ANALYSIS OF QUALITY AND AVAILABILITY OF MEDICAL-SOCIAL CARE (ON THE RESULTS OF SOCIOLOGICAL RESEARCH)

2021 ◽  
pp. 206-213
Author(s):  
Kolomiychenko M.E.
Keyword(s):  
Social Services ◽  
Social Care ◽  
People With Disabilities ◽  
Medical Rehabilitation ◽  
Sociological Research ◽  
Equal Proportion ◽  
Working Age ◽  
Individual Program ◽  
The Russian Federation

For older people and people with disabilities, not only medical, but also social assistance is extremely important. As a result of sociological surveys of the population of the Russian Federation in 2015, 2017, 2019, it was determined that the share of respondents (people over working age and people with disabilities) who are provided with social services free of charge (almost half of those surveyed in 2019) is increasing. However, the share of respondents who are completely satisfied with the quality of social services is declining. The share of respondents who are only partially satisfied with the quality is increasing. The vast majority of respondents (persons above working age and people with disabilities) have gained the necessary facilities at their own expense, with an equal proportion among the urban and rural population. An analysis of responses about an individual program of medical rehabilitation measures developed for a people with disabilities revealed an increase in the proportion of respondents who are suitable for this program, taking into account their health status (from 57.1% in 2015 to 65.2% in 2019). There is a decrease in the share of respondents who indicated the presence of deficiencies in the provided technical means of rehabilitation and/or the procedure for obtaining them (from 31.0% in 2015 to 28.2% in 2019). As the main shortcomings, the respondents indicated: "difficulty and laboriousness of obtaining", "inadequate quality", "waiting time for receiving funds". Relatives (acquaintances) are sources of necessary medical or sanitary and hygienic procedures for people over working age and disabled people; the overwhelming majority of those surveyed are satisfied with such procedures.

Health and social care for the elderly in the conditions of transformation of social reality

2020 ◽  
pp. 75-79
Author(s):  
O. Akimova ◽  
E. Andriyanova
Keyword(s):  
Social Care ◽  
Social Assistance ◽  
The Elderly ◽  
Present Stage ◽  
Care For The Elderly ◽  
Health And Social Care ◽  
Modern System ◽  
Working Age ◽  
The Russian Federation

The article highlights the problems of providing medical and social assistance to elderly people in the Russian Federation at the present stage. Factors that affect the specifics of receiving medical and social assistance are: the crisis of confidence in the modern system of values, problems of medical examination of the population, low quality of life for people older than working age.

ANALYSIS OF THE RESULTS OF SOCIOLOGICAL STUDIES OF THE QUALITY AND AVAILABILITY OF HEALTH CARE

2021 ◽  
pp. 225-231
Author(s):  
Lindenbraten A.L. ◽  
Kolomiychenko M.E.
Keyword(s):  
Medical Care ◽  
Health Center ◽  
Social Services ◽  
Russian Federation ◽  
Complex Analysis ◽  
Sociological Research ◽  
Outpatient Basis ◽  
Complex Procedure ◽  
The Russian Federation

Sociological research is an important tool for assessing the social effectiveness of medical care, it allows you to analyze the quality of the organization of medical care and social satisfaction of consumers. This study is an analysis of the results of "Selective observation of the quality and availability of services in education, health and social services, employment promotion." This statistical observation has several advantages: complex procedure for forming a sample, coverage of the population in all constituent entities of the Russian Federation, including urban and rural population, ensure that the data is representative, and allow for complex analysis in the dynamics. As a result of sociological surveys of the population of the Russian Federation in 2015, 2017, 2019, it was determined that the share of respondents satisfied with the work of health center and diagnostic services remains low (less than half of the respondents). When interviewing respondents, the reasons for dissatisfaction with the work of the health center were highlighted, the “leader” among which is “the length of waiting in queues”. Moreover, the share of respondents who choose “the work of medical specialist” and “the lack of necessary equipment and drugs” as negative aspects in the provision of medical care on an outpatient basis is increasing. About half of the respondents are satisfied with the comfort of their stay, the availability of drugs and modern equipment in the hospital. Analysis of the main negative phenomena observed in the provision of medical care to the population made it possible to determine the leading trends, which remain the high cost of drugs and an increase in the volume of paid medical care. More than half of respondents noted a decline in the quality of medical services, insufficient equipment of health center and hospitals.

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 ◽  
...  
Keyword(s):  
Social Services ◽  
Russian Federation ◽  
Social Service ◽  
Social Care ◽  
The Elderly ◽  
Legal Framework ◽  
Service Organizations ◽  
Social Service Organizations ◽  
Legal Documents ◽  
The Russian Federation

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.

Collaborating across health and social care: joint funding an adult protection Coordinator post in Caerphilly, UK

2015 ◽  
Vol 17 (2) ◽  
pp. 139-147
Author(s):  
Andrea Giordano ◽  
Alison Neville
Keyword(s):  
Social Services ◽  
Social Care ◽  
Service Improvement ◽  
Health Board ◽  
Content Type ◽  
Health And Social Care ◽  
Abuse And Neglect ◽  
Vulnerable Adults ◽  
Adult Protection

Purpose – The purpose of the paper is to improve the consistency and quality of the response to vulnerable adults who experience abuse and neglect within NHS, independent healthcare and social care settings is noted by practitioners, agencies and patients. Health and social care policy frameworks promote principles of service improvement and consistency, along with a focus on outcomes and resource effectiveness and interagency collaboration. The Protection of Vulnerable Adults (POVA) coordinator role carries the responsibility of coordinating a response to individual referrals of abuse and neglect as described as part of the Designated Lead Manager role in the Wales Interim POVA Policy and Procedures for the POVA from abuse (Wales Adult Protection Coordinators Group, 2013). Design/methodology/approach – This paper will explore the benefits realised through a registered nurse being seconded from the Aneurin Bevan University Health Board into a newly created joint adult protection Health Coordinator post within the Caerphilly County Borough Council social services department POVA team. Findings – This is the first example of such partnership working in adult protection in Wales and has provided a number of benefits in relation to: providing adult protection advice; coordinating the response to referrals of vulnerable adult abuse and neglect within health and social care settings; carrying out or buddying others to complete adult protection investigations; facilitating the two day non-criminal POVA investigation training course and, awareness raising within the local Health Board. The development of a student nurse placement in the social services POVA team cements the multiagency collaborative approach that this development sought to achieve. Originality/value – The need to improve the consistency and quality of the response to vulnerable adults who experience abuse and neglect within NHS, independent healthcare and social care settings is noted by practitioners, agencies and patients.

Longitudinal studies and housing with care in England: a review

2015 ◽  
Vol 18 (1) ◽  
pp. 1-11
Author(s):  
Randall Smith
Keyword(s):  
Quality Of Life ◽  
Literature Review ◽  
Social Services ◽  
Social Care ◽  
Frontline Staff ◽  
Content Type ◽  
The University ◽  
The Voice ◽  
Extra Care Housing

Purpose – The purpose of this paper is to review the recent literature on housing with care in England where a longitudinal approach has been adopted and to identify possible new research projects that focus on gaps in the existing literature. Design/methodology/approach – The review of the relevant research literature draws in part on an earlier overview of the broader literature on housing with care, part of an NIHR School for Social Care Research project, Adult Social Services Environments and Settings (ASSET). Findings – The literature review suggests that the findings from longitudinal studies on housing with care in England have usually been based on administrative sources (such as assessments) rather than the primary focus being on the voice of residents and frontline staff. It is therefore suggested that further studies are required to reflect the views of everyday life in housing with care settings. Research limitations/implications – This literature review and the longitudinal qualitative framework for undertaking further inquiry forms the basis for a major bid for funds from the NIHR School for Social Care Research. This is a collaborative endeavour between the University of Bristol’s School for Policy Studies, the Association for Dementia Studies at the University of Worcester, the Personal Social Services Research Unit at the University of Kent and the Housing and Learning Improvement Network. The limitations of this paper reflect the paucity of past investigations on the contribution of social care to the quality of life of elderly residents in extra care housing. Practical implications – As noted above, the reviews of this draft paper have helped to determine the form of the bid for research funds. Informal discussions with commissioners and providers of extra care housing for older people indicate that access for fieldwork along the lines proposed should not prove to be a major barrier. One of the important implications is to add to the weight of evidence about the working conditions of care staff in extra care housing. The research is likely to highlight both good and poor practices, not least with consequences for the quality of life of elderly residents. Social implications – As indicated above, the paper draws attention to the need for a longitudinal qualitative study on the contribution of social care to the quality of life of older residents in extra care housing. Such a study would focus both on the details of everyday lives experienced by residents and the interaction in this setting between frontline staff and residents. In the context of major demographic change in the UK and planned further substantial cuts in public expenditure, this research is of high relevance for both policy and practice in this field of social care. Originality/value – The review indicated a reliance on administratively derived information about residents rather than focusing on the voice of residents and frontline staff. Future longitudinal research should pay attention to the latter.

scholarly journals Organization of medical rehabilitation of veterans of wars in the context of social support of senior generation in Russia

2016 ◽  
Vol 19 (4) ◽  
pp. 172-177 ◽  
Author(s):  
S. N Puzin ◽  
S. S Memetov ◽  
Marina A. Shurgaya ◽  
I. G Gal
Keyword(s):  
Social Support ◽  
Medical Care ◽  
Population Aging ◽  
State Institution ◽  
Medical Rehabilitation ◽  
Medical Services ◽  
Emerging Trends ◽  
The Russian Federation ◽  
Sequential Implementation

Tasks of the organization of medical care at the present stage lie in the effective and economical use of available health care resources and in the increase of the accessibility and improvement of the quality of medical services. The effectiveness ofprovision of medical services to veterans is based on the systematic monitoring and permanent implementation of health measures aimed on social support of the older generation, along with the maintenance and preservation of health. Emerging trends of population aging as a complex phenomenon of the general civilizational character, reflect at the same time the results of the sequential implementation of legislation in relation to older people in the Russian Federation at Federal, regional and municipal levels. In the current socio-economic conditions on the territory of the Rostov region (RR) there was created and developed and a comprehensive system of rehabilitation ofdisabled persons. In the article there is highlighted the activity of the RR "Hospital for veterans of wars", which in the region is the only the state institution intendedfor the provision of specialized medical care to participants and invalids of the Great Patriotic War and equivalent categories of the population

scholarly journals Organizational and financial model of accompanied residence

2021 ◽  
Vol 22 (2) ◽  
pp. 32-39
Author(s):  
Lyudmila A. Kozhushko ◽  
Oksana N. Vladimirova ◽  
Natalia P. Lemke ◽  
Margarita A. Urmancheeva ◽  
Vladimir Yu. Soldatov
Keyword(s):  
Intellectual Disabilities ◽  
Social Services ◽  
Russian Federation ◽  
Social Service ◽  
Service Providers ◽  
Legal Framework ◽  
Disabled People ◽  
Financial Model ◽  
Working Age ◽  
The Russian Federation

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.

A model of socially oriented development of the Russian Federation based on a comparative analysis of traditional models of the social welfare State

2020 ◽  
Vol 19 (2) ◽  
pp. 310-324
Author(s):  
V.V. Sinitsyna
Keyword(s):  
Comparative Analysis ◽  
Welfare State ◽  
Gross Domestic Product ◽  
Social Welfare ◽  
Social Services ◽  
Russian Federation ◽  
The Social ◽  
The Russian Federation ◽  
Social Welfare State

Subject. The article addresses the implementation of socially oriented development in the Russian Federation and in the countries with traditional models of the social welfare State. Objectives. The aim is to perform a comparative analysis of traditional models of the social welfare State and the Russian Federation on the basis of socio-economic indicators (annual average growth in gross domestic product, inequality, unemployment, migration, the share of tax revenues in gross domestic product, indicators in the sphere of education and healthcare), and reveal the specifics of socially oriented development of the Russian Federation. Methods. The study employs methods of statistical analysis, comparative analysis, and graphic interpretation of statistics. Results. The study unveils similar trends in the social development that exist in traditional models of the social welfare State, the focus of public policy on providing at least minimal social guarantees, the use of social insurance, and extended accessibility of quality social services. It also emphasizes differences that are connected with historical principles of social policy, the level of decommodification due to modern economic development. Conclusions. The comparative analysis enabled to identify the presence of elements of considered models in the model of socially oriented development of Russia and directions of further measures for increasing socio-economic indicators, including the increase in life expectancy and quality of life for citizens, improvement of the quality of social services, reduction of inequality, promotion of high rates of economic growth, renovation of equipment and facilities, and training highly qualified specialists.

Organizational and legal aspects of the quality of palliative care for cancer patients at the present stage

2020 ◽  
pp. 52-57
Author(s):  
Lyudmila Ertel
Keyword(s):  
Palliative Care ◽  
Law Enforcement ◽  
Cancer Patients ◽  
Social Services ◽  
Russian Federation ◽  
Legal Aspects ◽  
Present Stage ◽  
High Quality ◽  
The Russian Federation

This article discusses some of results of the change in legislation governing the provision of palliative care for cancer patients. Patients are provided with medical and social services with consideration of their individual needs. Priority of social home services for patients remains when determining the form of social services. It is noted that some measures have been taken to organize affordable and high-quality palliative care to eliminate legislative and law-enforcement difficulties in the Russian Federation at the present stage.

LEGAL REGULATION OF HOSPITAL-SUBSTITUTING ASPECTS OF SOCIAL SERVICES FOR ELDERLY AND DISABLED CITIZENS AT HOME

2021 ◽  
pp. 791-796
Author(s):  
Т.С. Чернякина ◽  
В.П. Шестаков ◽  
Р.К. Кантемирова ◽  
А.А. Свинцов ◽  
В.И. Радуто ◽  
...  
Keyword(s):  
Social Support ◽  
Social Services ◽  
Social Service ◽  
Legal Framework ◽  
Legal Regulation ◽  
Disabled People ◽  
Working Age ◽  
The Russian Federation ◽  
Stationary Form ◽  
At Home

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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