ВЕСТНИК ПЕРМСКОГО УНИВЕРСИТЕТА. ФИЛОСОФИЯ. ПСИХОЛОГИЯ. СОЦИОЛОГИЯ

VESTNIK PERMSKOGO UNIVERSITETA. SERIYA FILOSOFIA PSIKHOLOGIYA SOTSIOLOGIYA

DOI: https://doi.org/10.17072/2078-7898/2019-2-241-258

Socio-demographic processes in modern Russia as an indicator of the market of geriatric services and social support for the elderly

Nadezhda V. Goroshko
Ph.D. in Geographic Sciences

Associate Professor of the Department of Geography,
Regional Studies and Tourism,
Novosibirsk State Pedagogical University,
28, Viluyskaya str., Novosibirsk, 630126, Russia;

Associate Professor of the Department of Hygiene and Ecology,
Novosibirsk State Medical University,
52, Krasny av., Novosibirsk, 630091, Russia;

e-mail: goroshko1@mail.ru
ORCID: https://orcid.org/0000-0001-9137-921X

Elena K. Emelyanova
Ph.D. in Biological Sciences,
Associate Professor of the Department of Hygiene and Ecology

Novosibirsk State Medical University,
52, Krasny av., Novosibirsk, 630091, Russia;
e-mail: emelen1@yandex.ru
ORCID: https://orcid.org/0000-0003-0970-1447

The paper considers the particularity of socio-demographic processes in modern Russia and the development of the market of geriatric services and social support. There is provided analysis of statistical indicators for age characteristics of the country’s population in the focus of the distinctive trend of the aging process, against the background of the quality of life deteriorating due to age-associated diseases. The article raises a question about the steady growth of demand for medical, social, and elderly care services, the creation of infrastructure on the basis of public-private partnerships, charities and commercial organizations. The problems existing in the segment of geriatric services and social support for the elderly are reflected. The authors demonstrate the limited availability of services rendered by public care institutions for the elderly and senile age people, this problem being caused by the high demand among the population against the background of a fairly low quality and insufficient number of such institutions. The paper considers the potential of private institutions for the elderly and also the constraints to the development of this segment. It is argued that the formation of the market of geriatric services and social support for the elderly population involves not only the creation of a network of specialized care and treatment institutions but also requires special attention to the coordination of efforts towards prevention of premature aging, formation of a healthy lifestyle, motivation to health maintenance, involvement of older persons in information and educational processes, provision of affordable and high-quality medical care, taking into account the peculiarities of health of the elderly and age-related diseases. The review of some federal laws, regulations, standards aimed at improving the system of social protection of elderly citizens is presented.

Keywords: socio-demographic processes, population aging, market of geriatric services and social support, care for the elderly.

References

Anisimov, V.N., Serpov, V.Yu., Finagentov, A.V. and Havinson, V.H. (2017). Novyy etap razvitiya gerontologii i geriatrii v Rossii: problemy sozdaniya sistemy geriatricheskoy pomoschi. Ch. 1: Aktual’nost’, normativnaya baza [A new stage of development of gerontology and geriatrics in Russia: problems of creation of a geriatric care system. Part 1. Relevance, regulatory infrastructure]. Uspekhi gerontologii [Advances in Gerontology]. Vol. 30, no. 2, pp.158–168. DOI: https://doi.org/10.1134/s2079057018010022.

Chernyshov, P. (2016). Dom prestarelykh i sostoyatel’nykh [Home for the elderly and wealthy]. Gazeta.RU. Oct. 3. Available at: https://www.gazeta.ru/business/realty/2016/10/03_a_10224179.shtml#page1 (accessed 21.02.2019).

Doklad o rezul’tatakh i osnovnykh napravleniyakh deyatel’nosti Ministerstva truda i sotsial’noy zaschity Rossiyskoy Federatsii na 2015–2017 gody [Report on the results and main activities of the Ministry of labour and social protection of the Russian Federation for 2015–2017]. Available at: https://rosmintrud.ru/ministry/about/reports/2 (accessed 21.02.2019).

Federal’nyy proekt «Starshee pokolenie» 01.01.2019-31.12.2024 [Federal project «Older generation» from January 1, 2009 to December 31, 2024]. Available at: https://rosmintrud.ru/ministry/programms/demography/3 (accessed 21.02.2019).

Gontmakher, E.Sh. (2012). Problema stareniya naseleniya v Rossii [Problem of population ageing in Russia]. Mirovaya ekonomika i mezhdunarodnye otnosheniya [World Economy and International Relations]. No. 1. pp. 22–29.

GOST R 52498-2005. Natsional’nyy standart Rossiyskoy Federatsii. Sotsial’noe obsluzhivanie naseleniya. Klassifikatsiya uchrezhdeniy sotsial’nogo obsluzhivaniya (utv. i vveden v deystvie Prikazom Rostehregulirovaniya ot 30.12.2005 № 535-st) [GOST R 52498-2005. National standard of the Russian Federation. Social services for the population. Classification of social service institutions (approved and put into effect by the Order of Rostekhregulirovanie of December 30, 2005 No. 535-st)]. Available at: http://docs.cntd.ru/document/1200043280 (accessed 21.02.2019).

Koshkina, A. (2017). Biznes na starosti [Old-age business]. Profil’ [Profile]. Nov. 23. Available at: https://profile.ru/economics/item/121901-biznes-na-starosti (accessed 21.02.2019).

Narodonaselenie mira v 2017 godu [World population in 2017]. United Nations. Available at: http://www.un.org/ru/development/surveys/docs/population2017.pdf (accessed 21.02.2019).

Naselenie. Social’no-ekonomicheskie pokazateli – 2018 g. [Population. Socio-economic indicators-2018]. Federal State Statistics Service. Available at: http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/ (accessed 21.02.2019).

Novokreschenova, I.G., Novokreschenov, I.V. and Senchenko, I.K. (2017). Ambulatorno-poliklinicheskaya pomosch’ litsam pozhilogo i starcheskogo vozrasta [The outpatient care to the population of elderly and senile ageing]. Klinicheskaja gerontologija [Clinical Gerontology]. Vol. 23, no. 3–4, pp. 13–18.

Ob osnovalh sotsial’nogo obsluzhivaniya grazhdan v Rossiyskoy Federatsii. Federal’nyy zakon ot 28.12.2013 No. 442-FZ [Federal Low «About bases of social service of citizens in the Russian Federation» of December 28, 2013 No. 442-FZ]. Available at: http://legalacts.ru/doc/federalnyi-zakon-ot-28122013-n-442-fz-ob/ (accessed 21.02.2019).

Ob utverzhdenii Pravil opredeleniya srednedushevogo dokhoda dlya predostavleniya sotsial’nykh uslug besplatno. Postanovlenie Pravitel’stva RF ot 18.10.2014 No. 1075 [About the approval of rules of determination of the average per capita income for provision of social services free of charge. Resolution of the Government of the Russian Federation of October 18, 2014 No. 1075]. Available at: http://legalacts.ru/doc/postanovlenie-pravitelstva-rf-ot-18102014-n-1075/ (accessed 21.02.2019).

O vnesenii izmeneniy v otdel’nye zakonodatel’nye akty Rossiyskoy Federatsii po voprosam naznacheniya i vyplaty pensiy: Federal’nyy zakon ot 03.10.2018 No. 350-FZ (poslednyaya redaktsiya) [Federal law «About modification of separate legal acts of the Russian Federation concerning appointment and payment of pensions» No. 350-FZ of October 3, 2018]. Available at: http://prezident.org/articles/federalnyi-zakon-350-fz-ot-3-oktjabrja-2018-goda-04-10-2018.html (accessed 21.02.2019).

O garantirovanii prav zastrakhovannykh lits v sisteme obyazatel’nogo pensionnogo strakhovaniya Rossiyskoy Federatsii pri formirovanii i investirovanii sredstv pensionnykh nakopleniy, ustanovlenii i osuschestvlenii vyplat za schet sredstv pensionnykh nakopleniy (s izmeneniyami i dopolneniyami. Federal’nyy zakon ot 28 dekabrya 2013 g. No. 422-FZ) [Federal law «About guaranteeing the rights of insured persons in system of mandatory pension insurance of the Russian Federation during the forming and investment of means of pension accruals, establishment and implementation of payments at the expense of means of pension accruals» (with changes and additions) No. 422-FZ, of December 28, 2013]. Available at: http://base.garant.ru/70552678/ (accessed 21.02.2019).

O sovershenstvovanii organizatsii meditsinskoy pomoschi grazhdanam pozhilogo i starcheskogo vozrastov v Rossiyskoy Federatsii. Prikaz Minzdrava RF ot 28.07.1999 No. 297 [Ministry of Health law «About improvement of organization of medical care to citizens of elderly and old ages in the Russian Federation» No. 297, of July 28, 1999]. Available at: http://docs.cntd.ru/document/1000001063 (accessed 21.02.2019).

O sotsial’nom obsluzhivanii grazhdan pozhilogo vozrasta i invalidov. Federal’nyy zakon ot 02.08.1995 No. 122-FZ [Federal law «About social service of citizens of advanced age and disabled people» No. 122-FZ, of August 2, 1995]. Available at: http://legalacts.ru/doc/federalnyi-zakon-ot-02081995-n-122-fz-o/ (accessed 21.02.2019).

O trudovykh pensiyakh v Rossiyskoy Federatsii. Federal’nyy zakon ot 17.12.2001 No. 173-FZ [Federal law «On labour pensions in the Russian Federation» No. 173-FZ, of December 17, 2001]. Available at: http://legalacts.ru/doc/federalnyi-zakon-ot-17122001-n-173-fz-o/ (accessed 21.02.2019).

Pansionat dlya pozhilykh lyudey: chastnyy ili gosudarstvennyy? [Pension for the elderly: private or public?]. SBHI Research institute – Regional clinical hospital № 1. Available at: https://stopstarenie.info/obraz-zhizni/pansionat-dlya-pozhilyh-lyudej-139 (accessed 21.02.2019).

Petrov, A. (2015). Doma prestarelykh v sovremennoy Rossii [Nursing homes in modern Russia]. VEK [Wek]. Aug. 11. Available at: https://wek.ru/doma-prestarelyx-v-sovremennoj-rossii (accessed 21.02.2019).

Rossiyskiy statisticheskiy ezhegodnik. 2018 [Russian statistical yearbook. 2018]. Federal State Statistic Service. Available at: http://www.gks.ru/bgd/regl/b18_13/Main.htm (accessed 21.02.2019).

Rossiya v tsifrakh – 2017 g. [Russia in figures-2017]. Federal State Statistic Service. Available at: http://www.gks.ru/bgd/regl/b17_11/Main.htm (accessed 21.02.2019).

Rossiya i strany mira – 2018 g. [Russia and the world – 2018]. Federal State Statistic Service. Available at: http://www.gks.ru/bgd/regl/b18_39/Main.htm (accessed 21.02.2019).

Sharashkina, N.V., Ostapenko, V.S. and Runikhina, N.K. (2017). Geriatriya: differentsirovannyy podkhod k problemam pozhilogo patsienta [Geriatrics: a differentiated approach to the problems of elderly patient]. Spravochnik poliklinicheskogo vracha [Consilium Medicum]. No. 5, pp. 12–15.

Shigabutdinov, A.F. (2013). Puti sovershenstvovaniya mediko-sotsial’noy pomoschi litsam pozhilogo i starcheskogo vozrasta (na primere Respubliki Tatarstan): diss. … kand. med. nauk [Ways to improve medical and social assistance to the elderly (on the example of the Republic of Tatarstan): dissertation]. Moscow, 171 p.

Sovremennaya kontseptsiya razvitiya geriatricheskoy pomoschi v Rossiyskoy Federatsii [The modern concept of the geriatric care development in the Russian Federation]. Russian Clinical and Research Center of Gerontology. Available at: http://rgnkc.ru/koncepcia-geriatricheskoy-pomoshi (accessed 21.02.2019).

Sotsial’noe polozhenie i uroven’ zhizni naseleniya Rossii – 2017 g. [Social status and standard of living of the population of Russia – 2017]. Federal State Statistic Service. Available at: http://www.gks.ru/bgd/regl/b17_44/Main.htm (accessed 21.02.2019).

Strategiya deystviy v interesakh grazhdan starshego pokoleniya v Rossiyskoy Federatsii do 2025 goda (utv. rasporyazheniem Pravitel’stva RF ot 5 fevralya 2016 g. No. 164-r) [Strategy for action in the interests of senior citizens in the Russian Federation until 2025 (app. order of the Government of the Russian Federation, of February 5, 2016 No. 164-p)]. Available at: http://www.garant.ru/products/ipo/prime/doc/71222816/#ixzz5eU0zR5Ye (accessed 21.02.2019).

Tkacheva, O.N. (2017). Perspektivy razvitiya geriatricheskoy sluzhby v rossiyskoy Federatsii [Perspectives of geriatric service development in the Russian Federation]. Spravochnik poliklinicheskogo vracha [Consilium Medicum]. No. 5, pp. 9–11.

Trubin, V.V., Nikolaeva, N.A., Paleeva, M.A. and Gavdifattova, S.N. (2016). Pozhiloe naselenie Rossii: problemy i perspektivy: Sotsial’nyy byulleten’ [Elderly population of Russia: problems and prospects: Social Bulletin]. Analytical Center for the Government of the Russian Federation. No. 5, 45 p. Available at: http://ac.gov.ru/files/publication/a/8485.pdf (accessed 21.02.2019).

V Rossii osnovnym igrokom na rynke pansionov dlya pozhilyh ostaetsa gosudarstvo (2018) [In Russia, the main player in the market of pensions for the elderly remains the state]. INVESTINFRA. Oct. 18. Available at: https://investinfra.ru/novosti/darya-godunova-o-perspektivah-razvitiya-rynka-pansionov-dlya-pozhilyh-lyudej-v-ramkah-gosudarstvenno-chastnogo-partnerstva.html (accessed 21.02.2019).

Vsemirnyy doklad o starenii i zdorov’e (2016) [World report on ageing and health]. World Health Organization. Available at: https://apps.who.int/iris/bitstream/handle/10665/186463/9789244565049_rus.pdf;jsessionid=45FC110BAD07A3DB428324F664C0130D?sequence=10 (accessed 21.02.2019).

Zdravookhranenie v Rossii – 2017 g. [Healthcare in Russia – 2017]. Federal State Statistic Service. Available at: http://www.gks.ru/bgd/regl/b17_34/Main.htm (accessed 21.02.2019).

Received 26.02.2019

For citation:

Goroshko N.V., Emelyanova E.K. Socio-demographic processes in modern Russia as an indicator of the market of geriatric services and social support for the elderly // Perm University Herald. Series «Philosophy. Psychology. Sociology». 2019. Iss. 2. P. 241–258. DOI: https://doi.org/10.17072/2078-7898/2019-2-241-258