National Interests: Priorities and Security

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Effectiveness of palliative care services in the Russian Federation: Methodological approaches and practices of evaluation

Vol. 14, Iss. 10, OCTOBER 2018

Received: 8 June 2018

Received in revised form: 30 June 2018

Accepted: 20 July 2018

Available online: 15 October 2018

Subject Heading: Priorities of Russia

JEL Classification: H41, I18

Pages: 1782–1796

Kul'kova V.Yu. Kazan Cooperative Institute of Russian University of Cooperation, Kazan, Republic of Tatarstan, Russian Federation

ORCID id: not available

Grigor'eva N.S. Lomonosov Moscow State University (MSU), Moscow, Russian Federation

ORCID id: not available

Chubarova T.V. Institute of Economics, Russian Academy of Sciences (IE RAS), Moscow, Russian Federation

ORCID id: not available

Importance The research is conducted as access to palliative care becomes more important and the number of the Russian citizens who need it increases. Considering limited financial resources, the effectiveness of palliative care should be evaluated.
Objectives Summarizing the theory and practice of arranging palliative care, we propose our methodological approach to evaluating the effectiveness of palliative care and pointing out effectiveness criteria.
Methods We overview, summarize and compare methodological approaches to evaluating palliative care and point out the criteria. We perform descriptive modeling of the palliative care forms and grades system in Russia in line with requirements of the European Association for Palliative Care.
Results We propose, substantiate and test the organizational approach to evaluating the effectiveness of palliative care. The palliative care forms and grades system and effectiveness criteria should be set, including the quality of the palliative patient and his/her family, affordability and painkillers, public opinion on palliative care.
Conclusions and Relevance Palliative care requires a comprehensive approach to the applicable criteria of the palliative care effectiveness and its arrangement system. For better access to palliative care, higher quality and uninterrupted treatment, we suggest using the network-based model embracing palliative care services as part of the single regional network with the advanced centers.

Keywords: health care, palliative care, palliative approach, efficiency, health services


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