Saratov JOURNAL of Medical and Scientific Research

palliative care

Palliative care: regional aspect

Year: 2020, volume 16 Issue: №2 Pages: 515-520
Heading: public health Article type: Author's opinion
Authors: Ertel L.A.
Organization: Kuban State University
Summary:

The objective of the study is to analyze the activities within the framework of the regional program «Development of the palliative care system», which was developed and approved in the Krasnodar region in order to increase the availability and quality of palliative care for residents of the region. During the analysis, problems were identified that arose during the implementation of the program: lack of a single focal point for monitoring, analysis and forecasting of palliative care in the region, insufficient provision of internists, pediatricians, paramedical staff in hospitals for palliative care. By comparing emerging problems with available research in this area, measures are proposed that will improve the quality of palliative care, which in turn, will bring palliative care closer to international standards. In the region, by 2021, it is planned to put into operation 2 focal points; creation and maintenance of a unified database (registers) of patients suffering from chronic pain syndrome who receive primary medical care by the end of 2020, with the subsequent integration of electronic registries into a unified health information system of the region by 2024. An 80% staffing level is planned for medical organizations providing specialized palliative care, by 2024.

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Interdisciplinary conceptualization of palliative care for patients with chronic kidney diseases

Year: 2016, volume 12 Issue: №3 Pages: 412-414
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Petrov G.S., Krom I.L., Yerugina N.N.
Organization: Saratov State Medical University
Summary:

The article presents the author's analysis of modern interpretations of palliative care. Transformation of palliative care conceptualization during the last decade has led to the appearance of a palliative approach to treatment of patients with chronic diseases; quality feature of this approach is possibility to render a palliative care along with treatment of underlying disease and syndrome treatment of a patient. The authors note that due to increasing number of patients requiring renal replacement therapy, organization of palliative care is relevant in the group of patients with chronic kidney diseases. According to the authors' viewpoint, palliative approach to aging and fast-growing cohort of dialysis patients, many of which are in the period of living out, suggests implementation of individual program of dialysis therapy, in domestic literature there are only a few works devoted to palliative approach to patients with terminal chronic renal failure that suggests prospects of research in this direction.

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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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Analysis of Cancer Morbidity in Nizhny Novgorod Region for the Period of 10 years and Necessity for Palliative Care Development

Year: 2013, volume 9 Issue: №1 Pages: 9-12
Heading: Health Service Organization Article type: Review
Authors: Vvedenskaya E.S., Kobzeva L.F.
Organization: Nizhny Novgorod Center for AIDS Prophylaxis and Control
Summary:

The purpose of the article is to present the main indicators of cancer morbidity and mortality in Nizhny Novgorod region in comparison with those in Russia in dynamics for the period of 10 years. The survey outlines the necessity of regional palliative care development. It has been revealed that the organization of specialized palliative care centers on the basis of Oncological Dispensaries, In-patient Departments, Regional Polyclinics and Medical Prophylactic Institutions is of great importance.

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