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1.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 32(Special Issue 1): 652-658, 2024 Jun.
Artigo em Russo | MEDLINE | ID: mdl-39003716

RESUMO

Recent demographic trends, particularly the aging of the population, make the issue of ensuring a dignified old age urgent. Russia, as a developed country in the socio-economic sense, at the state level strives to increase the life expectancy of the population; at the same time, it is necessary to set and ensure the achievement of targets for improving the quality of life of the older generation. An important element here is the provision of palliative medical care to people of retirement age and people with disabilities. Until recently, there was virtually no long-term care system in Russia, and the burden was distributed between the healthcare system and the relatives of citizens in need of care. The launch of a pilot project to develop a long-term care system within the framework of the national project "Demography" showed the widespread demand for palliative care services. The article analyzes all aspects of the development of the long-term care system in Russia, identifying both positive results of the pilot project and points of growth. The main obstacle to implementing a long-term care system at the federal level is agreeing on a funding model. Here it makes sense to rely on successful international experience and consider the practical implementation of long-term care programs in various countries. However, the development of a long-term care system and ensuring the processes of its sustainable functioning is an important element of the state's social policy, which must be included in the standard list of social services and developed everywhere.


Assuntos
Assistência de Longa Duração , Humanos , Federação Russa , Assistência de Longa Duração/organização & administração , Assistência de Longa Duração/métodos , Assistência de Longa Duração/normas , Cuidados Paliativos/organização & administração , Cuidados Paliativos/métodos , Qualidade de Vida , Idoso , Projetos Piloto , Atenção à Saúde/organização & administração
2.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 31(Special Issue 1): 820-827, 2023 Aug.
Artigo em Russo | MEDLINE | ID: mdl-37742256

RESUMO

The article is devoted to the analysis of the mechanisms of state support for the rehabilitation of disabled people. Given the limitation of the functional state of people with disabilities, providing them with rehabilitation services is an important component of maintaining and preventing the deterioration of their physical condition and health. In addition, taking into account the limited opportunities for work, rehabilitation and social support measures are an important part of the material support of the disabled and an important measure to prevent poverty among them by the state. The article discusses the main components of the mechanism for the rehabilitation of people with disabilities in Russia, explores the impact of the measures and programs taken on various aspects of the life of people with disabilities. The study led to the conclusion that the current system of organizing the rehabilitation of people with disabilities needs to be improved, taking into account increased attention to the quality of the provision of such services and expanding the very concept of «rehabilitation¼ by including a professional, psychological and social component in it.


Assuntos
Pessoas com Deficiência , Medicina , Humanos , Pobreza , Federação Russa , Apoio Social
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