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 ╣1 2016 (47) arrow ORGANIZING INPATIENT CARE TO PATIENTS OF THE ELDERLY AND SENILE AGE IN MOSCOW
ORGANIZING INPATIENT CARE TO PATIENTS OF THE ELDERLY AND SENILE AGE IN MOSCOW Print
Tuesday, 15 March 2016

ORGANIZING INPATIENT CARE TO PATIENTS OF THE ELDERLY AND SENILE AGE IN MOSCOW
Shchitikova O. B1., Ivanov S.V.2

1Moscow Research Oncology Institute named after P. A. Gerzen, - affiliated branch Research Medical Center for Radiology of Minstry of Healht of the Russian Federation, Moscow

2All-Russia Research Institute of Railway Hygiene, Federal Service for Consumer Rights Protection and Human Welfare

Contacts: Olga B. Shchitikova, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. Significance. Over the past twenty years (1995 - 2015) in Moscow the share of residents 60 years and over in the general structure of population has increased by 62.0%. Social, demographic and epidemiological changes of the past decades will soon bring about such a situation when about half of all budgetary funds of the Moscow health care system are to be spent on medical care for the elderly.

The purpose of the study was to substantiate improvements based on the analysis of current organization of inpatient care delivery to the elderly and senile age patients.

Results. The study found a steady growth trend in the share of the elderly among in-patients in hospitals in 2006 - 2011. Over these six years the share has dramatically increased by 70.9 %. This same period is characterized by an increase in admission rates of the elderly by almost 30 %. The studies showed that the majority of the elderly and senile age patients (64.2%) were admitted to multi-field hospitals, while every third patient of this age group (35.8%) was hospitalized to specialized hospitals under dispensaries and infectious disease hospital.

Along with the age increase the share of urgent admissions increases. In patients 60 - 64 years, the share of urgent admissions adds up to 21.7%, while in patients 80 -84 years and patients 85 years and over the share of urgent admissions equals to 25.0% and 38.5% respectively. Therefore, every fifth out of patients 60 - 64 years, every fourth out of patients 80 - 84 years and every third out of patients 85 years and over are urgently hospitalized.

According to the obtained data, in all Moscow hospitals the share of refused hospitalizations ranged from 7.5 to 20.0%. Analysis of refusals by the elderly and senile age patients, who were admitted, showed that such patients accounted for 16.5% of the total number of patients referred for hospitalization in this age group.

Conclusions. The study revealed a sustainable growth trend in the share of the elderly and senile age patients out of all admissions in 2006 - 2011. Patients of the elderly and senile age account for one third of all admissions; the share of such patients hospitalized to certain specialized departments adds up to 40 - 50 %. Given specific course of diseases in the elderly and senile ages multi-field inpatient facilities should develop geriatric departments with a prolonged length of treatment to care for such patients.

Keywords: patients, elderly and senile age, inpatient care, organization

References

  1. Bykova Zh.E., Fedorova Z.G. Methodical approaches to assessing health and economical standards and possibility of their implementation in healthcare practice. Problemy sotsial'noy gigieny i istoriya meditsiny 1996;(1): 47ľ49. (In Russian)
  2. Verentsov M.M., Voloshin G.Ya., Makarov P.G. Some issues of development of the system for medical care quality control. Zdravookhranenie Rossiyskoy Federatsii 1989; (2): 32-36. (In Russian)
  3. Gafurov B.S. Control of medical care quality is a basis for protection of patientsĺ rights. Problemy upravleniya zdravookhraneniem 2004; (3): 22-25. (In Russian)
  4. Denisov V.I. Life quality: essence, assessment, and the strategy of formation. Moscow: ID źVNII tekhnicheskoy estetiki╗; 2000. 124 p. (In Russian)
  5. Liberman L.M., Andronova A.N., Platikanova M.S. Training of elderly people to provide physical activity and healthy life style. Perspektivy nauki 2013; (3): 189-190. (In Russian)
  6. Myl'nikova I.S. Medical care quality management - it is interesting. Kachestvo meditsinskoy pomoshchi 2001; (2): 25-26. (In Russian)
  7. Stasevich N.Yu., Smyslov I.N., Nemstsveridze E.Ya. Organization basis for improving geriatric care in health facilities with various forms of ownership. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2015 Dec 22]; 42(2). Available from: http://vestnik.mednet.ru/content/view/671/30/lang,ru/. (In Russian)
  8. Stasevich N. Yu. The right to health: view of the problem, the basic concepts and legal aspects. Klinicheskiy opyt źDvadtsatki╗ 2015; (4): 6-11. (In Russian)
  9. Stasevich N.Yu., Lasskiy I.A. The role of medical, organization, and economical technologies in assessing medical care quality and improving health status]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2015 Dec 22]; 45 (5). Available from: http://vestnik.mednet.ru/content/view/708/30/lang,ru/ . (In Russian).

Views: 5778

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, 23 March 2016 )
< Prev   Next >
home contact search contact search