The global trend of population ageing is a significant issue, equally relevant to all countries. The World Health Organization predicts that the number of people aged 80 years and over will triple between 2020 and 2050, reaching 426 million. The increase in the elderly population poses serious challenges to national health systems, as it leads to higher health care costs and reduced access to medical care for other age groups. The increasing number of chronic diseases and the expected aging of the population requires clear planning and responsible actions. To this end, we conducted a literature review to examine what countries around the world are doing to address the challenges of caring for older people while adapting to the needs of their aging populations. Aim: study of international experience in organizing medical care for the older persons in different countries of the world. Search strategy. The material of the publication was prepared on the basis of searches in databases: Scopus, PubMed, Web of Science, Google Scholar, BMC, digital scientific library CyberLeninka, data from official administrative internet resources. A total of 421 sources were found, from which 74 sources were selected, relevant both to the studied issue and satisfying the search depth of 10 years, published in Russian and English languages. Inclusion criteria: full-text open access publications appropriate to the research topic and depth of search. Exclusion criteria: publications that do not match the search criteria, short communications, advertising and newspaper articles, conference abstracts. Results. Analysis of international experience has shown that the organization of care for people aged 60 years and older varies depending on the cultural, social and economic conditions of each country and reflects the specific characteristics of different countries. Consequently, the model of primary health care organization for older patients should include not only medical, but also other aspects, primarily social, and be based on interagency cooperation. Conclusion. Health systems around the world are facing new challenges in the context of inevitable demographic ageing. Recognizing the importance of the advancement of geriatric medicine, there is a need to focus on the development of programs and policies specifically adapted for older persons in the context of a globally ageing population. Глобальная тенденция старения населения является значимой проблемой, в равной степени актуальной для всех стран. Согласно прогнозу Всемирной организации здравоохранения количество людей в возрасте 80 лет и старше утроится в период с 2020 по 2050 год, достигнув 426 миллионов. Увеличение численности пожилого населения создает серьезные вызовы для национальных систем здравоохранения, так как это приводит к росту расходов на здравоохранение и уменьшению доступности медицинской помощи для других возрастных групп. Рост количества хронических заболеваний и ожидаемого старения населения требует четкого планирования и принятия ответственных мер. C этой целью мы провели литературный обзор для того, чтобы изучить какие меры предпринимают страны мира для решения проблем по уходу за пожилыми людьми, адаптируясь к потребностям своего стареющего населения. Цель исследования: изучение международного опыта организации медицинской помощи пожилым людям в различных странах мира. Стратегия поиска. Материал публикации подготовлен на основе поисковых работ в базах данных: Scopus, PubMed, Web of Science, Google Scholar, BMC, электронная научная библиотека CyberLeninka, данные официальных административных интернет-ресурсов. Всего было найдено 421 источник, из которых отобраны 74 источника, релевантные, как по изучаемой проблеме, так и удовлетворяющие глубине поиска 10 лет, опубликованные на русском и английском языках. Критерии включения:полнотекстовые публикации в открытом доступе, соответствующие теме исследования и глубине поиска. Критерии исключения: публикации, не соответствующие критериям поиска, краткие сообщения, рекламные и газетные статьи, тезисы конференций. Результаты. Анализ международного опыта показал, что организация помощи людям в возрасте 60 лет и старше имеет различия в зависимости от культурных, социальных и экономических условий каждой страны и отражает конкретные особенности различных стран. Следовательно, модель организации первичной...

Background: Depressive symptoms, anxiety symptoms, and low subjective well-being are highly prevalent among older adults, but they are typically assessed separately, and their co-occurrence remains insufficiently explored, particularly in Central Asia. Objectives: This study aimed to assess the prevalence and co-occurrence of depressive symptoms, anxiety symptoms, and low subjective well-being among older adults in northeastern Kazakhstan and to identify associated factors. Methods: A cross-sectional study was conducted among 387 individuals aged 60 years and older. Depressive symptoms, anxiety symptoms, and well-being were screened using the Geriatric Depression Scale (GDS-15), the Short Anxiety Screening Test (SAST), and the World Health Organization Five Well-Being Index (WHO-5), respectively. Analyses included Spearman’s rank correlation and multivariable binary logistic regression. Results: The prevalence of clinically significant depressive symptoms, elevated anxiety symptoms, and low subjective well-being was 22.7%, 20.7%, and 25.3%, respectively; at least one screening-positive indicator was identified in 36.4% of participants. Simultaneous screening positivity on all three indicators (10.3%) was the most common single pattern, exceeding the prevalence of any isolated indicator. Depressive and anxiety symptom scores were strongly positively correlated (r = 0.695, p < 0.001), and both were inversely correlated with well-being. Functional limitations in self-care and income level were independently associated with all three outcomes, with the strongest association observed for functional limitations (adjusted odds ratio (aOR) = 6.40; 95% confidence interval (CI): 3.05–13.86). Conclusions: Depressive symptoms, anxiety symptoms, and low subjective well-being co-occurred more frequently than expected under statistical independence, indicating a co-occurring pattern of psycho-emotional vulnerability rather than entirely independent indicators. Screening focused on a single outcome may miss a substantial share of vulnerable older adults, underscoring the need for integrated detection and management at the primary health care level.