title: [Optimization of geriatric help for urban and rural residents of the Ulianovsk region].
abstract: The problem of ageing of the population presupposes the necessity of essential in medico-social services activity and the creations of some uniform coordinated help system for the slderly within the framwork of public health sevices anf social protection. On the basis of the carried out analysis of demographic, social, economic and medical parameters we have developed the plan of geriatric service in Ulyanovsk area. Ulyanovsk Regional Clinical Hospital of War Veterans took the leading part in this work. For the period of 1993-1997 there have been created three regional geriatric centres with branches of day-time departments for 75 places each as structural division of Ukyanovsk regional clinic hospital. In 1999 on the basis of local hospitals in rural areas we opened two interdistrict geriatric centres for 50 and 40 places as divisions of URCHWV. In their structure there are round-the-clock and day-time places, rooms of nurse care, rooms and services for rendering medical, pyschological and social rehabilitation. One-place cost in 2001 has made 210 roubles, that is 1.5-2 times lower, than in city hospitals. As a result of the carried out treatment 88.3% of patients left the hospital with improvement, 9.6% of them--without changes and 1.7%--with deterioration. This form of specialized medical geriatric help to the person living in the countryside, which includes stationary help, stationary-substituted technologies, rooms of a nurse care, social and labour rehabilitation, proves its solvency and expediency in medical and pharma-economic aspects and may be recommended to introduction in practical public health services.
authors.affiliation: Ulyanovsk Regional Clinical Hospital of War Veterans-International Centre on Ageing Care, 432700, Ulyanovsk, ul. Kuznetsov.
authors.forename: T A
authors.initials: TA
authors.lastname: Kabakova
authors.forename: O Iu
authors.initials: OIu
authors.lastname: Katikova
authors.forename: A N
authors.initials: AN
authors.lastname: Balandin
authors.forename: I A
authors.initials: IA
authors.lastname: Kamaev
authors.forename: V I
authors.initials: VI
authors.lastname: Gorbunov
mesh_terms: D000368:Aged; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D012424:Rural Population; D012426:Russia; D014505:Urban Population