Palliative Care in Russia: Condition and Problems
How to Cite
Fadeeva E.V. 2019. Palliative Care in Russia: Condition and Problems — Sociologicheskaja nauka i social’naja praktika. Vol. 7. No. 3. P. 109-119. DOI: https://doi.org/10.19181/snsp.2019.7.3.6692
Abstract
In this article, the key problems of palliative care in Russia are considered. The introduction substantiates the relevance of studying the current state of palliative care in Russia and around the world. The author provides a generalized description of the number of seriously ill patients: both those in need of palliative care, and those receiving it. The author focuses on the growth in the number of people requiring palliative care with a simultaneous shortage of doctors working in palliative medicine. Based on the study of regulations governing the educational process and professional activities of medical staff, it has been established that the status of palliative care doctors has legal uncertainty, which raises the problem of the actual lack of specialists in palliative care in the country. It was noted that palliative care in Russia is provided by practicing doctors of other specializations, social workers and volunteers. The article describes some of the challenges that medics face when working with palliative care patients. The problems of lack of protection of the rights of medics facing pain and other painful syndromes, as well as the issue of inappropriate distribution of financial flows in palliative care, are revealed. The idea that palliative care is becoming economically beneficial for the state with proper organization is justified. The author concludes that palliative care should be multi-disciplinary, and accessible to everyone who needs it.
Keywords:
palliative care, availability of palliative care, health care, medicine, oncology
References
4 fevralya – Vsemirnyj den’ bor’by protiv raka (World cancer day) [The 4th of February – World Cancer Day] // National Medical Research Radiological Center of the Ministry of Health of the Russian Federation. Accessed 04.03.2019. URL: http://nmicr.ru/news/tsentra/4-fevralya-vsemirnyyden-borby-protiv-raka-world-cancer-day/. (In Russ.)
Atlas mira po palliativnoy pomoschi v kontse jizni [Global Atlas of Palliative Care at the End of Life] // VERA Hospice Charity Fund. Accessed 08.07.2019. URL: http://www.hospicefund.ru/ wp-content/uploads/2017/09/Global-Atlas-Russian-version_small.pdf (In Russ.)
V Rossii vyroslo chislo onkobol’nyh [Growing number of cancer patients in Russia] // RIA News. Accessed 05.03.2019. URL: https://ria.ru/20190204/1550327069.html. (In Russ.)
Erokhin N. A. Aging Russian population as a political problem. Vestnik Moskovskogo gosudarstvennogo oblastnogo universiteta (Elektronnyj zhurnal). 2018. No. 2. P. 57 – 68. (In Russ.)
Zakon o palliativnoj pomoshchi prinyat v tret’em chtenii edinoglasno [Law on palliative care adopted in the third reading unanimously] // Ministry of Health of the Russian Federation. Accessed 05.03.2019. URL: https://www.rosminzdrav.ru/news/2019/02/23/10898-zakon-o-palliativnoy-pomoschi-prinyat-v-tretiem-chtenii-edinoglasno. (In Russ.)
Kuzin S. I. Aging population: socio-economic aspect. Vestnik universiteta. 2018. No. 3. P. 137–143. (In Russ.)
Nyuta Federmesser: palliativnuyu pomoshch’ poluchayut ne bolee 15% nuzhdayushchihsya v nej [Nyuta Federmesser: no more than 15% of those who need palliative care get it] // Business Journal on Health Care Vademecum. Accessed 05.03.2019. URL: https://vademec.ru/news/2018/12/03/ nyuta-federmesser-palliativnuyu-pomoshch-poluchayut-ne-bolee-15-nuzhdayushchikhsya-v-ney/. (In Russ.)
Nyuta Federmesser o sem’yah i palliativnoj medicine: najti otvet i podruzhit’sya, a ne zadat’ vopros i porugat’sya [Nyuta Federmesser about families and palliative medicine: find the answer and make friends, not ask a question and have a fight] // Social Information Agency. Accessed 04.03.2019. URL: https://www.asi.org.ru/news/2017/04/10/palliativnaya-pomoshh-deti-moskva/. (In Russ.)
Palliativnaya medicinskaya pomoshch’ [Palliative care] // World Health Organization. Accessed 06.03.2019. URL: https://www.who.int/ru/news-room/fact-sheets/detail/palliative-care. (In Russ.)
Poslanie Prezidenta Federal’nomu Sobraniyu 20 fevralya 2019 goda (polnyj tekst) [President’s Message to the Federal Assembly on February 20, 2019 (full text)] // Parlamentskaia Gazeta. Accessed 04.03.2019. URL: https://www.pnp.ru/politics/poslanie-prezidenta-federalnomu-sobraniyu-20-fevralya-2019-goda-polnyy-tekst.html. (In Russ.)
Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii (Minzdrav Rossii) ot 20 dekabrya 2012 g. № 1183n «Ob utverzhdenii Nomenklatury dolzhnostej meditsinskikh rabotnikov i farmatsevticheskikh rabotnikov» [Order of the Ministry of Public Health of Russia dated 20.12.2012 No. 1183n “On approval of the Nomenclature of positions held by medical and pharmaceutical workers // Rossijskaya gazeta – Federal’nyj vypusk № 65(6041) ot 27.03.2013. Accessed 06.03.2019. URL: https://rg.ru/2013/03/27/nomenklatura-dok.html. (In Russ.)
Prikaz Ministerstva zdravookhraneniya RF ot 08.10.2015 g. № 707n «Ob utverzhdenii Kvalifikatsionnykh trebovanij k meditsinskim i farmatsevticheskim rabotnikam s vysshim obrazovaniem po napravleniyu podgotovki «Zdravookhranenie i meditsinskie nauki» [Order of the Ministry of Public Health of the RF dated 08.10.2015 No. 707n “On approval of the Qualification Requirements to medical and pharmaceutical workers with higher education in the training discipline of “Health Care and Medical Sciences”] // GARANT.RU. Accessed 06.03.2019. URL: http://base.garant. ru/71231064/. (In Russ.)
Prikaz Ministerstva obrazovaniya i nauki Rossijskoj Federatsii (Minobrnauki Rossii) ot 12 sentyabrya 2013 g. № 1061 g. Moskva «Ob utverzhdenii perechnej spetsial’nostej i napravlenij podgotovki vysshego obrazovaniya» [Order of the Ministry of Education and Science of the RF dated 12.09.2013 No. 1061 “On approval of the list of disciplines and areas of training in higher education”] // Rossijskaya gazeta – Federal’nyj vypusk № 247(6223) ot 01.11.2013. Accessed 06.03.2019. URL: https://rg.ru/2013/11/01/obr-napravlenia-dok.html (In Russ.)
Putin poruchil pravitelstvu podgotovit predlojeniya po vyistupleniyu Nyutyi Federmesser na pryamoy linii [Putin instructed the government to prepare offers for the performance o Nyuta Federmesser’s performance on a straight line] // ONF. Accessed 08.07.2019. URL: https://onf. ru/2019/06/20/putin-poruchil-pravitelstvu-podgotovit-predlozheniya-po-vystupleniyu-nyuty-federmesser-na/ (In Russ.)
Rak [Cancer] // World Health Organization. Accessed 04.03.2019. URL: https://www.who.int/ ru/news-room/fact-sheets/detail/cancer. (In Russ.)
Rak: est’ li ot nego spasenie i kak s nim borot’sya? [Cancer: is there salvation and how to fight it?] // WCIOM. Accessed 06.03.2019. URL: https://wciom.ru/index.php?id=236&uid=9546. (In Russ.)
Rak u detej [Cancer in children] // World Health Organization. Accessed 04.03.2019. URL: https://www.who.int/ru/news-room/fact-sheets/detail/cancer-in-children. (In Russ.)
«Ugolovnyj kodeks Rossijskoj Federatsii» ot 13.06.1996 № 63-FZ. [“Criminal Code of the Russian Federation” dated 13.06.1996 No. 63-FZ] // GARANT.RU. Accessed 06.03.2019. URL: http://base. garant.ru/3975363/ (In Russ.)
Federal’nyj zakon ot 06.03.2019 № 18-FZ «O vnesenii izmenenij v Federal’nyj zakon «Ob osnovakh okhrany zdorov’ya grazhdan v Rossijskoj Federatsii» po voprosam okazaniya palliativnoj meditsinskoj pomoshhi» [Federal law dated 06.03.2019 No. 18-FZ “On introduction of amendments to the Federal Law “On fundamentals of health care to citizens in the Russian Federation” in the issues applicable to palliative medical care”] // Parlamentskaia Gazeta. Accessed 07.03.2019. URL: https://www.pnp. ru/law/2019/03/06/federalnyy-zakon-18-fz.html (In Russ.).
Atlas mira po palliativnoy pomoschi v kontse jizni [Global Atlas of Palliative Care at the End of Life] // VERA Hospice Charity Fund. Accessed 08.07.2019. URL: http://www.hospicefund.ru/ wp-content/uploads/2017/09/Global-Atlas-Russian-version_small.pdf (In Russ.)
V Rossii vyroslo chislo onkobol’nyh [Growing number of cancer patients in Russia] // RIA News. Accessed 05.03.2019. URL: https://ria.ru/20190204/1550327069.html. (In Russ.)
Erokhin N. A. Aging Russian population as a political problem. Vestnik Moskovskogo gosudarstvennogo oblastnogo universiteta (Elektronnyj zhurnal). 2018. No. 2. P. 57 – 68. (In Russ.)
Zakon o palliativnoj pomoshchi prinyat v tret’em chtenii edinoglasno [Law on palliative care adopted in the third reading unanimously] // Ministry of Health of the Russian Federation. Accessed 05.03.2019. URL: https://www.rosminzdrav.ru/news/2019/02/23/10898-zakon-o-palliativnoy-pomoschi-prinyat-v-tretiem-chtenii-edinoglasno. (In Russ.)
Kuzin S. I. Aging population: socio-economic aspect. Vestnik universiteta. 2018. No. 3. P. 137–143. (In Russ.)
Nyuta Federmesser: palliativnuyu pomoshch’ poluchayut ne bolee 15% nuzhdayushchihsya v nej [Nyuta Federmesser: no more than 15% of those who need palliative care get it] // Business Journal on Health Care Vademecum. Accessed 05.03.2019. URL: https://vademec.ru/news/2018/12/03/ nyuta-federmesser-palliativnuyu-pomoshch-poluchayut-ne-bolee-15-nuzhdayushchikhsya-v-ney/. (In Russ.)
Nyuta Federmesser o sem’yah i palliativnoj medicine: najti otvet i podruzhit’sya, a ne zadat’ vopros i porugat’sya [Nyuta Federmesser about families and palliative medicine: find the answer and make friends, not ask a question and have a fight] // Social Information Agency. Accessed 04.03.2019. URL: https://www.asi.org.ru/news/2017/04/10/palliativnaya-pomoshh-deti-moskva/. (In Russ.)
Palliativnaya medicinskaya pomoshch’ [Palliative care] // World Health Organization. Accessed 06.03.2019. URL: https://www.who.int/ru/news-room/fact-sheets/detail/palliative-care. (In Russ.)
Poslanie Prezidenta Federal’nomu Sobraniyu 20 fevralya 2019 goda (polnyj tekst) [President’s Message to the Federal Assembly on February 20, 2019 (full text)] // Parlamentskaia Gazeta. Accessed 04.03.2019. URL: https://www.pnp.ru/politics/poslanie-prezidenta-federalnomu-sobraniyu-20-fevralya-2019-goda-polnyy-tekst.html. (In Russ.)
Prikaz Ministerstva zdravookhraneniya Rossijskoj Federatsii (Minzdrav Rossii) ot 20 dekabrya 2012 g. № 1183n «Ob utverzhdenii Nomenklatury dolzhnostej meditsinskikh rabotnikov i farmatsevticheskikh rabotnikov» [Order of the Ministry of Public Health of Russia dated 20.12.2012 No. 1183n “On approval of the Nomenclature of positions held by medical and pharmaceutical workers // Rossijskaya gazeta – Federal’nyj vypusk № 65(6041) ot 27.03.2013. Accessed 06.03.2019. URL: https://rg.ru/2013/03/27/nomenklatura-dok.html. (In Russ.)
Prikaz Ministerstva zdravookhraneniya RF ot 08.10.2015 g. № 707n «Ob utverzhdenii Kvalifikatsionnykh trebovanij k meditsinskim i farmatsevticheskim rabotnikam s vysshim obrazovaniem po napravleniyu podgotovki «Zdravookhranenie i meditsinskie nauki» [Order of the Ministry of Public Health of the RF dated 08.10.2015 No. 707n “On approval of the Qualification Requirements to medical and pharmaceutical workers with higher education in the training discipline of “Health Care and Medical Sciences”] // GARANT.RU. Accessed 06.03.2019. URL: http://base.garant. ru/71231064/. (In Russ.)
Prikaz Ministerstva obrazovaniya i nauki Rossijskoj Federatsii (Minobrnauki Rossii) ot 12 sentyabrya 2013 g. № 1061 g. Moskva «Ob utverzhdenii perechnej spetsial’nostej i napravlenij podgotovki vysshego obrazovaniya» [Order of the Ministry of Education and Science of the RF dated 12.09.2013 No. 1061 “On approval of the list of disciplines and areas of training in higher education”] // Rossijskaya gazeta – Federal’nyj vypusk № 247(6223) ot 01.11.2013. Accessed 06.03.2019. URL: https://rg.ru/2013/11/01/obr-napravlenia-dok.html (In Russ.)
Putin poruchil pravitelstvu podgotovit predlojeniya po vyistupleniyu Nyutyi Federmesser na pryamoy linii [Putin instructed the government to prepare offers for the performance o Nyuta Federmesser’s performance on a straight line] // ONF. Accessed 08.07.2019. URL: https://onf. ru/2019/06/20/putin-poruchil-pravitelstvu-podgotovit-predlozheniya-po-vystupleniyu-nyuty-federmesser-na/ (In Russ.)
Rak [Cancer] // World Health Organization. Accessed 04.03.2019. URL: https://www.who.int/ ru/news-room/fact-sheets/detail/cancer. (In Russ.)
Rak: est’ li ot nego spasenie i kak s nim borot’sya? [Cancer: is there salvation and how to fight it?] // WCIOM. Accessed 06.03.2019. URL: https://wciom.ru/index.php?id=236&uid=9546. (In Russ.)
Rak u detej [Cancer in children] // World Health Organization. Accessed 04.03.2019. URL: https://www.who.int/ru/news-room/fact-sheets/detail/cancer-in-children. (In Russ.)
«Ugolovnyj kodeks Rossijskoj Federatsii» ot 13.06.1996 № 63-FZ. [“Criminal Code of the Russian Federation” dated 13.06.1996 No. 63-FZ] // GARANT.RU. Accessed 06.03.2019. URL: http://base. garant.ru/3975363/ (In Russ.)
Federal’nyj zakon ot 06.03.2019 № 18-FZ «O vnesenii izmenenij v Federal’nyj zakon «Ob osnovakh okhrany zdorov’ya grazhdan v Rossijskoj Federatsii» po voprosam okazaniya palliativnoj meditsinskoj pomoshhi» [Federal law dated 06.03.2019 No. 18-FZ “On introduction of amendments to the Federal Law “On fundamentals of health care to citizens in the Russian Federation” in the issues applicable to palliative medical care”] // Parlamentskaia Gazeta. Accessed 07.03.2019. URL: https://www.pnp. ru/law/2019/03/06/federalnyy-zakon-18-fz.html (In Russ.).
Citation Formats
Other cite formats:
Harvard
Fadeeva, E. V. (2019) ’Palliative Care in Russia: Condition and Problems’, Sociologicheskaja nauka i social’naja praktika, 7(3), pp. 109-119. doi: https://doi.org/10.19181/snsp.2019.7.3.6692.
Section
SOCIOLOGY OF HEALTH
Publisher: Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences (FCTAS RAS)