o?ii-iaoiae?aneee oaio? iaeeeaoeaiie iiiiue iieieiae?aneei
aieuiui n aicei?aieai ia iaai niioaaonoao?ueo iaycaiiinoae
ii niaa?oainoaiaaie? i?aaiecaoeiiiie no?oeoo?u nenoaiu
iaeeeaoeaiie iiiiue, ii?aaaeaie? iniiaiuo iaoiaieiae?an-
eeo i?eioeiia e iiaoiaia, iicaiey?ueo oeo?oaou ea?anoai ?ec-
ie yoiai oy?aeiai eiioeiaaioa aieuiuo.
III Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee». Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, 2000, ¹ 1-2, no?. 6.
ÎÐÃÀÍÈÇÀÖÈß ÏÀËËÈÀÒÈÂÍÎÉ ÏÎÌÎÙÈ
ÎÍKÎËÎÃÈ×ÅÑKÈÌ ÁÎËÜÍÛÌ Â ÓÑËÎÂÈßÕ
ÌÀËÛÕ ÒÅÐÐÈÒÎÐÈÉ ÐÎÑÑÈÈ
I.A. Oa?aoooaeiia, A.A. Iiaeeia, I.I. Iiaieeia,
O.C. Aeeoeie?ia, A.E. Aieoia
Kaoaa?a eo?aaie aeaaiinoeee, eo?aaie oa?aiee e iieieiaee
Oeuyiianeiai ainoaa?noaaiiiai oieaa?neoaoa,
?inneeneee oaio? ea?aiey o?iie?aneeo aieaauo neia?iiia
o iieieiae?aneeo aieuiuo i?e IIEIE ei. I.A.Aa?oaia
A oa?aiea iineaaiaai aanyoeeaoey a iieieiae?aneie neo?aa
?inneeneie Oaaa?aoee ia?yao n ?ac?aaioeie i?ei?eoaoiuo e ni-
aa?oainoaiaaieai yooaeoeaiuo e aaciianiuo iaoiaia ?aae-
eaeuiiai ea?aiey iieieiae?aneeo aieuiuo aeoeaii ?acaeaaaony
iiaia iai?aaeaiea — iaeeeaoeaiay iiiiuu, i?ecaaiiia oeo?-
oeou ea?anoai ?ecie aaciaaa?iuo iieieiae?aneeo aieuiuo, ?en-
eaiiinou eioi?uo a?aaiaii ninoaaeyao ieiei 300 oun. [4].
A nia?aiaiiuo nei?iuo yeiiiie?aneeo oneiaeyo ?innee
?acaeoea eaae oinieniiai aae?aiey e ieacaiey iaeeeaoeaiie
iiiiue oy?aeie eaoaai?ee aieuiuo aieaa oniaoii i?aeoe?anee
inouanoaeyaony a noiee?iuo ai?iaao e iaeanoiuo oaio?ao, aaa
aieuoa oeiainiauo e i?aaiecaoeiiiuo aicii?iinoae. Iaiaei
iaiaoiaeii iouneaou aicii?iinoe ieacaiey ea?anoaaiiie iae-
eeaoeaiie iiiiue ?eoaeyi iaeuo oa??eoi?ee ?innee, aaa nioe-
aeuiay iai?y?aiiinou aie?oa i?iaeai oie?a?ueo aieuiuo e eo
aeeceeo au?a?aia ai?acai ino?aa, eniieucoy i?eaieaiua aey
ianoiuo oneiaee oi?iu e iaoiau. Iiyoiio nae?an eae ieeiaaa
aeooaeuia i?iaeaia ieacaiey iaeeeaoeaiie iiiiue oy?aeie
eaoaai?ee iaoeaioia a oneiaeyo iaeuo oa??eoi?ee no?aiu — a
iaaieuoeo ai?iaao, ?aeiiao, naeao.
Ia naaiaiyoiee aaiu a ?inneeneie Oaaa?aoee nouanoao?o
?acee?iua iiaaee ieacaiey iaeeeaoeaiie iiiiue iieieiae?a-
neei aieuiui. ?acee?iua aa?eaiou i?aaiecaoeiiii-iaoiae?a-
neeo iiaoiaia e ieacaie? iaeeeaoeaiie iiiiue ia acaeiien-
ee??a?o, a aiiieiy?o a?oa a?oaa, iaiauay iaeiieaiiue iiuo
?aaiou, i?e?ai nouanoaiaaiea ?acee?iuo oi?i i?aaiecaoee
?aaiou yaeyaony a ianoiyuaa a?aiy oaeaniia?aciui, oae eae
iaania?eaaao oeo?oaiea ea?anoaa ?ecie iieieiae?aneeo aieu-
iuo n ?ani?ino?aiaiiuie ceiea?anoaaiiuie iiaiia?aciaaiey-
ie e eo aeeceeo a ?aaeuii nouanoao?ueo oneiaeyo [3, 5, 7].
A Oeuyiianeie iaeanoe, eae e ai anae ?innee, ioia?aaony ia-
oeeiiiue ?ino eae caaieaaaaiinoe, oae e nia?oiinoe io ceiea?a-
noaaiiuo iiaiia?aciaaiee. Ia eiiao 1999 a. eeou 49,5% aieu-
iuo iaoiaeeenu iia iaae?aaieai 5 eao e aieaa, i?e?ai iae-
iaiuoee oaaeuiue aan oaeeo aieuiuo aue i?e ?aea ieuaaiaa —
15,8%, o?aoae, a?iioia, eaaeiai — 25,9%, i?aanoaoaeuiie ?aea-
cu — 25,9%, i?yiie eeoee — 38,1%, ii?aaiai iocu?y — 39,6%.
Oaaeuiue aan IV eeeie?aneie a?oiiu aieuiuo ninoaaeyao a oa-
eii ii iaeanoe 22,8%. Aunieea iieacaoaee oaaeuiiai aana caio-
uaiiuo oi?i ceiea?anoaaiiuo iiaiia?aciaaiee iaae?aa?ony
i?e ?aea ?aeoaea — 35,6%, ye?ieeia — 35,0%, o?aoae, a?iioia,
eaaeiai — 27,0%, i?yiie e iaiai?iie eeoee — 26,0%. Eaoaeu-
iinou aieuiuo ia ia?aii aiao n iiiaioa onoaiiaeaiey aeaaii-
ca ceiea?anoaaiiiai iiaiia?aciaaiey ninoaaeyao a n?aaiai
34,9%. Aunieea iieacaoaee iaiiaiae?iie eaoaeuiinoe i?e ?aea
eaaeiai — 60,9%, ?aeoaea — 57,4%, ieuaaiaa — 54,4%, ye?ie-
ea — 37,0%, i?yiie e iaiai?iie eeoee — 36,0%. I?e yoii, an-
ee ca iineaaiea 20 eao a iaeanoe iieacaoaee oaaeuiiai aana IV
eeeie?aneie a?oiiu aa?ue?o?o, oi iaiiaiae?iay eaoaeuiinou ia-
oeeiiii aic?anoaao, a oaiiu aa ?inoa niioaaonoao?o oaiiai
?inoa caaieaaaaiinoe e nia?oiinoe.
Oaeei ia?acii, aeooaeuiinou i?iaeaiu ieacaiey iaeeeaoea-
iie iiiiue a iaoai ?aaeiia, eae e ai anae no?aia, aannii?ia.
Nouanoaiaaaoay aanyoeeaoeyie i?aeoeea ia?aaa?e iieieiaaie
iaoeaioia, no?aaa?ueo iiooieaaui i?ioannii a oa?ieiaeuiie
noaaee ?acaeoey, o?anoeiaiio oa?aiaaoo aaiiino?e?iaaea ia
anaaaa yooaeoeaio? iaaeoeineo? iiiiuu, oeiainiaua cao?a-
ou ia eioi?o? inoaaaeenu aunieeie, ianiio?y ia ieceia aa ea-
?anoai.
Ia?eia n 1992 ii 1999 a. ioia?ai aeoeaiui ?acaeoeai a Oeu-
yiianeie iaeanoe iaoiaia iaeeeaoeaiiai ea?aiey e ai?iaaoeae
?acee?iuo oi?i i?aaiecaoee yoiai iai?aaeaiey nia?aiaiiie
iaaeoeiu.
A ianoiyuaa a?aiy a Oeuyiianeii ?aaeiia ?innee iaiaoe-
eenu ?acee?iua iiaoiau e aii?inai i?aaiecaoee iaeeeaoeaiie
iiiiue ianaeaie?. Iu eiaai aicii?iinou eniieuciaaou nea-
ao?uea i?aaiecaoeiiiua iiaaee iaeeeaoeaiie iaaeoeiu ia-
eanoe (ni. ?en.).
Aeaaiui aaia?aoi?ii eaae iaeeeaoeaiie iaaeoeiu a iaean-
oe aunooiaao Oeuyiianeee ainoaa?noaaiiue oieaa?neoao. Ai iii-
aii aeaaiaa?y aai iiaaa??ea i?eioeiu iaeeeaoeaiie iaaeoeiu
aiaa?aiu a ?aaioo Aeieo?iaa?aaneiai ia??aeiiiiai iieieiae-
?aneiai aeniaina?a. Aeieo?iaa?aa — aoi?ie ii aaee?eia ai?ia
iaeanoe n ianaeaieai ieiei 140.000 ?eoaeae. E?iia oiai, aen-
iaina? ianeo?eaaao aaa ?aeiia iaeanoe n ianaeaieai ieiei
62.000 ?eoaeae.
?aoaiea ia ieacaiee iiiiue a naoe nouanoao?uaai niaoea-
eece?iaaiiiai ea?aaiiai o??a?aaiey iu n?eoaai oaeoe?anee
aa?iui e yeiiiie?anee ?aoeiiaeuiui.
84
Àíòîëîãèÿ íàó÷íûõ ïóáëèêàöèé
Iaeeeaoeaiay iaaeoeia Oeuyiianeie iaeanoe
Ðèñ.
Îðãàíèçàöèîííûå ìîäåëè ïàëëèàòèâíîé ìåäèöèíû Óëüÿíîâñêîé îáëàñòè.
Oinien a aeaa ioaaeaiey iaeeeaoeaiie iiiiue a ninoaaa
ia??aeiiiiai iieieiae?aneiai aeniaina?a
Oinien eae naiinoiyoaeuiia
o??a?aaiea
Ioaaeaiea iaeeeaoeaiie iaaeoeiu ia aaca
iaeanoiiai ainieoaey aaoa?aiia aiei
Iaeeeaoeaiia ea?aiea a iaeanoiii iiei-
eiae?aneii oaio?a
