Medico-social problems of hospices in St.-Petersburg pediatric practice


Children with an unfavourable disease prognosis require separate attention in the public health service of any state. A child with such disorder probably won’t enter into adult life. That fact creates a number of social and economic problems. In this article authors examine the work of the first in Russia children hospice in St. Petersburg and raise the problem of cooperation between hospices and other medical, non-medical organizations and public authorities.

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About the authors

Nikolay Ivanovich Vishnyakov

First St. Petersburg Pavlov State Medical University

MD, PhD, Dr Med Sci, Professor, Head, Dept. of Public Health. Dept. of Public Health

Yevgeniy Mikhaylovich Kutyrev

First St. Petersburg Pavlov State Medical University

Resident Doctor, Public Health Department

Zoya Anisimovna Sofiyeva

SPb SIPH Hospice N 2

Head. SPb SIPH Hospice N 2

Sergey Ivanovich Gvozdarev

SPb ASIPH Children’s Hospice

MD, PhD, Director


  1. Бялик М. А., Гарчакова А. Г., Бухны А. Ф. и др. О возможностях организации детских программ в отделениях паллиативной помощи и хосписах для взрослых // Паллиативная медицина и реабилитация. - 2008. - № 3. - С. 52-58.
  2. Вишняков Н. И., Зельницкий Л. А. Хоспис - вчера, сегодня, завтра // Санкт-Петербургские врачебные ведомости. - 1993. - №4. - С. 63-66.
  3. Гнездилов А. В. Пятилетний опыт работы хосписа № 1 // Фигуры Танатоса: Философский альманах. - V вып. - СПб., 1995.
  4. Гнездилов А. В., Иванюшкин А. Я., Миллионщикова В. В. Дом для жизни // Человек. - 1994. - № 5. - С. 116-121.
  5. Микиртичан Г. Л. Отношение общества к неизлечимо больным детям: Историко-культуральный анализ // Вопросы современной педиатрии. - 2012. - Т. 11. - № 1. - С. 188-196.
  6. Ткаченко А. Е., Сафонова С. А., Пунанов Ю. А. и др. Опыт организации работы первого в России детского хосписа в Санкт-Петербурге // Медицинский вестник Юга России. - 2010. - № 2. - С. 85-86.
  7. American Academy of Pediatrics: Committee on Bioethics and Committee on Hospital Care: Palliative Care for Children // Pediatrics. - 2000. - Р. 351-357.
  8. Armstrong-Dailey A., Zarbock S. (ed.). Hospice Care for Children. - Oxford University Press, 2001.
  9. Association for Children’s Palliative Care: A Guide to the Development of Children’s Palliative Care Services // ACT. - Bristol, 2009.
  10. Baranowski K. P. Stress in pediatric palliative and hospice care: Causes, effects, and coping strategies // Children’s project on palliative/hospice services (ChiPPS) newsletter. - 2006.
  11. Children's hospice. -'s_hospice.
  12. Corr C., Balk D. Children’s Encounters with Death, Bereavement, and Coping. - Springer Publishing Company, 2010.
  13. Daily Record. method=full&siteid=66633&headline=the-girl-none-of-us-will-ever-forget - name_page.html |url= missing title (help).
  14. Falkner K. W. Children’s understanding of death // Armstrong-Dailey A., Zarbock S. (ed.) Hospice Care for Children. - Oxford University Press., 2001. - Р. 19-20.
  15. Gaffney A., McGrath P. J., Dick B. Measuring pain in children: Developmental and instrument issues // Schetcher N. L., Berde C. B., Yaster M. (ed.) Pain in infants, children and adolescents. - Vol. 2. - Williams & Wilkins, PA: Lippincott,2003.
  16. Gibbons M. B. Psychosocial aspects of serious illness in childhood and adolescence // Armstrong-Dailey A., Zarbock S. (ed.) Hospice Care for Children. - Oxford University Press, 2001. - Р. 49-66.
  17. Hynson J. L. The child’s journey: Transition from health to health // Goldman A., Hain R., Liben S. (ed.) Oxford textbook of palliative care for children. - London: Oxford University Press., 2006. - Р. 14-26.
  18. Help the Hospices. Hospice accounts: Analysis of the accounts of UK independent voluntary hospices // Help the Hospices. - London, 2010.
  19. Help the Hospices. Hospice and Palliative Care Directory 2011-2012 // Help the Hospices. - London, 2011.
  20. «History». Helen & Douglas House. Retrieved 2007-07-08.
  25. Kubler-Ross E. On Children and Death. - Simon & Shuster. - 1997.
  26. Lenton S., Goldman A., Eaton N., Southhall D. Development and epidemiology // Goldman A., Hain R., Liben S. (ed.) Oxford textbook of palliative care for children, 1/1. - London: Oxford University Press., 2006. - Р. 3-11.
  27. «Secretary Thompson receives the «Mattie Stepanek Champion Award» from Children's Hospice International for his dedication to helping children in need» // Children's Hospice International - October 13, 2005. Retrieved 2007-07-08.
  28. Sumner L. H. Staff support in pediatric hospice care // Armstrong-Dailey A., Zarbock S. (ed.) Hospice care for children. - Oxford University Press, 2001. - Р. 190-211.
  29. The Irish Times
  30. «Who We Are». Children's Hospice International. Retrieved 2007-07-08.



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Copyright (c) 2014 Vishnyakov N.I., Kutyrev Y.M., Sofiyeva Z.A., Gvozdarev S.I.

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