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Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

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Same author

[The trends in life expectancy and behavioral factors of health maintenance in the Russian Federation].

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny·2025
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[MODERN DEMOGRAPHIC CHALLENGES OF RUSSIA].

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny·2025
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[The medical demographic indicators and health preservation of rural population of the Russian Federation].

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny·2023
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[The results of analysis of morbidity and mortality of population in conditions of COVID-19 pandemic].

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[The morbidity with temporary disability and its regional characteristics in the Russian Federation in 2000-2018].

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny·2021
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[N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia].

Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny·2021

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[About Problems of Palliative Care].

V O Schepin1, E A Telnova1, O B Karpova1

  • 1The Federal State Budget Scientific Institution "The N. A. Semashko National Research Institute of Public Health", 105064, Moscow, Russia.

Problemy Sotsial'Noi Gigieny, Zdravookhraneniia I Istorii Meditsiny
|February 22, 2019
PubMed
Summary
This summary is machine-generated.

Palliative care aims to relieve suffering and improve life quality for terminally ill patients. Despite increased attention, physicians report low accessibility of essential palliative care services in Russia.

Keywords:
center of palliative carehospicenarcotic analgesicsnormative legal actsoncologic patientspalliative care

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Area of Science:

  • Medical Science
  • Public Health Policy

Background:

  • Palliative care, defined by Russian Federal Law, addresses severe disease manifestations and pain relief for terminally ill patients.
  • Globally, the World Health Organization (WHO) estimates significant need for palliative care in Russia, affecting oncologic, non-malignant, and HIV/AIDS patients.
  • Despite legislative and public focus, a gap persists in palliative care accessibility.

Purpose of the Study:

  • To analyze the current status and accessibility of palliative care in the Russian Federation and compare it internationally.
  • To examine the regulatory framework governing palliative care and narcotic analgesic use.
  • To identify challenges hindering the expansion and accessibility of palliative care services.

Main Methods:

  • Analysis of the existing legal and regulatory framework for palliative care in Russia.
  • Review of World Health Organization (WHO) data on palliative care needs.
  • Examination of survey results from healthcare workers regarding palliative care accessibility.

Main Results:

  • In Russia, 360-460 per 100,000 population require palliative care, with specific numbers for oncologic, non-malignant, and AIDS/HIV conditions.
  • Physicians widely report low accessibility of palliative care, despite increased attention from various stakeholders.
  • The normative base for palliative care and narcotic analgesic use requires further development and application.

Conclusions:

  • Significant efforts have been made to address palliative care, yet its accessibility remains a critical and unresolved issue.
  • Improving palliative care accessibility requires addressing regulatory, systemic, and practical challenges.
  • Further development of palliative care services is crucial to meet the needs of terminally ill citizens in Russia.