THE SITUATION OF PALLIATIVE CARE FOR ONCOLOGY PATIENTS IN SAMARA OBLAST IN 2014 AND ITS DEVELOPMENT NECESSITY SUBSTANTIATION

According to the data of Samara population-based cancer registries, in 2014 there were 5320 oncology patients of clinical group 4 registered in the region. This group of patients especially needs various forms of palliative care. The assessment and analysis of results of Samara oblast palliative care service activity in 2010-2014 were conducted, aimed at the further development of medical care for oncology patients with the widespread forms of malignant neo-plasms and managerial decisions development for medical care enhancement. Increased quality of treatment and reg-ular medical check-up of the 4th clinical group oncology patients in Samara oblast resulted from the treatment of on-cology patients with the widespread forms of cancer, using high technology methodologies and organizational and methodological activities conducted in Samara oblast palliative care service. However, this analysis has shown that the final figure levels of palliative care service activity in the region still do not correspond to WHO standards. In this respect within the framework of curation program, the active organizational arrangements are implemented aimed at the increase of quality and accessibility of palliative care for oncology patients. Final figures monitoring of service activity allows taking necessary organizational decisions and control of their execution, as well as dynamic quality assessment of regular medical check-up and treatment of oncology patients with chronic pain syndrome in any health care institution.