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

persons with disabilities
terminally ill
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
    • ХDetermination of the place of social and medical care
    • ХArranging 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
    • ХImplementation 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
    • ХCreating a quality control system for the services provided
  • Infrastructure
    • ХCreating different types of care (formal and informal), places of care (in-patient and at home), services (private and public companies and organizations)
    • ХAchieving a dynamic balance between the needs of those in need and the capabilities of the infrastructure
  • Informing
    • ХInformational support of the initiative at the federal, regional and local levels
    • ХFormation of a tolerant attitude of society to age, mental and physical limitations
    • ХCreating a positive public opinion as a condition for the full integration of people with disabilities into society
  • Home care
    • ХCare of relevant specialists from patronage services, medical and social organizations
    • ХRelated care
    • ХRental of TMR, assistance in re-equipment of housing, social guarantees for relatives
  • Training
    • ХTraining of employees of social institutions and employees providing support
    • ХInclusion 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:

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
with the appointment of long-term care methods and places of its receipt
Long-term care
  • Хstandards of care
  • Хa rehabilitation system
  • Хpersonnel of monitoring systems
  • Хinfrastructure and provision
  • Хinformal / related care
  • Хcoordination center
  • Хhospitals: gerontological centers, boarding schools, nongovernmental institutions, etc.
  • Хhome care, home nursing services
  • Хrental centers and distribution of TMR (technical means of rehabilitation)
  • Хschool of related care