256 Trakia Journal of Sciences, Vol. 13, Suppl. 2, 2015
Trakia Journal of Sciences, Vol. 13, Suppl. 2, pp 256-259, 2015
Copyright © 2015 Trakia University
Available online at:
http://www.uni-sz.bg
ISSN 1313-7050 (print) doi:10.15547/tjs.2015.s.02.057
ISSN 1313-3551 (online)
THE ROLE OF FAMILY DOCTORS IN BULGARIA IN SOLVING THE
MAIN MEDICAL AND SOCIAL PROBLEMS WHICH ARE OF DIRECT
CONCERN TO ELDERLY PEOPLE
S. Alekova
1*
, V. Slavova
2
, V. Ivanov
2
, I. Ovcharov
3
, M. Platikanova
4
1
Department of General Medicine and Ophthalmology, Faculty of Medicine
2
Department of Neurology, Psychiatry, Disaster Medicine, Faculty of Medicine
3
Department of Surgery, Neurosurgery and Urology, Faculty of Medicine,
4
Departament of of Hygiene, Epidemiology and Infectious Diseases, Faculty of Medicine,
Trakia University, Stara Zagora, Bulgaria
ABSTRACT
Family doctors are key player in the process of caring for elderly and geriatric patients. On the basis of
their professional competence, they participate not only in medical care for the elderly people, but also
mental and social assistance of the elderly. With reference to the study of the basic medical and social
problems in the elderly is necessary to develop a complex prevention-oriented program for medical and
psychosocial geriatric care in Bulgaria.
Key words: Family doctors, the elderly people, medical and social problems
INTRODUCTION
From medical and biological point of view, the
aging of the human body is seen as a period of
life in which the appearances of disabilities to
physical and mental functions are increased
many times in comparison with the transitional
stages. (1) In individual direction, it is a
process associated with the accumulation of
irreversible functional losses, to which person
strives for adapting in a socially acceptable
way. Over the last decade, increasingly
important becomes demographic aging and the
consequences, which it entails. Changes in the
standard of living, developments in medical
science and practice, prevention of many
infectious and contagious diseases with high
lethality, and also reduction/ of coefficients of
birthrate and child mortality, lead to
prolongation of survival of populations to
adulthood and increase the relative share of
persons in non-productive age.People in
retiring age represent a significant contingent
in the Patient Registry to each family doctor.
_____________________________
*Correspondence to: Dr. Sevdalina Alekova
Todorova, Department of General Medicine and
Ophthalmology, Faculty of Medicine, Trakia
University, Armeiska 11, 6000 Stara Zagora,
Mobile: 0894/ 349517, Е-mail:
sevdalina_1983@abv.bg
Specific health and social problems of
individuals over 65 years requires special
approaches and decisions, as well as additional
knowledge in the field of geriatrics and
gerontology. (1, 6)
Goal
The aim of our study was to determine the
specific social and health problems of older
people and the role of GPs in resolving them
through the provision of required medical care.
Materials and methods:
To realize the goal, we have examined and
analyzed the publications and reports of local
and foreign experts, colleagues - doctors,
social workers, psychiatrists, psychologists and
other studied topics. Further we interviewed a
group of 24 family doctors exercising their
activities in Stara Zagora region in December
2014. The interview process was implemented
on the territory of the Medical Faculty in
section "General Medicine" within two
astronomical hours. Because of the wide range
of issues, which were discussed by the study
group, we publish a relatively small part of the
received and analyzed information.
DISCUSSION AND RESULTS
In a number of national and international
reports about the health of nations annually
was observed the tendency of increasing