Russian Open Medical Journal (May 2017)

Interdisciplinary analysis of palliative care institutionalization trends in Russia

  • Irina L. Krom,
  • Marina V. Erugina,
  • Elena A. Andriyanova,
  • Dmitrii A. Timofeev,
  • Alexander B. Shmerkevich

DOI
https://doi.org/10.15275/rusomj.2017.0207
Journal volume & issue
Vol. 6, no. 2
p. e0207

Abstract

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Beginning with the XX century health care is considered to be the largest social institution with the delegated strategic objectives. In the authors’ opinion, four subinstitutions can be distinguished in the social Institute of Health Care, according to the functions they perform: "Primary health care", "Ambulance", "Specialized medical care", "Palliative medical care". The analysis of trends of the institutionalization of subinstitute "Palliative medical care" is presented by the authors in the methodological plane of the system of social and structural functions, proposed by T. Parsons. In the adopted legislative documents in Russia, palliative care is considered as a palliative medical care, which determined the nature and content of palliative care to patients with chronic diseases. The medicalization of palliative care is discussed by the authors from the perspective of the dysfunctional practices of a forming in Russia subinstitute of palliative care.

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