Practice of Social and Medical Care for Elderly Patients with Cardiovascular Diseases in Volgograd Region

Abstract

Currently, the first place among the causes of mortality and disability of the adult population of the Russian Federation is occupied by cardiovascular diseases. According to the reporting documentation of the Health Committee of the Volgograd region for three quarters of 2019, at the expense of the federal budget in the conditions of federal specialized medical institutions, high-tech medical care was provided to 2615 residents of the Volgograd region. Over three quarters of 2019, high-tech medical care was provided to 868 patients in budget health-care institutions of the Volgograd region. The following medical care profiles are in the leading positions: cardiovascular surgery (904 patients treated), traumatology and orthopedics (820 patients treated), oncology (498 patients treated).The development of cardiovascular diseases is based on physiological factors (especially the human body, etc.) and social factors (lifestyle, alcoholism, etc.). A statement of the influence of both physiological and social factors on the health of the cardiovascular system actualizes the need to study the experience of preventive work and the provision of social and medical assistance in a unified system of social protection of the population of the Volgograd region. The main elements of this system are institutions and organizations with different functions – prevention, treatment and rehabilitation. Because the fact that the profiles of institutions providing services to people with cardiovascular diseases are different, the task of comprehensive support cannot be solved without a well-functioning mechanism for the interaction of all elements of assistance aimed at reducing the incidence and mortality rate from cardiovascular diseases. The work explores the activities of the Committee for Social Protection of the Volgograd Region as an organization that coordinates the work on building a system of prevention, treatment, and rehabilitation of older people, including those with cardiovascular diseases. Problems are systematized on the basis of a comprehensive review of theoretical approaches, the regulatory framework, and the results of an analysis of the work of medical and social institutions in the Volgograd Region, that impede the establishment of integrated work with patients who have cardiovascular pathology and do not allow building effective work.