[Methodological and practical problems in standardization in geriatrics].

The review covers methodological problems in developing the medical economic standards aimed at higher effectiveness and quality of work of geriatric departments. The main methodological problems are polymorbidity of geriatric patients and decreasing functional ability requiring a long-term medical and social rehabilitation. The standard in geriatrics is understood as an average minimum of medical and social services to be provided to a patient for the purpose to keep on or improve his functional ability. These standards appointed for geriatric departments have not been developed till now. This article emphasizes particular qualities of geriatric patients on which grounds the standards for medical and social assistance to be provided for the elderly and senile patients are formed. The medical economic standard is the base documents while forming the protocols of treatment geriatric patients with concrete nosological forms.