{"title":"Integration of medical and social services for the elderly in Russia: Successes and barriers","authors":"E. Selezneva, O. Sinyavskaya, E. Gorvat","doi":"10.17323/1999-5431-2022-0-1-148-169","DOIUrl":null,"url":null,"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.","PeriodicalId":43338,"journal":{"name":"Voprosy Gosudarstvennogo i Munitsipalnogo Upravleniya-Public Administration Issues","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Voprosy Gosudarstvennogo i Munitsipalnogo Upravleniya-Public Administration Issues","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17323/1999-5431-2022-0-1-148-169","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC ADMINISTRATION","Score":null,"Total":0}
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.
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.