Saratov JOURNAL of Medical and Scientific Research

Shmerkevich A.B.

Saratov State Medical University n.a. V.I. Razumovsky, Department of Health Organization and Public Health with the Courses of Law and History of Medicine, Candidate of Medical Sciences

Interdisciplinary aspects of rehabilitation of patients with oncological diseases in non-terminal situation of the disease

Year: 2017, volume 13 Issue: №4 Pages: 806-808
Heading: Health Service Organization Article type: Review
Authors: Shmerkevich А.В., Vodolagin A.V., Balakina D.D.
Organization: Saratov State Medical University
Summary:

Medical social rehabilitation of patients with oncological diseases in the non-terminal stage of the disease is based on the principle of an interdisciplinary approach, which involves complex special treatment, providing patients and their families with various types of social and psychological support at all stages of specialized care. The authors of the review consider the solution of medical and social problems in the rehabilitation of patients with oncological diseases in the context of the synergistic effect. Weak social and psychological protection of patients with oncological pathology adversely affects the prognosis of the disease and worsens patients quality of life. The review provides evidence that patients who receive social support are best adapted to the cancer situation, while a lack of social support is a significant risk factor for increased mortality in cancer patients.

Keywords: quality of life
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Tendencies of institutionalization of palliative care in modern Russia: interdisciplinary analysis

Year: 2016, volume 12 Issue: №2 Pages: 196-199
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Krom I.L., Yerugina M.V., Dorogoykin D.L., Shmerkevich A.B.
Organization: Saratov State Medical University
Summary:

The analysis of the institutionalization of palliative care trends in contemporary Russian is given by the authors in the methodological plane of the system of social and structural functions (AGIL), proposed by Talcott Parsons. The medicalization of palliative care in Russia is considered by the authors from the perspective of the dysfunctional practices. It is noted that the legislative documents adopted in Russia define palliative care as palliative medical care. The organization of palliative care in Russia takes place simultaneously with the improvement of legal acts, which significantly slows down the process of becoming of palliative care to population and predetermines the limit of its availability. The principle of an integrative approach to the organization of palliative care was not reflected in the process of formation of the normative base. The interdisciplinary view on the organization of palliative care and increase of its availability will allow to verify and to overcome the dysfunctions in the organization of palliative care to the population.

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Content analysis of legal acts and the determination of the directions of optimization of palliative care in modern Russia

Year: 2015, volume 11 Issue: №4 Pages: 506-510
Heading: Health Service Organization Article type: Author's opinion
Authors: Yerugina M.V., Krom I.L, Shmerkevich А.В.
Organization: Saratov State Medical University
Summary:

The article presents the author's analysis of the normative documents of the Russian Federation necessary for providing palliative care. According to the authors regulatory — legal support of palliative medical care to the population allows to plan and to develop this kind of assistance in Russia. To ensure the availability of palliative care it is necessary to have scientific and methodological basis and to develop a general classification of the states under which the palliative care is needed and should be organized. The procedure for medical care must be brought into conformity with the mentioned above classification. The authors consider the trends of medicalisation of palliative care in Russia in the context of dysfunctional practices of the social institute of Public Health.

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Modern palliative care strategy

Year: 2015, volume 11 Issue: №4 Pages: 503-506
Heading: Health Service Organization Article type: Review
Authors: Krom I.L., Yerugina M.V., Shmerkevich А.В.
Organization: Saratov State Medical University
Summary:

Changes in the structure of public health are marked in health care round the world. Patients with chronic diseases which limit their life-important needs will live longer, suffer and as a result of these factors they will need palliative care. The article presents the author's analysis of modern interpretations of palliative care from the perspective of multi-professional and multidisciplinary approach. The article considers the main trajectory of a chronic disease, defining the modern palliative care strategy. Also the article presents the main objectives and directions of palliative care. The authors state that the adopted Russian legislative documents define palliative care as palliative medical care. The medicalisation of palliative care in Russia is considered by the authors from the perspective of the dysfunctional practices of the social institute of health.

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