On the basis of analysing the state of health care delivery for the elderly and aged population at prehospital stage (provided by emergency care service and district polyclinic) in big cities with a high level of aging of the population, a number of organizational activities for improving health care delivery for this group of population has been suggested. The data on peculiarities in the level, structure and nature of emergency care visits by elderly population are provided. The reasons for the irrational use of emergency care are discussed. The requirements of the populations under study for various kinds of specialized medical care are determined. Current tasks aimed at improving medical care for the elderly provided a foundation for the necessity to strengthen the succession and correlation between all links in the chain of prehospital care and to re-calculate the workload in respect to applied public health institutions with due regard for age structure of the population in the region of health services.

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