[Innovative concept of aging prevention for modern Russia.]

The article presents an innovative concept for aging prevention of older citizens based on using elements of the International Classification of Functioning, Disability and Health which taking into account the influence of aging processes on changes in health and social adaptation of older citizens. The functional features of the departmental systems of health care and social protection of the population operating in Russia that impede their integration within the framework of providing comprehensive medical and social assistance to citizens of older age groups are analyzed. The biopsychosocial model of functioning and disability has advantages in comparison to another models given possibility of developing a social adaptation and implementation of an integrated systematic approach to the prevention of aging. A set of measures is proposed and justified to improve the efficiency, quality and accessibility of services health care for elderly by restructuring the functional interaction of departmental structures, attraction of resources and potential of non-governmental, public organizations, scientific and educational centers, professional communities and volunteers.

[Structure and main stages of the process of long-term state support by the state of elderly generation.]

The article deals with the problem of modeling the process of providing the state support aimed senior citizens. Its structuring is substantiated with the allocation of individual modules - functional stages and the relevant typed statuses of patients. The influence of the main groups of factors on the formation of personal packages of services, including medical, social, psychological and educational components, is considered. In the article the implementation of the functions of systemic support for the provision of comprehensive medical, social and psychological assistance to citizens of the older generation for the identified functional stages have been analyzed. Technologies are proposed that contribute to the optimization of the system of state support for senior citizens, based on the use of a biopsychosocial approach and distribution of the load between departments and structures while ensuring the systemic unity of the process.

[State support to elderly citizens: which gerontology needs modern Russia? (Part 1).]

The article discusses the causal relationship between the low efficiency of state policy in extending the period of active longevity. It is characterized by the absence of a correlation between basic and applied research in the field of aging and the use of an unsystematic approach to the development, implementation of targeted federal and regional programs aimed improving the quality of life older citizens. It is shown that the current negative situation, characterized by an aggravating decline in the quality and accessibility of state medical, social and psychological assistance to elderly citizens, is largely due to the incompleteness of existing laws and regulations in the field of their social support. The lack of both scientific justification for programs and terminological correctness allows officials to use a formalized, extensive approach when planning the development of the healthcare and social protection sectors, which do not take into account population aging. The problem of positioning gerontology as a scientific discipline that provides a synthesis of natural science, applied and socio-humanitarian knowledge, a complex of four scientific areas: biology, medicine, psychology, sociology is considered. The unity of the components of gerontology provides scientific background for improving public policy aimed on adapting socio-economic development to the demographic processes of population aging.

[State support to elderly citizens: which geriatric needs modern Russia? (Part 2).]

The publication continues to consider the cause-subsequent relationships of low efficiency of the state policy in the field of prolonging the period of active longevity altogether with unsystematic approaches to the formation and implementation of state programs. In the context of the analysis of the reasons for the insufficient effectiveness of existing state programs in the field of improving social support for senior citizens, geriatrics is positioned as an integral part of gerontology - an area of applied research that provides solutions to medical, social, psychological and other problems that arise among citizens of elderly. In particular, these problems are associated with the psychophysiological, socio-economic, educational, cultural and legal status of this category of citizens. Geriatric care and its status as a basic component of comprehensive medical and social assistance to senior citizens are formalized. The influence of gerontology and geriatrics in the process of providing systemic support for improving the quality of life of senior citizens, which is one of the priorities of Russian state policy, is substantiated. The motivation is the need to amend existing laws and regulations governing the provision of state support to senior citizens, systematic processing of existing government programs in this area, based on the use of a scientific approach to solving the problem of adapting the state to the aging processes of society.