DOI: 10.21045/2071-5021-2018-59-1-8

Contacts: Stasevich Natalya, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Stasevich N.Yu., http://orcid.org/0000-0002-2965-4986
Acknowledgments. The study was supported by the Russian Federal Medical and Biological Agency.
Conflict of interests. The authors declare no conflict of interest.

Significance. Health education is an integral part of any treatment and preventive measures. Health education programs should focus on training patients in healthy lifestyles, clarify reasons of their current diseases and early diagnosis of complications, improve adherence to healthy behavior and treatment. Implementation of such education programs by doctors in their clinical practice is called patient health education.

The purpose: to work out principles to develop and implement a regional model of palliative care for the elderly and senile patients on the basis of the system view approach.

Methods. The study used methods of quantitative and qualitative statistical analysis with calculation of reliability of the obtained materials. Due to polymorbidity in the elderly and senile patients the inclusion criteria comprised leading syndromes of chronic progressive somatic and neuropsychiatric diseases and/or associated conditions that determine severity of the clinical presentation and future forecast, reliably confirmed by physical and instrumental examinations. The exclusion criteria included cancer and blood diseases.

Results. Study of peculiar features of palliative care delivery to the elderly and senile patients identified medical and organizational patterns. Expert evaluation was conducted thorough the analysis of each medical case and comparison of actually applied technology with the modern international clinical guidelines and regulatory documents of the Ministry of Health.

Expert evaluation analysis showed that frequency of encounters with the attending doctor in polyclinic in all medical cases of palliative care delivery (n=342) added up to 0.1±0,01. It positively correlated with the expert group opinion that focus of the of palliative care delivery is fully shifted to the place of care delivery r=0.76, p<0.05.

Analysis of the situation allowed to make proposals to optimize medical services for the elderly and senile patients with chronic diseases that are not cancers.

Summary. Private health education programs for internal diseases were developed, tested and introduced into practice to improve quality of life of the elderly patients. All programs are based on the developed principles.

Keywords: education programs; elderly; non-cancer; rehabilitation.

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