Satisfaction of Older Russians with Primary Healthcare
Research Article
How to Cite
Zemlyanova E.V. Satisfaction of Older Russians with Primary Healthcare. DEMIS. Demographic Research. 2025. Vol. 5. No. 3. P. 61-74. DOI: https://doi.org/10.19181/demis.2025.5.3.4 (in Russ.).
Abstract
Projects aimed at improving the health and quality of life for older citizens are being implemented in Russia. This requires the development of assistance types focused on medical services for elderly people. Primary healthcare plays an important role here. The aim of the study is to evaluate the satisfaction of Russian elderly people with outpatient care. Statistical data from the sample survey on the quality and availability of services in education, healthcare, social services, and employment promotion conducted by Rosstat in 2021 and 2023 were used as a basis for the study. The results are presented in summary tables for individuals over working age. About two thirds of elderly Russians visit public clinics for medical care. In 2021 and 2023, 36.3% and 31.5% of elderly people were completely satisfied with outpatient care, respectively. Some older Russians have difficulty calling an ambulance. Emergency medical assistance for the elderly serves not only as a medical service, but also as an important social service. However, there are significant differences in accessibility and satisfaction levels of medical care across Russian regions. To successfully implement the federal project "Older generation", it is necessary to conduct more extensive sociological studies on the problems faced by this population group to promptly identify and address them.
Keywords:
older adults, primary care, satisfaction, service utilization, diagnostic services, ambulance
References
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2. Aizinova, I. M. Social and Economic Problems of the Older Generation: Quality of Life of the Older Population. Studies on Russian Economic Development. 2017. Vol. 28, No. 4. Pp. 450–457. DOI 10.1134/S1075700717040037.
3. Vasil'ev, V. V. Al'ternativnye vidy okazaniya ambulatorno-poliklinicheskoj pomoshchi na sovremennom etape (Alternative types of outpatient care at the present stage). Nauchno-prakticheskiy podhod [Scientific and practical approach]. 2025. No. S2. Pp. 255–258. (In Russ.).
4. Ahmineeva, A. H., Ozhogin, M. V. Forming an Attitude Towards a Healthy Lifestyle: The Experience of Russia and China. Sovremennyye zdorov'yesberegayushchiye tekhnologii [Modern health-saving technologies]. 2022. No. 2. Pp. 7–21. (In Russ.).
5. Howse, K. Healthy Ageing: The Role of Health Care Services. Perspectives in Public Health. 2012 No. 132 (4). Pp. 171–177. DOI 10.1177/1757913912444805.
6. Poscia, A. Falvo, R., La Milia, D. [et al.] Healthy Ageing – Happy Ageing: Health Promotion for Older People in Italy. Zdrowie Publiczne i Zarządzanie. 2017. Vol. 15, No. 1. Pp. 34–48. DOI 10.4467/20842627OZ.17.005.6231.
7. Maslennikova, G. Ya., Oganov, R. G. Prevention of Noncommunicable Diseases as an Opportunity to Increase Life Expectancy and Healthy Longevity. Cardiovascular Therapy and Prevention. 2019. Vol. 18, No. 2. Pp. 5–12. DOI 10.15829/1728-8800-2019-2-5-12. (In Russ.).
8. Zawisza, K., Galas, A., Tobiasz-Adamczyk, B. Factors Associated with Patient Satisfaction with Health Care among Polish Older People: Results from the Polish Part of the COURAGE in Europe. Public Health. 2020. Vol. 179. Pp. 169–177. DOI 10.1016/j.puhe.2019.10.012.
9. Kalashnikov, K. N. Healthcare Access and Quality for Older Adults as a Special Socio-Demographic Group. Economic and Social Changes: Facts, Trends, Forecast. 2025. Vol. 18, No. 2. Pp. 180–193. DOI 10.15838/esc.2025.2.98.10. (In Russ.).
10. Popov, V. V., Novikova, I. A. The Modern Characteristics of Quality of Ambulatory Polyclinic Medical Care of Patients of Elderly Age. Problems of Social Hygiene, Public Health and History of Medicine. 2019. T. 27, N 6. S. 983–987. DOI 10.32687/0869-866X-2019-27-6-983-987. (In Russ.).
11. Nazarova, I. B. Patients’ Satisfaction with the Quality of Medical Care in the Capital's Polyclinics. Population. 2025. Vol. 28, No. 2. Pp. 96–104. DOI 10.24412/1561-7785-2025-2-96-104. (In Russ.).
12. Cha, Y-J. Key Factors Influencing Outpatient Satisfaction in Chronic Disease Care: Insights from the 2023 Korea HSES. Healthcare. 2025. Vol. 13, No. 6. P. 655. DOI 10.3390/healthcare13060655.
13. Bilalov, F. S., Skvirskaya, G. P., Sharafutdinova, N. H. Availability of the Medical Diagnostic Care and Continuity in its Organization at Various Stages of Exercise of Medical and Diagnostic Process. Manager Zdravoochranenia. 2018. No. 1. Pp. 42–51. (In Russ.).
14. Saleev, V. B., Plotnikov, N. N. Main Reasons of Calls for an Emergency Ambulance Made by the Elderly Patients. Issues of Clinical and Fundamental Medicine. 2024. Vol. 1, No. 3 (3). Pp. 9–12. DOI 10.30914/M17. (In Russ.).
15. Galkin, K. A. Individual Perceptions of Equity in the Context of Institutional and Interpersonal Trust in Medicine by the Older. Science. Culture. Society. 2025. Vol. 31, No. 1. Pp. 59–70. DOI 10.19181/nko.2025.31.1.5. (In Russ.).
16. Kahana, B., Yu, J., Kahana, E., Langendoerfer, K. B. Whose Advocacy Counts in Shaping Elderly Patients' Satisfaction with Physicians' Care and Communication? Clinical Interventions in Aging. 2018. Vol. 13. Pp. 1161–1168. DOI 10.2147/CIA.S165086.
Article
Received: 10.06.2025
Accepted: 30.09.2025
Citation Formats
Other cite formats:
APA
Zemlyanova, E. V. (2025). Satisfaction of Older Russians with Primary Healthcare. DEMIS. Demographic Research, 5(3), 61-74. https://doi.org/10.19181/demis.2025.5.3.4
Section
Social Demographics
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