В статье дана характеристика процесса старения населения с демографической, научной и медицинской точек зрения. Описаны достижения и существующие проблемы в области оказания медицинской помощи лицам старшего возраста. Изложена основная концепция развития гериатрической помощи в Российской Федерации.
Ключевые слова: старение населения, гериатрия, качество жизни.
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The paper presents the characteristics of population aging demographic, scientific and medical point of view. It presents the achievements and existing problems in the field of medical assistance to persons of advanced age. It outlines the basic concept of development of geriatric care in the Russian Federation.
Key words: aging, geriatric medicine, quality of life.
1. United Nations (UN), World Population Ageing: 1950–2050. www.un.org/esa/population/publications/world-ageing19502050
2. Росстат. http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/demography / Rosstat. http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/demography [in Russian]
3. Jeffrey B. Halter Hazzard's geriatric medicine and gerontology (6th Edition).
4. Inouye SK et al. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc 2007; 55 (5): 780–91.
5. Piccoliori G, Gerolimon E, Abholz H. Geriatric assessment in general practice using ascreening instrument: is it worth the effort? Results of a South Tyrol Study. Age Ageing 2008; 37: 647–52.
6. Стратегия действий в интересах граждан старшего поколения в Российской Федерации до 2025 года. http://publication.pravo.gov.ru/Document/View/0001201602090022 / Strategiia deistvii v interesakh grazhdan starshego pokoleniia v Rossiiskoi Federatsii do 2025 goda. http://publication.pravo.gov.ru/Document/View/0001201602090022 [in Russian]
7. Порядок оказания медицинской помощи по профилю «гериатрия». http://publication.pravo.gov.ru/Document/View/0001201603170011 / Poriadok okazaniia meditsinskoi pomoshchi po profiliu «geriatriia». http://publication.pravo.gov.ru/Document/View/0001201603170011 [in Russian]
8. Press Y et al. Benefits of active participation of family physicians in geriatric consultations. Geriatr Gerontol Int 2012; 12 (4): 725–32.
9. Landi F et al. A new model of integrated home care for the elderly: impact on hospital use. J Clin Epidemiol 2001; 54 (9): 968–70.
10. Stessman J et al. Decreased hospital utilization by older adults attributable to a home hospitalization program. J Am Geriatr Soc 1996; 44 (5): 591–8.
11. Ploeg J et al. Effectiveness of preventive primary care outreach interventions aimed at older people: meta-analysis of randomized controlled trials. Can Fam Physician 2005; 51: 1244–5.
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1. United Nations (UN), World Population Ageing: 1950–2050. www.un.org/esa/population/publications/world-ageing19502050
2. Rosstat. http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/demography [in Russian]
3. Jeffrey B. Halter Hazzard's geriatric medicine and gerontology (6th Edition).
4. Inouye SK et al. Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc 2007; 55 (5): 780–91.
5. Piccoliori G, Gerolimon E, Abholz H. Geriatric assessment in general practice using ascreening instrument: is it worth the effort? Results of a South Tyrol Study. Age Ageing 2008; 37: 647–52.
6. Strategiia deistvii v interesakh grazhdan starshego pokoleniia v Rossiiskoi Federatsii do 2025 goda. http://publication.pravo.gov.ru/Document/View/0001201602090022 [in Russian]
7. Poriadok okazaniia meditsinskoi pomoshchi po profiliu «geriatriia». http://publication.pravo.gov.ru/Document/View/0001201603170011 [in Russian]
8. Press Y et al. Benefits of active participation of family physicians in geriatric consultations. Geriatr Gerontol Int 2012; 12 (4): 725–32.
9. Landi F et al. A new model of integrated home care for the elderly: impact on hospital use. J Clin Epidemiol 2001; 54 (9): 968–70.
10. Stessman J et al. Decreased hospital utilization by older adults attributable to a home hospitalization program. J Am Geriatr Soc 1996; 44 (5): 591–8.
11. Ploeg J et al. Effectiveness of preventive primary care outreach interventions aimed at older people: meta-analysis of randomized controlled trials. Can Fam Physician 2005; 51: 1244–5.
Авторы
О.Н.Ткачева
ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И.Пирогова» Минздрава России. 117997, Россия, Москва, ул. Островитянова, д. 1 tkacheva@rambler.ru
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O.N.Tkacheva
N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation. 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1 tkacheva@rambler.ru