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Long-term
care
system

About the initiative

The long-term care system is a complex support program for senior citizens and people with disabilities who have partially or completely lost the ability to self-service. The system includes support for family care, social services and medical care at home, in semi-inpatient and inpatient form with the assistance of nurses and patronage.

The system provides a decent quality of life with a possible level of self-realization, independence, autonomy and vigorous activity of the elderly and disabled.

The initiative is being implemented on the instructions of the President of Russia.


Long Term Care Target Groups

Needy
Elderly
Needy
persons with disabilities
Needy
terminally ill
citizens
Citizens of the
Russian Federation providing
home-based assistance

Long-term care system

  • Typing
    Formation of groups of recipients of social services, depending on their ability to self-care and the need for external support - from brief help in everyday life to inpatient care 24x7
  • Routing
    • Determination of the place of social and medical care
    • Arranging travel between care facilities
  • Interagency cooperation
    Coordination of the interaction of health, social protection, education, culture and sports
  • Coordination
    Functioning of coordination centers, including a call center, a hotline, an interdepartmental database of needy, an institute of curators
  • Standardization
    • Implementation of standards of all types of care and need classes - a unified guaranteed level of care throughout the country at home and in the hospital, provided with public and private resources
    • Creating a quality control system for the services provided
  • Infrastructure
    • Creating different types of care (formal and informal), places of care (in-patient and at home), services (private and public companies and organizations)
    • Achieving a dynamic balance between the needs of those in need and the capabilities of the infrastructure
  • Informing
    • Informational support of the initiative at the federal, regional and local levels
    • Formation of a tolerant attitude of society to age, mental and physical limitations
    • Creating a positive public opinion as a condition for the full integration of people with disabilities into society
  • Home care
    • Care of relevant specialists from patronage services, medical and social organizations
    • Related care
    • Rental of TMR, assistance in re-equipment of housing, social guarantees for relatives
  • Training
    • Training of employees of social institutions and employees providing support
    • Inclusion of topics on the organization of the system of long-term care in vocational education programs

Functioning of long-term care system

A team of medical and social workers at the place of residence of citizens is assessing the need
Regular assessment of the needs of citizens in long-term care (typing) and entering data into the registry.
Assessment Tools:
ADL, IADL, MMSE, etc.

Additional criteria:
  • social status
  • financial security
Citizens with assigned class of need
Determination of long-term care methods and places of care (routing)
according to the choice of the needy:
  • home help
  • facility care
  • medical care
  • non-formal / related care
The curator provides further support to the needy
Citizens
with the appointment of long-term care methods and places of its receipt
Long-term care
Components
  • standards of care
  • a rehabilitation system
  • personnel of monitoring systems
  • infrastructure and provision
  • informal / related care
 
Infrastructure
  • coordination center
  • hospitals: gerontological centers, boarding schools, nongovernmental institutions, etc.
  • home care, home nursing services
  • rental centers and distribution of TMR (technical means of rehabilitation)
  • school of related care

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