Aim. To study non - stationary and semi - stationary forms of health - improving services of multifunctional regional social welfare centers and determine satisfaction with their quality. Material and methods. The annual reports of state budgetary institutions of Territorial Centers for Social Welfare for 2017, projects to ensure healthy longevity. A survey of 210 respondents was conducted (average age - 71 years) of the participants in the Moscow Longevity project about satisfaction with the provision of recreational services of Territorial Centers for Social Welfare. Statistical analysis included the study of the absolute and relative values of the indicators obtained. Results. An analysis of the activities of 6 organizations of the Moscow Territorial Centers for Social Welfare revealed the implementation of all federal and regional programs, as well as two of them - local projects to stimulate active longevity. Women (68%) and persons with a higher education (48%) prevailed among the surveyed participants in the Moscow Longevity project. The frequency of chronic diseases and the attendance of medical care increased with age of the respondents. The average cost of purchasing drugs amounted to 25% of the monthly pension. Within one to three years, 54% of respondents used the services of Territorial Centers for Social Welfare. The analysis of satisfaction with the quality of social and health services showed high rates (4.7-4.9 points out of 5) for the criteria “Goodwill and competence of employees”, “Organization of educational, physical, leisure and social and cultural activity”. Average values (4.5-4.6 points) were obtained for the criteria “Openness and availability of information about the services provided” and “Comfort of conditions for the provision of services”. The lowest number of points - 4.2 - was obtained according to the criterion "Organization of medical and pharmaceutical care". Conclusions. In addition to federal and regional programs, organizations of the Moscow Territorial Centers for Social Welfare also implement local projects to stimulate active longevity. The majority of respondents use the services of Territorial Centers for Social Welfare for more than one year and positively evaluate their activities, but consider it expedient to increase the semi - stationary and non - stationary bases of the Territorial Centers for Social Welfare, create conditions for the provision of medical and medicinal care.
Aim: to study the problems of the elderly population and the directions of optimization of the geriatric care system. Material and methods. The reports of the international study Global Age Watch Index for 2013 and 2015, the data of state statistics on demography for 2013-2017 are analyzed. The levels of demographic aging in federal districts werestudied. Using Microsoft Excel, SPSS, statistical data processing was performed. 210 respondents were interviewed in an equal gender ratio by the method of simple random sampling in Moscow and the Moscow region.Results. Based on the Global Age Watch Index global rating, an analysis was made of indicators of the quality of life and wellbeing of older people living in the Russian Federation. The factors influencing demographic aging are considered and their estimation is made on the basis of the correlation analysis on the example of four federal districts of the country. To study the motivation for the consumption of drugs by persons of older age groups, a sociological survey was conducted. A conceptual model of the geriatric service management system is proposed with the introduction of systemic unity and an integrated approach to solving organizational, financial, and scientific and methodological problems of providing geriatric care.Conclusion. As a result of the analysis, the reasons for the low position of the Russian Federation in the Global Rating of the Global Age Watch Index, including the incomplete medical personnel and the variation in per capita incomes of the population in the regions, are identified. In the course of the sociological survey, the main pharmacotherapeutic groups of drugs purchased by persons of older age groups as well as the level of expenses were identified. In addition, the respondents' opinion was revealed on optimizing the organizational and managerial structure of medical, social and pharmaceutical care, focused on active longevity, the use of the personal potential of the elderly in work activities.
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