[Palliative care for the elderly with advanced cancer organizational problems].

Scientific studies have demonstrated the need for the development of palliative care to patients with malignant neoplasms in Russia; more than 2/3 of these patients are retired; more than 80% of deaths occur at home. The purpose of the work was to highlight the main organizational problems of palliative care for elderly patients with generalized forms of malignant neoplasms. The authors have studied cancer morbidity and mortality in the Nizhny Novgorod region and in Russia in the past decade and identified the need for palliative care beds.

[On the issue of improving health care organisation for retirement age population (the Nizhny Novgorod experience)].

The article presents a detailed analysis of health care provision to both general and retirement age population (RAP) in the Nizhny Novgorod region. For the past 10 years, the organization and use of different types of health care for RAP have not changed. The availability of inpatient health care for RAP is high whereas the availability of nursing and outpatient health care is low and palliative care service is not available.

[Characterization of morbidity and seeking of ambulatory care among the elderly].

Chronic diseases accumulate with age; the share of chronic diseases, particularly endocrine, circulatory, and gastrointestinal, in total morbidity structure increases. As a result of health deterioration, elderly people have to visit outpatient centers 5 times more often. Patients of advanced age consult their local therapists more and more often.

[Allocation of additional funds for development of public health].

The Gorky N. A. Semashko Regional Clinical Hospital has the long-term experience in drawing additional means into patients' treatment at the expense of enterprises and collective farms on the strength of the agreement on cooperation.