Sociology of Medicine

Peer-review semiannually medical journal.


Journal founders

  • Izdatelstvo "Meditsyna"
  • Eco-Vector Publishing Group



The Sociology of Medicine publishes since 2002. The journal is aimed at science workers, medical professionals, sociologists, healthcare officials, health managers of all levels, educators, postgraduate students, residents and students studying humanities in universities. 

The Sociology of Medicine Journal is aimed at science workers, medical professionals, sociologists, healthcare officials, health managers of all levels, educators, postgraduate students, residents and students studying humanities in universities.

The journal covers a wide range of scientific and practical issues, including theoretical aspects of sociology of medicine, results of research into demographic processes and morbidity patterns, trends of human health formation and preservation in the context of working and living conditions. Among other topics are analysis of conditions and factors influencing the health of various social, demographic and professional population groups as well as active promotion of public health.

The journal contains various sections including Theory and MethodologySociology of a Medical ProfessionPatient SociologySociological Aspects of Healthcare, and Sociological Studies in Medicine.

The Sociology of Medicine Journal is the first and only specialized periodical devoted to sociology of medicine as a scientific discipline (14.02.05 — Medical and Sociological Sciences). It publishes material and thesis results of candidates for Kandidat Nauk and Doktor Nauk academic degrees. All manuscripts are peer-reviewed by the journal editors.

The Sociology of Medicine Journal plans to unite theorists and practicians – those whose profession demands interpretation of the role and place of the healthcare system in the context of sociology. One of the journal’s sections will cover “health insurance” in a broader sense, i.e. aiding the population in realizing the necessity of positive lifestyle changes, maintaining the desire for aforementioned changes, developing skills and abilities necessary for leading a healthy life, and creating environments that facilitate quality of life and public health improvement. Information of this kind might also be of interest to a broader readership.

Types of accepted articles

  • reviews
  • systematic reviews and metaanalyses
  • original research
  • clinical case reports and series
  • letters to the editor
  • short communications


  • in English and Russian
  • semiannually, 2 issues per year
  • continuously in Online First
  • with NO Article Processing Charges (APC)
  • distribution in hybrid mode - by subscription and/or Open Access
    (OA articles with the Creative Commons Attribution 4.0 International License (CC BY-NC-ND 4.0))


  • Russian Science Electronic Library (
  • Google Scholar
  • Ulrich's Periodicals directory
  • WorldCat
  • Crossref


No announcements have been published.
More Announcements...

Current Issue

Open Access Open Access  Restricted Access Access granted  Restricted Access Subscription or Fee Access

Vol 21, No 2 (2022)

Cover Page

Full Issue

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access


Social portrait and features of the medical behavior of consumers of medical services in the Moscow region health system: A medico-sociological study
Reshetnikov A.V., Sobolev K.E., Marochkina E.B.

BACKGROUND: The healthcare system is the most important social institution affecting the life of each member of Russian society. To improve the organization of the provision of medical care to citizens in the context of long-term program-oriented strategic planning for health development in the region, it is necessary to take into account the interests, expectations, and requests of patients (as consumers of medical services) regarding the quality of medical care, staffing, and the material, technical, and technological equipment of medical organizations.

AIM: Construction of a social portrait of consumers of medical services of the healthcare system of the Moscow region, taking into account the socio-demographic and socioeconomic characteristics of patients and the salient characteristics of their medical behavior.

MATERIALS AND METHODS: The study (a questionnaire survey of 531 patients) was conducted in February–May 2022 based on the Moscow Regional Research Clinical Institute named after M.F. Vladimirsky. The subject of the study was consumers of medical services at the institute at the age of ≥18 years, permanently residing in the Moscow region. The survey participants were recruited based on the calculated selective population, with quotas by sex and age. The thematic sections of the questionnaire focused on the study of the level of satisfaction of respondents with the medical services received, the characteristics of their medical behavior and attitudes to their health, and the analysis of the main socio-demographic characteristics of patients (gender, age, social and family status, education, and financial situation).

RESULTS: The study, conducted among residents of the Moscow region, made it possible to determine their attitude to their health, the level of satisfaction with the medical service received, features of medical behavior, and experience of interaction with medical workers (primarily doctors), including conflict situations. It has been established that among patients, a positive assessment of the quality of the medical services they receive prevails, most of them prefer to receive information about diseases, methods of treatment, and drugs from medical professionals, and they tend to trust doctors and comply with their prescriptions. When patients experience conflict situations, this most often happens with registry workers and is mainly due to the difficulty of getting an appointment with a doctor.

CONCLUSION: The study identified the most characteristic features of medical behavior and described a social portrait of a typical consumer of medical services in the Moscow region.

Sociology of Medicine. 2022;21(2):131-145
pages 131-145 views
Multiple losses in families of children with cancer: A retrospective sociological analysis
Guseva M.A., Zhukovskaya E.V., Lebed O.L.

BACKGROUND: Current advances in medicine determine the higher survival rate of children with various nosological forms of malignant tumors, which shifts the focus of attention of specialists from the development of treatment protocols to the study of early and long-term effects of antitumor therapy in children and their families. One of the urgent problems of psychological and social rehabilitation in pediatric oncology is the analysis of the psycho-traumatic factors of treatment and the long-term medical and social consequences for the child’s family when developing a strategy for effective psychological support for this observation group at the treatment stage.

OBJECTIVE: We aimed to study the specifics of living with losses in families raising a child with oncopathology and the features of the child’s re-adaptation and resocialization after overcoming an oncological disease (at the remission stage).

MATERIALS AND METHODS: A retrospective analysis of data obtained in the course of a sociological study of parents (n=1298) whose children completed treatment for various malignant tumors is presented. The study, carried out by a questionnaire survey of mothers (n=1131) and fathers (n=167) living in 78 regions of Russia, made it possible to qualify the problems of family members of a child with cancer in terms of multiple loss and grief and substantiate the strategy of psychological assistance to this group.

RESULTS: During the establishment of the oncological diagnosis of the child and their antitumor treatment, the family experiences some traumatic events associated with drastic changes in their lives. According to the findings of the study, the deterioration in normal life concerns health (in total, a third of the respondents: 12.9% of mothers noted a deterioration in their general health and in 15.2% of women, serious reproductive health disorders); work (leaving and dismissal from work affected 25.3% of mothers and 2% of fathers, 11.4% of mothers and 9.6% of fathers were forced to change their job or place of work); and a drop in the level of family income (the proportion of low-income families in the sample was significantly higher than in the Russian population as a whole — 41.8 and 31.4%, respectively, social benefits and pensions accounted for a significant share of income in 57.3% of female respondents and 26.3% of men, and there were changes in life prospects due to graduation, relocation, divorce, and severance of relations with relatives and friends). Each of these events is perceived as stress/loss and triggers a grieving process in family members (primarily parents) that requires the professional help of a clinical psychologist. In general, the range of events triggering the grieving process in the families of the study group is much wider, but the quality and volume of psychological care in domestic cancer hospitals are still extremely low.

CONCLUSION: The dynamics of the development of psychological and social rehabilitation in domestic pediatric oncology determine the need to develop strategies and methods of psychological support for family members of a sick child at the treatment stage, taking into account the early and long-term medical and social consequences of antitumor therapy.

Sociology of Medicine. 2022;21(2):147-158
pages 147-158 views


The role of the school in shaping the health of adolescents: Socio-cultural and regulatory aspects
Zhuravleva I.V., Lakomova N.V.

Adolescent health is important because it determines the future health of adults, and because trends in this category are characterized by the most negative indicators compared to other age groups of the population.

Actualization of the importance of the problem of adolescent health in the structure of school innovations.

The study was carried out in 2022 by the staff of the Institute of Sociology of the Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences in the form of a review based on the analysis of 92 relevant sources (scientific research and regulatory documents).

Although an intention to address the health of children and adolescents is recognized in Russia as a national task that requires an interdepartmental approach and actions from almost all ministries and departments, the reality is different. In schools, where children spend 70% of the day, the necessary conditions for their health have not been created. Two aspects of these conditions are considered — medical and educational — in the field of health. The medical aspect is associated with an insufficient number of medical rooms in educational institutions, the quality of their equipment, a lack of medical personnel, and the presence of contradictions in the regulatory framework on this issue. As a result, the actions of health workers in schools are limited mainly to medical examinations and vaccinations, instead of the nine main functions stated in the regulations. The educational aspect, on which the formation of a culture of students’ health depends also remains unrealized. Three reasons for the absence of the subject “Health” in the school curriculum and the peculiarities of the formation of the need for healthcare among schoolchildren, including with the help of the media, are considered.

A change in the state of two important aspects of the health of children and adolescents in the structure of school education — medical and educational — seems to be real in the case of solving regulatory and legal issues related to the elimination of existing contradictions in the information based on the issues of medical provision in educational institutions. Equally important is the introduction of indicators on the formation of a healthy lifestyle for various categories of the population, primarily children and adolescents, into the reporting forms of educational and medical organizations. Raising the level of public health culture and the formation of a unified preventive environment that ensures a healthy lifestyle should become a practical state task.

Sociology of Medicine. 2022;21(2):159-170
pages 159-170 views
Socio-medical aspects of the problem of the development of inclusion in modern Russian society: cross-sectional study
Gevandova M.G., Mayatskaya N.K., Gorbunova V.V.

BACKGROUND: The study of the socio-medical aspects of the problem of the development of inclusion in modern Russian society is needed urgently. On the one hand, this is due to the growth in the number of people with disabilities, the need to improve the level and quality of care, and on the other hand, due to the insufficient level of readiness of the healthcare system and the social protection of the population to provide effective, comprehensive assistance to persons with disabilities.

OBJECTIVE: The purpose of the study was to identify the main problems and difficulties faced by young people with disabilities in obtaining necessary medical and social assistance.

MATERIALS AND METHODS: This article presents the results of a survey of young people with disabilities living in the Stavropol Territory. The study involved 195 young people aged 18 to 30 years. The study was conducted from September to October 2022. The main method of research was a questionnaire survey compiled using Google Forms.

RESULTS: The leading conditions for ensuring the inclusion of persons with disabilities are: ensuring the availability of health services, education, the level of social support and assistance, the opportunity to participate actively in the cultural and social aspect of modern society, and participating in adapted physical culture and sports. The research indicates an insufficient level of development of the socio-medical rehabilitation potential of persons with disabilities and the presence of socio-medical barriers that prevent the active inclusion of disabled people in the life of modern society. Persons with disabilities and their family members face the following problems: the insufficient level of development of an accessible architectural environment; the low level of material and technical provision of services and innovations in the field of social rehabilitation; the unavailability of specialists for inclusive interaction; the lack of objective and accessible information about modern methods of treatment and rehabilitation; the system of socio-psychological assistance; and support after reaching adulthood.

CONCLUSION: The leading directions to improve the effectiveness of social policy in the development of inclusive interaction are: the creation of resource centers for the comprehensive support of persons with disabilities and their family members; the improvement of organizational and legal mechanisms for supporting the public organizations of disabled people and their family members; inclusive volunteering activities aimed at the active inclusion of persons with disabilities in the modern society life; and improving the professional competence of healthcare and social protection specialists working in the field of ensuring inclusive interaction with persons with disabilities.

Sociology of Medicine. 2022;21(2):171-176
pages 171-176 views


The attitude of the patients of a multidisciplinary hospital to the processes of digitalization in modern healthcare: A cross-sectional continuous study
Romanova T.E., Abaeva O.P., Romanov S.V., Rodina A.A.

BACKGROUND: This article is devoted to the impact of the digitalization of modern healthcare on the nature of relationships between a doctor and a patient.

AIM: To assess the level of readiness of the patients in the city hospital for the introduction of digital technologies in the system of providing medical services.

MATERIALS AND METHODS: The study was based on the results of a questionnaire survey of 154 patients in city hospitals in July–August 2022 in Nizhny Novgorod. The survey questions included studying the use by modern day patients of various methods of digital communication with medical workers, the impact of the availability of medical information on the internet on the level of patients’ trust on a doctor, and patients’ opinions about the prospects for solving problems of modern healthcare through digitalization.

RESULTS: The results of the survey revealed that 104 (67.5%) patients do not use digital communications, and 94 (61%) have no intention of using them. Among the prospects for the use of digital technologies in healthcare, the most popular for respondents were getting referrals for medical services (n=83, 53.9%), a prescription (n=57, 37%), and documents certifying temporary disability (n=43, 27, 9%). Only 8 (5.2%) respondents systematically check the diagnoses and prescriptions received from the attending physician on the internet and 25 (16.2%) do this from time to time. Only 2 (1.3%) respondents stated that they have a priority level of trust in recommendations from internet sources, and the rest of the patients trust their real attending physicians more.

CONCLUSION: A modern patient seeks to receive medical care in real contact with a doctor, considering digital technologies mainly as a tool that addresses formal issues that arise when visiting medical organizations.

Sociology of Medicine. 2022;21(2):177-181
pages 177-181 views
Medical and sociological assessment by physicians of the availability of medical care for chronic diseases in rural healthcare in the region: A cross-sectional focus group study
Yeremina M.G., Krom I.L., Subbotina V.G., Lipchanskaya T.P., Vlasova M.V.

BACKGROUND: Problems with the organization of medical and medicinal care for populations living in rural and remote areas exist in most countries. In the context of Russia, this problem has been discussed in studies over several decades.The doctor as a subject of medicine more often acts as an object of medical and sociological research in the context of their medical (expert) knowledge about the representatives of different social groups of patients. The uniqueness of the research conducted is determined by the focus of the research interest on the social group of doctors in the context of their health problems, i.e., on the study of the personal patient experiences of rural health doctors.

AIM: To study the problems of access to medical care by rural health professionals in the region.

MATERIALS AND METHODS: Eight heads of departments of district medical organizations of the Saratov region took part in the focus group study. The participants suffered from chronic diseases (for more than 10 years), and two respondents attended a disability group.

Following the guidelines of the focus group study, the discussion covered issues of the accessibility of medical care by physicians with chronic diseases in medical organizations of the region and directions for improving access to medical care by healthcare professionals.

The data obtained were evaluated according to the standard requirements for the analysis of qualitative data with the support of the discourse analysis methodology.

RESULTS: The results highlighted the key issues reflecting the problems of accessibility of medical care to rural healthcare specialists. The empirical material gathered added to the range of problems assumed at the stage of planning and the description of the peculiarities of obtaining medical care by the chosen group of respondents—doctors in rural healthcare.

CONCLUSION: The analysis of the array of respondents’ opinions of the focus group research allowed several conclusions to be reached. In the context of rural healthcare, access to medical care for physicians has not only an organizational but also a social and geographical context;moreover,the barriers are the staff deficits in rural healthcare, the lack of necessary infrastructure and material and technological backwardness of rural healthcare, the lack of transport provision in the region, and the mentality of the inhabitants of rural areas. In a situation where physicians with chronic health problems need help, the above list of barriers is supplemented by a high level of workload and the specific self-preservation behaviors of representatives of this group.

Sociology of Medicine. 2022;21(2):183-191
pages 183-191 views
Satisfaction with the quality and accessibility of medical care in regional healthcare: A prospective cohort longitudinal dynamic study
Grigoreva E.A., Yeremina M.G., Krom I.L., Erugina M.V., Sapogova M.D., Zotova Y.A.

BACKGROUND: One of the leading indicators of the social effectiveness of healthcare is the assessment, monitoring, and analysis of the social satisfaction of patients with medical care, which reflect the degree of implementation of a personalized approach of medical care. Patients’ satisfaction with their interaction with the healthcare system is a result of the main characteristics of the quality of medical care, established by the professional community.

AIM: To analyze the satisfaction of consumers of medical services in terms of the accessibility and quality of medical care in regional healthcare facilities.

MATERIALS AND METHODS: The study involved 218 doctors from primary healthcare medical organizations in Saratov and 312 doctors from primary healthcare medical organizations in districts of the Saratov region.

RESULTS: From the results of the research, we determined negative phenomena in the activity of medical organizations in which the respondents received medical care. Despite the limitation of medical care accessibility for the majority of respondents in the regional healthcare (the absence of the necessary specialists, insufficient technical equipment in the medical organizations, the high cost of medicines unaffordable by patients, and queues), while assessing the satisfaction with medical care in the medical organizations of the region the majority of the respondents (63.8% of respondents in the medical organizations of Saratov and 64.9% in medical organizations of Saratov region) evaluated their satisfaction with medical care positively.

CONCLUSION: The explanation of the results obtained is possible in the context of the description by Academician of RAS A.V. Reshetnikov the phenomenon of “paradoxical” medicine, which appeared in the Russian healthcare literature at the end of the twentieth century.

Sociology of Medicine. 2022;21(2):193-201
pages 193-201 views


Achievements and prospects for the application of artificial intelligence technologies in medicine. Overview. Part 2
Berdutin V.A., Abaeva O.P., Romanova T.E., Romanov S.V.

On a global scale, a radical transformation of the healthcare sector is taking place right before our eyes. The last few years have become a turning point in terms of the number of new directions, the emergence of innovative diagnostic and treatment methods, and the introduction of digital platforms. Digital medicine uses information and communication technologies to address the numerous problems associated with ensuring the quality and accessibility of medical care already available today. The rapid development of neural networks and artificial intelligence (AI) provides doctors with ample opportunities to predict the course of diseases and calculate the risks to the health of patients. Manufacturers of medical devices offer consumer a wide range of software and products with AI embedded. Despite the tremendous advances in the application of AI in medicine, the medical community is highly concerned about some of the intractable problems associated with the too rapid and ubiquitous use of these digital platforms. A highly trained neural network is an extremely complex computer program consisting of a large number of internal hidden layers with customizable parameters. The more complex the neural network and the number of computational operations it performs, the more difficult it is to understand the processes in its inner layers. The functioning of AI systems in a black box format makes explaining the results of its work a very non-trivial task. Therefore, in the future, research will certainly be required assessing the reliability of these systems and interpreting their decision-making processes which, will affect the neural networks of the latest generations.

Sociology of Medicine. 2022;21(2):203-209
pages 203-209 views


Changes in the availability of medical care to patients with chronic non-infectious diseases during the COVID-19 pandemic: A literature review
Frolova I.A., Abaeva O.P., Romanov S.V., Tarlovskaya E.I.

The coronavirus pandemic has caused adjustments to be made to the organization of medical care for the population worldwide. The reorganization of medical institutions to provide emergency, outpatient, and inpatient medical care to infected patients required huge financial and personnel costs and caused a kind of bias towards reducing the medical services provided to patients with chronic non-infectious diseases, which in turn determine the main levels of morbidity, premature mortality, and disability of the population. The availability of medical care to patients with chronic non-infectious diseases has decreased in all the countries that were impacted by COVID-19. This situation has not gone unnoticed by the medical community and as a result, various ways to overcome this problem have been proposed. The proposed article presents an analytical review of various types of Russian and foreign medical sources including articles, orders, statements, interviews, and surveys devoted to the problem of addressing the availability of various types of medical care. The review presents the most obvious and widespread problems in public health during the pandemic. It also analyzes the methods used in various countries, including Russia, to overcome the decline in the availability of medical care. The wide range of problems described that arose in domestic and foreign healthcare during the COVID-19 pandemic, and the variety of ways to solve them, allow us to conclude that this study is relevant. A literary review of articles (reviews, original research, interview data, and telephone surveys) published from March 2020 to March 2022 was conducted on the impact of the COVID-19 pandemic on the availability of medical care for somatic patients in the Russian Federation and several foreign countries. The methods of bibliographic, informational and semantic search for sources in Google Scholar, PubMed and Scopus databases were used. A system analysis of the sources was performed.

Sociology of Medicine. 2022;21(2):211-222
pages 211-222 views

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies