The evolving demographic situation and the growing number of elderly people pose new challenges and goals for the state and society, aimed at ensuring the basic needs of older citizens are met and maintaining high-quality living conditions. The "Older Generation" project was created for this purpose, and the introduction of a long-term care system for the elderly and senile is becoming increasingly important. To further develop the long-term care system at its infancy, it is necessary to more thoroughly study the theoretical foundations and existing positive experiences in providing social services at home to citizens in need of assistance, social support, and the use of hospital-substituting technologies and active aging technologies. Given the relevance of this problem and its high social effectiveness, the subject of this study is the organization and implementation of a long-term care system for elderly citizens and people with disabilities in a comprehensive social services center, and the development of recommendations for its improvement. The research is based on quantitative methods, including a questionnaire survey of various categories of long-term care system participants: recipients of social services, relatives of elderly citizens and persons with disabilities, and an expert survey involving social workers, care assistants (nurses), and administrative staff. The sample size was 177 respondents. The novelty of the study lies in the findings regarding the positive impact of the long-term care system on the level of autonomy, physical condition and psycho-emotional well-being of elderly citizens and people with disabilities, as well as the reduction of the burden on family members providing care. Despite overall satisfaction with the quality of services, specific measures for improving the system's performance were identified, aimed at modernizing the technical infrastructure, training staff, expanding the range of services, and increasing accessibility. These proposals include updating the unified information system, developing electronic service booking services, creating a 24-hour service with care assistants, ensuring the required number of staff, and addressing issues of staff replacement during periods of absence of key staff. Research demonstrates the need for further action to improve the long-term care system to improve the quality of life of vulnerable populations.
Krivtsova et al. (Thu,) studied this question.