Problems and prospects for the organization of palliative care in Russia (review of regulatory acts)

The purpose of the study is to identify existing organizational problems and determine possible perspectives for the development of the palliative care system in the Russian Federation. 10 fundamental current regulatory legal acts the implementation of palliative care in the Russian Federation have been analyzed during the period from 2011 till 2020. The systematization of pathological conditions in which patients need the provision of palliative medical care was carried out, the procedure for the actions of medical workers during its provision was concretized. A regulatory framework has been formed for the systematic expansion of the volume of palliative care in outpatient settings, including at home. The problem of training specialists in palliative care was identified, as well as the problem of accessibility of primary care for the population due to the limited list of medical indications. The main development prospects are the expansion of indications for primary care, the preparation of residency programs for palliative care physicians, the synchronization of regulations, the priority development of regional infrastructure, and the expansion of interaction with non-medical organizations.