ABSTRACT
The article describes the working experience of the medical-social support department of the municipal clinic. The work is based on the cooperation with the department of social security. The article focuses on the reasons of decreasing the function ability of such people and age-related features of immobile elderly people. The effective functioning of the medical-social support department is being analyzed.
Subject(s)
Disabled Persons , Health Services for the Aged/organization & administration , Health Status , Home Care Services/organization & administration , Social Support , Urban Health , Activities of Daily Living , Aged , Aged, 80 and over , Cities , Female , Health Services for the Aged/standards , Home Care Services/standards , Humans , Male , Middle Aged , Russia , WorkforceABSTRACT
Chronic diseases accumulate with age; the share of chronic diseases, particularly endocrine, circulatory, and gastrointestinal, in total morbidity structure increases. As a result of health deterioration, elderly people have to visit outpatient centers 5 times more often. Patients of advanced age consult their local therapists more and more often. A greater number of home visits (23.7 times per annum) and of registered cases (9.7) are due to patients aged 70-74 years. The share of home visits increases. Proper, timely, and adequate organization of care of elderly patients at home will essentially increase the volume of outpatient medical care and thus decrease the number of emergency calls to elderly patients and the rate of their hospitalization.
Subject(s)
Ambulatory Care , Morbidity , Aged , Aged, 80 and over , Chronic Disease , Humans , Middle Aged , Russia/epidemiologyABSTRACT
The Gorky N. A. Semashko Regional Clinical Hospital has the long-term experience in drawing additional means into patients' treatment at the expense of enterprises and collective farms on the strength of the agreement on cooperation. In order to expand cost accounting in public health it is necessary to determine cost indices in the work of curative and preventive facilities. Total cost of the provision of various types of medical services and that per patient have been calculated in the Gorky Regional Hospital. Besides current expenditure they involve the main funds, estimated by annual indices. Complete cost of 306 diagnostic and treatment procedures have been determined. Proceeding from the data obtained complete actual costs of diagnostic and treatment procedures per patient on 105 nosologic forms have been identified along with the expenditure on these nosologic forms that is necessary for modern diagnostic and treatment care.
