title: [Organization of the geriatric service in conditions of progressing demographic aging the population of the Russian Federation].
abstract: In this article the critical analysis of a state of geriatric service in the Russian Federation is given. It is marked, that actually geriatric service is submitted by a wide network of establishments of various functional orientation and specialization: the establishments rendering the medico-social help to elderly patients in-home, in outpatient and stationary conditions. Thus territorial distribution of establishments is of non-uniform and not always corresponds to the actual requirements of region. The geriatric service has not quite satisfactory legal base. It has no vertical administrative connections, and horizontal connections carry mainly initiative, fragmentation forms. Staff of service has no standardization; permanent appointments of geriatric doctors are not entered in list of staff of treatment-and-prophylactic establishments. The professional training of geriatric doctors is carried out only in some educational institutions, and experts of the average level are actually not trained anywhere. All these lacks create the certain pressure in medico-social service of the senior age population and do not enable to use actual potential of geriatric service in full. Some variants on a possible exit from the situation are offered in the article.
authors.forename: V N
authors.initials: VN
authors.lastname: Shabalin
mesh_terms: D000375:Aging / Q000502:physiology*; D005853:Geriatrics / Q000458:organization & administration*; D006298:Health Services Administration; D006801:Humans; D011157:Population Dynamics; D012426:Russia