Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»1500Научная статьяA DETERMINATION OF THE NEED FOR IN-PATIENT PALLIATIVE MEDICAL CARE: METHODOLOGICAL APPROACHESKolomiychenkoM. Eniiskni@mail.ruNational Research Center for Hematology, Moscow, Russian Federation181220204404508042022Copyright © 2020,2020It is necessary to identify the need for medical care in order to plan for resources adequately (for example, human, financial resources), including the need for palliative health-care due to the conditions of its provision. In addition, a quality indicator of the medical care is recognized in regulation - «a ratio of patients who received the palliative health-care as a percentage of all patients needed that kind of care». The one of the approaches is based on the analysis of a different reasons related mortality data (a determination of the number of patients identified in need of the palliative medical care in their last year of life). However, the study has showed that patients has needed the in-patient palliative medical care for a longer period. An analysis of cases of once and many hospitalizations depending on the treatment outcome and underlying disease is shown in this publication. It was identified that repeated hospitalizations made up about one third of all hospitalizations; forty percent of patients were observed in a hospital for a long time longer than a yearneed for a palliative medical carein-patient medical carepalliative medical care unitquality of medical careпаллиативная медицинская помощьпотребность в паллиативной медицинской помощистационарные условия оказания помощиотделение паллиативной медицинской помощикачество медицинской помощи1.Higginson I.J. Health care needs assessment: palliative and terminal care. Stevens A and Raftery J (Series Eds). Health care needs assessment. 2nd Series. Oxford, Radcliffe Medical Press, 1997. 130 p.2.Cartwright A. Changes in life and care in the year before death 1969-1987. J. Public Health Med, 1991, no. 13 (2), pp. 81-87.3.Doyle D., Hanks G.W., MacDonald N. Introduction. In: Doyle D., Hanks G.W., MacDonald N. (eds). Oxford Textbook of Palliative Medicine, 2nd ed. New York, Oxford University Press, 1999. 1312 p.4.Morin L., Aubry R., Luisa F., MacLeod R. Estimating the need for palliative care at the population level: a cross-national study in 12 countries. Palliat. Med., 2017, no. 31(6), pp. 526-536.5.Fliss M., Bausewein C., Verne J. et al. How many people need palliative care? A study developing and comparing methods for population-based estimates. Palliat. Med., 2014, no. 28(1), pp. 49-58.6.Rosenwax L.K., McNamara B., Blackmore A.M. et al. Estimating the size of a potential palliative care population. Palliat. Med., 2005, no. 19 (7), pp. 556-562.7.Bruera E., Higginson I.J., von Gunten C., Morita T. Textbook of Palliative Medicine and Supportive Care, 2nd ed. London, CRC Press, 2015. 1322 p.8.Global Atlas of Palliative Care at the End of Life. London, World Palliative Care Alliance, 2014. 103 p.