The health of elderly and senile patients in the Russian Federation receives significant attention. In a mixed public-private healthcare system, this population group has the opportunity to receive paid primary healthcare in private medical organizations. The objective of this study: to examine the demographic characteristics and reasons for elderly and senile patients seeking paid primary healthcare in private medical organizations. Materials and Methods: Data was extracted from 7,228 electronic medical records of male and female patients aged 60 and older who sought primary healthcare under voluntary health insurance programs or paid out-of-pocket at private outpatient medical organizations in Moscow. Results and Discussion: Among elderly and senile patients, women aged 60—74 years are predominantly the ones seeking paid primary healthcare in private medical organizations. The main reasons for seeking care include cardiovascular diseases, eye and adnexal diseases, and medical examinations. The reasons for seeking medical care across different age groups (60—74 years, 75—90 years, and over 90 years) differ somewhat, but these differences are quantitative rather than qualitative. Elderly and senile patients seeking paid medical services under the State Guarantees Program for Free Medical Care to Citizens may be due to insufficient access to specialists, necessary examinations, long wait times, and dissatisfaction with the quality of care. Conclusion: It is essential to create optimal conditions and opportunities for receiving paid medical services most in demand by elderly and senile patients in private medical organizations, as well as to improve free primary health care provided in public medical organizations.

elderly and senile patients, primary health care, paid medical services, private healthcare sector, reasons for seeking medical care.