogo znaniya 2014; (1): 67 - 71. (In Russian)
  8. Proshchaev, K.I., Il'nitskiy, A.N., Konovalov, S.S. Izbrannye lektsii po geriatrii. [Selected lectures on geriatrics]. St. Petersburg: ID źPraym-Evroznak╗"; 2007. 778 p. (In Russian)
  9. Timoshenko M.P. Problemy trudoustroystva i professional'nogo obucheniya invalidov v Rossiyskoy Federatsii [Problems of employment and professional training of the disabled in the Russian Federation]. Sovremennoe razvitie ekonomicheskikh i pravovykh otnosheniy 2014; (1): 313-321. (In Russian)

Views: 5865

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:

Code:* Code

Last Updated ( Wednesday, 24 June 2015 )
< Prev   Next >
home contact search contact search