Integration of medical and social services for the elderly in Russia: Successes and barriers

IF 0.2 Q4 PUBLIC ADMINISTRATION

Voprosy Gosudarstvennogo i Munitsipalnogo Upravleniya-Public Administration Issues Pub Date : 2022-01-01 DOI:10.17323/1999-5431-2022-0-1-148-169

E. Selezneva, O. Sinyavskaya, E. Gorvat

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引用次数: 0

Abstract

Aging creates demand for the integration of health and social services, as it ensures more timely response and better satisfaction of patients' needs for treatment and care and helps to contain the growth of costs of the services. The research aims at assessing the current level of integration of health and social services for the elderly in Russia. List of possible integration mechanisms that may coordinate work provision of services to the elderly was elaborated. Analysis of the regulatory framework and interviews with leaders and workers of health and social care in three Russian regions (Oryol Oblast, Karelia and North Ossetia) was carried out to determine the existing and implementing forms of integration and to assess the level of integration and barriers to its increase. The current level of integration of social and medical services in Russia seems to be low. In recent years, there has been a transition from a strict division of responsibility of departments to an integrated system, but the parameters of the transition have not been sufficiently developed. Significant barriers to integration (administrative, legal, financial, and related to staffing) exist. The results of the study can be used in work of federal and regional authorities to improve health care, social services and long-term care for the elderly, and by commercial and non-profit social service organizations.

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俄罗斯老年人医疗和社会服务一体化:成功与障碍

老龄化产生了对保健和社会服务一体化的需求，因为它确保更及时地作出反应，更好地满足病人的治疗和护理需要，并有助于控制服务成本的增长。这项研究的目的是评估目前俄罗斯老年人保健和社会服务一体化的水平。拟订了可能协调向老年人提供服务的工作的综合机制清单。对俄罗斯三个地区(奥廖尔州、卡累利阿州和北奥塞梯)的监管框架进行了分析，并与卫生和社会保健领域的领导人和工作人员进行了访谈，以确定现有的和正在实施的一体化形式，并评估一体化的水平和加强一体化的障碍。俄罗斯目前的社会和医疗服务一体化水平似乎很低。近年来，已经从各部门的严格责任分工过渡到一个综合系统，但是过渡的参数没有得到充分的发展。存在整合的重大障碍(行政、法律、财务和与人员配置相关的障碍)。这项研究的结果可用于联邦和地区当局改善老年人保健、社会服务和长期护理的工作，也可用于商业和非营利社会服务组织。

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来源期刊

Voprosy Gosudarstvennogo i Munitsipalnogo Upravleniya-Public Administration Issues PUBLIC ADMINISTRATION-

CiteScore

1.10

自引率

33.30%

发文量

期刊介绍： PUBLIC ADMINISTRATION ISSUES is a scientific peer-reviewed journal published by the National Research University High School of Economics (NRU HSE).The journal is published quarterly in Russian, and contains original articles by Russian and foreign authors. In addition, a special English language issue containing original articles by Russian and foreign authors has been published since 2014. The editorial board consists of leading Russian and foreign scientists in the field of public administration as well as prominent practitioners. The journal is indexed in the international databases: Scopus, RePEc, EBSCOand the Russian Science Citation Index (RSCI) on the platform of Web of Science. In addition, the journal is on the list of key peer-reviewed scientific journals and publications that the Higher Certification (Attestation) Commission in the RF Education Ministry recommends for publishing the main scientific results of theses for PhD and doctoral degrees in Economics, Sociology and Law. The journal focuses on the following subject areas: − Current theories of public administration. − Theoretical fundamentals of economic and social policy − Factors and Assessment of efficiency in public and municipal administration. − Innovations in the system of public and municipal administration. − Planning and forecasting in the system of public and municipal administration. − Staff of the state and municipal service. Management of personnel in public and municipal bodies and in organizations of the public sectors. − Financial, logistical and information resources of the state and municipalities. − Public service. − Functional features of public sector organizations. − Partnership of the state and municipalities with nongovernmental nonprofit organizations. Economic and administrative challenges facing “third sector.” - Development of education programs on public administration.