scholarly journals Topical issues of medical and social assistance to elderly and senile citizens in the conditions of inpatient social service organizations

2020 ◽  
Vol 23 (3) ◽  
pp. 4-8
Author(s):  
S. S. Memetov ◽  
S. N. Pusin ◽  
N. V. Budnik ◽  
Yu. V. Kobzev ◽  
V. N. Petrova ◽  
...  

The article analyzes the current regulatory and legal framework for the organization of social services for the elderly and disabled in social service institutions on the territory of the Russian Federation. The article reflects the shortcomings of legal documents regarding the organization of work of such institutions to improve the quality and accessibility of social care for patients receiving social services in social service organizations. The assessment of staffing standards is given.

2021 ◽  
Vol 22 (2) ◽  
pp. 32-39
Author(s):  
Lyudmila A. Kozhushko ◽  
Oksana N. Vladimirova ◽  
Natalia P. Lemke ◽  
Margarita A. Urmancheeva ◽  
Vladimir Yu. Soldatov

The relevance of the development of developing experience and methodological support of the constituent entities of the Russian Federation. To organize activities to provide activities aimed at the development of the direction, the experience of St. Petersburg, as a subject of the leader in the Russian Federation in the development of technologies for accompanied accommodation, was studied and analyzed. The study was conducted on the basis of the results of the annual monitoring study of materials submitted by the executive authorities of 85 constituent entities of the Russian Federation on the organization of technologies for accompanied accommodation.As a result of the study, the main activities in the development of this direction in St. Petersburg were identified: expanding the regional list of social services provided by social service providers; assigning disabled people of working age with intellectual disabilities to a separate social group; developing recommended individual social service programs, including: for disabled people of working age with intellectual disabilities when living in social apartments, development of industry-specific technological regulations for the provision of measures to support disabled people, creation of equal opportunities to enter the social services market for both state and non-state social service organizations, implementation of infrastructure measures, identification of financial sources, etc. The use by the constituent entities of the Russian Federation of recommendations on reforming the regional regulatory legal framework and the implementation of key events will allow introducing the best practices of St. Petersburg in organizing various forms of accompanied residence.


POPULATION ◽  
2020 ◽  
Vol 23 (3) ◽  
pp. 71-82
Author(s):  
Marina A. Yantsen

The article is devoted to the actual problem of social services for elderly citizens at home. The whole social service system requires modernization based on the principles of providing social services to form motivation for active longevity and to develop social interaction of the elderly. The article deals with the issues of socialization of older people, its features, objective and subjective factors, the opinions of scientists on the factors, typology of socialization. There are presented the main problems of elderly people receiving services of social service institutions in the Russian Federation, identified on the basis of statistical data. There are outlined directions of the State strategy for development of the system of social services for older generation, improvement of their quality of life and active longevity under the conditions of socio-economic crisis. The author uses the results of own sociological survey of408 elderly respondents receiving social services in the social service institutions for the elderly. The importance of the services related to maintaining healthy and socially active longevity, organization of life and leisure, constructive interaction with relatives, for successful socialization of elderly people is shown. It is established that the most intensive socialization occurs in the process of providing social and socio-medical services. The dominant setting of elderly people is preservation of health; at the same time, it is the state of health that mostly determines the success of socialization of the elderly. For their active and healthy longevity elderly people prefer primarily cultural, educational, sports activities. However, many rely on the support of social service organizations.


2020 ◽  
Vol 15 (5) ◽  
pp. 126-133
Author(s):  
V.K. Sevostyanov ◽  
◽  
Yu.Yu. Razumov ◽  
I.A. Petrova ◽  
E.P. Kakorina ◽  
...  

Objective. To analyze legislation regulating medical care for children with rheumatic diseases in the Russian Federation. Materials and methods. We analyzed regulatory documents of the Ministry of Health of Russia, including the rules of medical care for children with rheumatic diseases, the resolution regulating the distribution of medicines at a discount or for free, and regional legal acts regulating routing of children with rheumatic diseases. Results. The legislation regulating medical care for children with rheumatic diseases is imperfect and needs to be updated. We identified shortcomings in the system regulating preferential provision of certain groups of patients with medicines. The results of our analysis can be used as a rationale for changes and amendments to existing regulatory legal acts and for the development of new regulatory documents. Conclusion. This analysis of legal documents allows us to suggest amendments to the existing legal framework in order to reduce tensions (including legal tensions) associated with distribution of preferential medicines, reconsider establishment of disability in patients with juvenile idiopathic arthritis, expand opportunities to prescribe biologicals for non-disabled patients with systemic scleroderma, juvenile dermatomyositis, and systemic vasculitis in regions. We justified detailed description of regional legal documents regulating distribution of preferential medicines among patients with rheumatic diseases. Key words: rheumatic diseases in children, regulatory framework, health care organization, drug provision


2015 ◽  
Vol 20 (1) ◽  
pp. 189-198
Author(s):  
Rukshan Fernando

Today's world faces unprecedented complexities. Governments, businesses, and nonprofits have far to go in solving these problems. The economic recession of 2007 exposed a significant decline in public and private support for social services (Pitt- Catsouphes & Berzin, 2015) and the need for social workers to facilitate new ways of addressing the complex, interwoven problems of poverty, racism, social inequity, and discrimination. Now more than ever, social workers need to understand how social services can utilize new strategies with new solutions to address these issues (Berzin, 2012). ). Shuman & Fuller (2005) coined the phrase “revolution will not be funded,” indicating that nonprofits all over the country must devise new incomegenerating strategies to empower disadvantaged groups. Although the media reports that the U.S. economy has rebounded, foundations and governments still expect social service nonprofits to leverage new forms of revenue to fulfill their missions. There is also some uncertainty about how nonprofits will be funded long term as local, state, and federal government dollars dry up. In addition, some claim that social service organizations develop complex programs that do not match the interests of funders (Foster, Kim, & Christensen, 2009).


Management ◽  
2012 ◽  
Vol 16 (2) ◽  
pp. 199-216
Author(s):  
Jacek Szołtysek ◽  
Aldona Frączkiewicz - Wronka

Abstract The application of supply chain analysis to the evaluation of the effectiveness of social service organizations The identification and analysis of value chains is a way to find the sources of an organization’s in-/efficiency, and an opportunity to explore how an organization is managed. Having in mind that an “organization network” is a form similar, in its functioning, to a separate organization, one may, using the value chain concept, investigate the management of local activity programmes, as of the networks they are. The researched partnerships introduced a management innovation, in that the social service provision organizations were brought together to form one chain. The researched organizations providing social services have introduced innovations in management that are supposed to unite organizations providing social services in a single chain. This kind of approach allows to obtain additional benefits, including the joint management of subjects composing the chain. In practice, it is also connected with sharing benefits between the participants in the chain, as well as replacing the elements of competition and suspicion with cooperation and trust. Delivering value to the beneficiary, under the provision of social services, is important not only from the point of view of humanity, but also in order to maximize the use of resources, usually insufficient to meet all the needs. The presented studies of supply chains of social services in Silesia showed, that some features of these newly created areas being subject of joint management, still crave for numerous improvements. What may help is logistics, in particular business logistics, having years of experience in the area of observation and active participation in the chain management. However, unconditional adaptation of these experiences is not possible due to the fact that developed methods are based on cost and maintenance compromises, which are insensitive to human needs when the service cost for the chain is not sufficiently profitable. Therefore, it is necessary to implement different methods of managing these chains, principles of which are described in the social logistics. The authors are convinced that combination of the efforts of the organizers of social services and experienced logistics professionals can bring a double benefit. In practical terms it may help to improve the delivery of services with no deterioration of their quality, and to increase the range of services (quantitative or qualitative) based on specific resources. In the epistemological dimension it may enable to develop rules to adapt the theory of logistics for the socially significant needs. Therefore, this paper can be considered as the beginning of the discussion in this regard.


2019 ◽  
Vol 21 (3) ◽  
pp. 15-22
Author(s):  
N V Allamyarova ◽  
E G Sanakoeva

The legislation in the field of e-health, adopted in 2017, opens fundamentally new opportunities in the development of medical care using telemedicine technologies. The article provides an analysis of regulatory legal documents that establish the legal framework for the provision of medical care using telemedicine technologies. An assessment is made of the current state of telemedicine legal regulation in Russia. The law on telemedicine requires adjustment and refinement of existing regulations, procedures, standards of medical care with a detailed regulation of tools and situations of their application.


Author(s):  
Marina A. Shurgaya

Disability of the elderly age group of the population is the most important problem of public health and social services of all developed countries over the world without exception. In the Russian Federation, this age segment is characterized by the gain, reflecting the global process of population aging. The aim of the study was to analyze the nosological structure of the primary and secondary disability in elderly people in comparison with the main age categories of the adult population in the Russian Federation and the evaluation of rehabilitation / rehabilitation activities for disabled people. The volume of the study was 34,840,933 people aged of from 18 years and over, recognized as disabled, including the disabled elderly - 12,971,062. The subject of a special study was the nature of functional disorders, the degree of the disability, the nosological spectrum of causes of the disability of elderly people and the effectiveness of implemented measures of medical and social rehabilitation (rehabilitation and expert characterization). The study was selective, the sample size account of 370 people. The results of the research demonstrate the nosological structure of the pathology, the associated types of impairments and the nature of the disability to determine the severity of the disability in elderly people, the complexity of the formation and implementation of individual programs for the rehabilitation and rehabilitation of disabled people (IPRA). The improvement of the quality of life and integrating disabled people into the society has been and remains a difficult task for rehabilitation and habilitation activities. Rehabilitation and provision of technical means of rehabilitation, to a lesser extent - social and professional rehabilitation are the most feasible for the implementation.


Author(s):  
Т.С. Чернякина ◽  
В.П. Шестаков ◽  
Р.К. Кантемирова ◽  
А.А. Свинцов ◽  
В.И. Радуто ◽  
...  

В статье представлены сведения о значительной численности лиц старше трудоспособного возраста, инвалидов и получателей социальных услуг в стационарной форме и о неблагоприятном прогнозе численности лиц старше 65 лет на 2024 и 2030 гг. в РФ. Это определяет необходимость правового регулирования вопросов их жизнеустройства с соблюдением прав человека и инвалидов на ведение самостоятельного образа жизни. Авторами представлен анализ федеральной и региональной правовой базы в части определения обстоятельств, при которых гражданин признается нуждающимся в социальном обслуживании, участия органов местного самоуправления и подведомственных организаций в оказании социальных услуг, осуществления социального сопровождения, внедрения стационарзамещающих технологий социального обслуживания. В статье рассматриваются тенденции и пути совершенствования правового регулирования социального обслуживания граждан пожилого возраста и инвалидов на дому в ракурсе внедрения стационарзамещающих элементов. The article presents information about a significant number of people older than working age, disabled people and recipients of social services in stationary form and about the unfavorable forecast of the number of people older than 65 years for 2024 and 2030 in the Russian Federation, which determines the need for legal regulation of their lifestyle issues with respect for human rights to lead an independent lifestyle. The authors present an analysis of the federal and regional legal framework in terms of determining the circumstances under which a citizen is recognized as needing social services, the participation of local self-government bodies and subordinate organizations in the provision of social services, the implementation of social support, the introduction of hospital-substituting social service technologies. The article discusses the trends and ways to improve the legal regulation of social services for elderly and disabled citizens at home from the perspective of the introduction of hospital-substituting elements.


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