Analysis of Current Models of the Palliative Medical Care at the level of Separate Subjects of the Russian Federation

Abstract

Lyudmila Alexandrovna Ertel, Marina Filippovna Mikaelyan, Irina Nikolaevna Iyro, Gasbulla Suleymanovich Barkaev, Andrey Borisovich Goryachev, Tatyana Gennadyevna Mogilenko, Stella Vazgenovna Mirzoyan, Madina & 1040;liyevna Garumova

Background. The palliative medical care is a set of medical and social measures for patients suffering from cancer or other chronic progressive diseases in medical organizations and at home. In the Russian Federation this type of assistance is regulated, by both federal and regional legislation, as well as territorial health programmes. However, there are problems of legal, organizational and medical nature, problems of providing care in paediatrics, which are not still fully resolved in this area. Providing the quality palliative medical care requires its comprehensive development with a thorough study of the current situation in each region, its real needs and the development of both general and specific recommendations.
Objective. The objective of the study is to analyse the current models of the palliative medical care at the level of separate subjects of the Russian Federation on the example of the Krasnodar and Stavropol Territories.
Methods. We used methods of analytical observation, documentary study of current legal acts on the PMC in the Russian Federation and regions of the South of Russia (the Krasnodar and Stavropol Territories), regional programs for the development of the palliative medical care and reporting documentation of health care of the studied subjects; content analysis of scientific and statistical sources.
Findings. Analysis of the organization of palliative care in the studied regions showed that it is successfully developing in various directions. However, it was found that in the Krasnodar Territory there is no center for palliative care, which would be entrusted with all the monitoring and methodological functions - this requires correction of the organizational structure in order to comply with the developed model for regions with a population of more than 2 million people.
Conclusions. Palliative care activities carried out in the studied regions are effectively implemented in practice. At the same time, attention is paid to the algorithms of actions in the provision of palliative care to patients. However, mechanisms are required for continuous monitoring, analysis and development of tools to further improve models of palliative care, which will solve the main problem - improving the "quality of life" of incurable patients.