General issues of organization of geriatric care

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Health in the tenth five - year, efficacy and quality - the Communist party and the Soviet government provided further improve the health of the population, more wide application in medical practice of modern science achievements, new methods of diagnostics and treatment, prevention of diseases, improving the quality of medical care. The solution of these problems requires further improvement of all health services and the increased focus of gerontology and geriatrics.
Maintaining the health of the older population has a great social and economic importance because it determines the degree of participation of older persons in the productive and socially useful activities, spending on health and social security, and also the timing of the able-bodied family members to care for: the sick and the afflicted.
The system of preventive, therapeutic and social measures aimed at improving the health of the older population, must ensure the continuation of the period of performance, the preservation of mobility, self-service ability. Good mental and physical condition of the elderly and senile age allows them to save, social usefulness.
Health and disease patterns of these, people are substantially different from those in other age groups. With age, the declining share of diseases occurring sharply, increasing number of chronic diseases that most clearly manifested after 60 years.
Diseases that constitute the basic pathology of these contingents, for the first time registered much earlier - in the 40-49 years. This is the period of the process of the "accumulation" of chronic diseases. With age along with health care seeking increases the number of emergency calls doctors at home. So, in the cities of negotiability in polyclinics of the population over 60 years of age is 28%, calls on the house - more than 40%.
According to expert estimates, the actual health care seeking of the older population is almost twice lower demand it. This is explained by absence of necessity of registration of disability, and the characteristics of the course of chronic diseases, tend to remission, peculiarities of psychophysical condition of patients age (limited mobility). In addition, many patients get used to their ailments and often regard it as inevitable companions of old age. The factor of distance, especially for rural areas, also has a certain value.
The full idea of the prevalence of diseases among elderly individuals can be obtained only by using these special comprehensive medical examinations of the population that help better identification of chronic diseases. These special surveys show an increase in the incidence of chronic diseases with age, and a sharp reduction in the number of practically healthy persons If 45-49 years, nearly half of men and women when examinations are recognised healthy, then aged 60-64 years, the number of such persons decreased among women about 5-6 times, and among men in 3 times. A survey conducted in 1975 the number of boarding schools of the social security system, showed that all persons subjected to examination revealed certain diseases.
People of older age usually has several diseases. The combination of two, three or more diseases in elderly and senile age creates difficulties for establishing the correct diagnosis, treatment success and determine the prognosis, which in turn requires special medical care in this group of patients. Long-term scientific researches and practical experience of treatment of patients of elderly and senile age has allowed to allocate geriatrics as an independent branch of medicine.