Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot19110.32687/0869-866X-2019-27-5-888-892Научная статьяThe regional model of palliative medical care support of patients with malignant neoplasmsAkhmetzianovF. Sh.-HairullinI. I.-ShaimardanovI. V.-ShaihutdinovN. G.-EgorovV. I.drvasiliy21@gmail.comShakirovR. R.-The State Autonomous Health Care Institution “The Republican clinical Oncological Dispensary” of Minzdrav of TatarstanThe Federal State Budget Educational Institution of Higher Education “The Kazan State Medical University” of Minzdrav of Russia1512201927588889206042021Copyright © 2019,2019The article considers issues of development of model of palliative care and analysis of its activities. The study was based on the results of medical care provided by palliative service of the Republic of Tatarstan. The palliative service is complex system that unites several different institutions. The palliative care is provided in hospital and out-patient settings. In the oncologic hospital beds are integrated to provide urgent and palliative care to patients with cancer to apply comprehensive complex of medical interventions. Out-patient care is provided by 7 field teams including oncologist (3 teams) and two paramedics (4 teams). Four field teams function day-and-night seven days a week. Since 2014, the “Children's Hospice” unit functions as element of palliative service. Since 2015, in Almetyevsk, functions field department of palliative care attached to polyclinic of oncologic dispensary/ It co0nsists of two field medical teams. The provision of palliative care is to include all stages needed: palliative care offices, outpatient services, inpatient departments and hospices. The integration of palliative care into common health care network makes it possible to apply tangible possibilities and research potential of large medical institutions and advanced technologies of modern medicine as well.palliative caresymptomatic treatmentx-rayhospicequality of lifeпаллиативная медицинская помощьсимптоматическое лечениерентгенохирургияхоспискачество жизни1.Новиков Г. А., Рудой С. В., Вайсман М. А., Самойленко В. В., Ефимов М. А. Паллиативная помощь в Российской Федерации: современное состояние и перспективы развития. Практическая медицина. 2009;4(36):5-9.2.Новиков Г. А., Чиссов В. И. Паллиативная помощь онкологическим больным. Москва: Медицина за качество жизни; 2006.3.Ахметзянов Ф. Ш., Шайхутдинов Н. Г., Хасанов Р. Ш., Шаймарданов И. В. Организация оказания паллиативной помощи онкологическим больным в г. Казани. Паллиативная медицина и реабилитация. 2015;(2):44-8.4.Temel J. S., Greer J. A., Admane S., Gallagher E. R., Jackson V. A., Lynch T. J. Longitudinal perceptions of prognosis and goals of therapy in patients with metastatic non-small-cell lung cancer: results of a randomized study of early palliative care. J. Clin. Oncol. 2011;29:2319-26.5.Thomas K. Prognostic indicators guidance (PIG). 4th ed. The Gold Standards Framework Centre in End of Life Care; 2011. Available at: http://www.goldstandardsframework.org.uk/cdcontent/uploads/files/General%20Files/Prognostic%20Indicator%20Guidance%20October%202011.pdf (accessed July 2016).6.Partridge A., Seah D., King T., Leighl N. B., Hauke R., Wollins D. S. Developing a service model that integrates palliative care throughout cancer care: the time is now. J. Clin. Oncol. 2014;32:3330.7.Bruera E., Sweeney C. Palliative care models: international perspective. J. Palliat. Med. 2002;5(2):319-27.8.World Health Organization. World Health Organization Definition of Palliative Care. Available at: http://www.who.int/cancer/palliative/definition/en/ (accessed 23 March 2012).9.Boyd K., Murray S. A. Recognising and managing key transitions in end of life care. BMJ. 2010;341:4863. doi: 10.1136/bmj.c486310.Gómez-Batiste X., Martínez Muñoz M., Blay C., Espinosa J., Contel J. C., Ledesma A. Identifying needs and improving palliative care of chronically ill patients: a community-oriented, population-based, public-health approach. Curr. Opin. Support. Palliat. Care. 2012;6:371-8.11.Temel J. S., Greer J. A., Muzikansky A., Gallagher E. R., Admane S., Jackson V. A. Early palliative care for patients with metastatic non-small-cell lung cancer. New Engl. J. Med. 2010;363:733-42.12.Zimmermann C., Swami N., Krzyzanowska M., Hannon B., Leighl N., Amit Oza. Early palliative care for patients with advanced cancer: a cluster-randomised controlled trial. Lancet. 2014;383:1721-30.13.Council of Europe. Recommendation Rec (2003) 24 of the Committee of Ministers to member states on the organisation of palliative care. Available at: http://www.eapcnet.eu/LinkClick.aspx?fileticket=3KJ5U3BQLVY%3d&tabid=1709 (accessed 6 November 2012).14.Radbruch L., Payne S. White Paper on standards and norms for hospice and palliative care in Europe: part 1 Recommendations from the European Association for Palliative Care. Eur. J. Palliat. Care. 2009;16(6):278-89.15.Gómez-Batiste X., Martínez-Muñoz M., Blay C., Amblàs J., Vila L., Costa X. Identifying chronic advanced patients in need of palliative measures and health and social care services in the general population: development of the NECPAL tool and preliminary findings of the NECPAL prevalence study in Catalonia. BMJ Support Palliat. Care. 2012;1:1-9.16.Bakitas M., Lyons K. D., Hegel M. T. Balan S., Brokaw F. C., Seville J. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. JAMA. 2009;302:741-9.