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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Sociology of Medicine</journal-id><journal-title-group><journal-title xml:lang="en">Sociology of Medicine</journal-title><trans-title-group xml:lang="ru"><trans-title>Социология медицины</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1728-2810</issn><issn publication-format="electronic">2413-2942</issn><publisher><publisher-name xml:lang="en">Eco-Vector</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">700324</article-id><article-id pub-id-type="doi">10.17816/socm700324</article-id><article-id pub-id-type="edn">VPQGVI</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>INSTITUTIONAL ANALYSIS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ИНСТИТУЦИОНАЛЬНЫЙ АНАЛИЗ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Patient orientation: definition, evolution, approaches, and principles</article-title><trans-title-group xml:lang="ru"><trans-title>Пациентоориентированность как дефиниция: эволюция, подходы и принципы</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9413-4859</contrib-id><contrib-id contrib-id-type="spin">6488-3251</contrib-id><name-alternatives><name xml:lang="en"><surname>Reshetnikov</surname><given-names>Andrey V.</given-names></name><name xml:lang="ru"><surname>Решетников</surname><given-names>Андрей Вениаминович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine), Dr. Sci. (Sociology), Professor, academician of the Russian Academy of Science</p></bio><bio xml:lang="ru"><p>д-р мед. наук, д-р социол. наук, профессор, академик РАН</p></bio><email>reshetnikov_a_v@staff.sechenov.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6328-079X</contrib-id><contrib-id contrib-id-type="spin">4943-6121</contrib-id><name-alternatives><name xml:lang="en"><surname>Romanova</surname><given-names>Tatyana E.</given-names></name><name xml:lang="ru"><surname>Романова</surname><given-names>Татьяна Евгеньевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Cand. Sci. (Medicine)</p></bio><bio xml:lang="ru"><p>канд. мед. наук</p></bio><email>omanova_te@mail.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5251-130X</contrib-id><contrib-id contrib-id-type="spin">6930-9377</contrib-id><name-alternatives><name xml:lang="en"><surname>Prisyazhnaya</surname><given-names>Nadezhda V.</given-names></name><name xml:lang="ru"><surname>Присяжная</surname><given-names>Надежда Владимировна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Candidate of Sociological Sciences, Deputy Director for Scientific Work of the Institute of Social Sciences</p></bio><bio xml:lang="ru"><p>кандидат социологических наук, заместитель директора по научной работе Института социальных наук</p></bio><email>prisyazhnaya_n_v@staff.sechenov.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-7899-5645</contrib-id><name-alternatives><name xml:lang="en"><surname>Razhbadinova</surname><given-names>Shoanet M-R.</given-names></name><name xml:lang="ru"><surname>Ражбадинова</surname><given-names>Шоанет Магомед-Расуловна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>shoanet.magrasulovna@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7403-7744</contrib-id><contrib-id contrib-id-type="spin">5602-2435</contrib-id><name-alternatives><name xml:lang="en"><surname>Abaeva</surname><given-names>Olga P.</given-names></name><name xml:lang="ru"><surname>Абаева</surname><given-names>Ольга Петровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, Dr. Sci. (Medicine), Assistant Professor, Professor</p></bio><bio xml:lang="ru"><p>д-р мед. наук, доцент, профессор</p></bio><email>abaevaop@inbox.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Sechenov First Moscow State Medical University (Sechenov University)</institution></aff><aff><institution xml:lang="ru">Первый Московский государственный медицинский университет им. И.М. Сеченова (Сеченовский Университет)</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Privolzhsky Research Medical University</institution></aff><aff><institution xml:lang="ru">Приволжский медицинский исследовательский университет</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2026-02-19" publication-format="electronic"><day>19</day><month>02</month><year>2026</year></pub-date><pub-date date-type="pub" iso-8601-date="2026-04-07" publication-format="electronic"><day>07</day><month>04</month><year>2026</year></pub-date><volume>24</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>249</fpage><lpage>255</lpage><history><date date-type="received" iso-8601-date="2026-01-04"><day>04</day><month>01</month><year>2026</year></date><date date-type="accepted" iso-8601-date="2026-02-02"><day>02</day><month>02</month><year>2026</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Eco-Vector</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Эко-Вектор</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Eco-Vector</copyright-holder><copyright-holder xml:lang="ru">Эко-Вектор</copyright-holder><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-nd/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://rjsocmed.com/1728-2810/article/view/700324">https://rjsocmed.com/1728-2810/article/view/700324</self-uri><abstract xml:lang="en"><p>The article is devoted to the evolution of the definition of patient orientation and the factors influencing its formation. The review analyzes approaches to the relationship between concepts used to characterize the orientation of the health care system toward patients’ interests, primarily patient orientation and patient-centeredness; a summary of existing definitions of patient orientation is provided, taking into account the mechanisms of its achievement.</p> <p>Considering the scale of the impact of digital transformation of health care on medical care delivery, the author concludes that it is necessary to reconsider the format of physician–patient relationships when formulating the definition of patient orientation at the present stage. In this regard, based on analysis of the published evidence and regulatory documents, an integral definition of patient orientation in the context of digital transformation of health care is proposed—as an organizational principle of medical care delivery based on social empathy and harmonization of classical physician–patient relationships with the digital ecosystem of the health care sector, aimed at ensuring an optimal level of satisfaction with medical services.</p> <p>In conclusion, the article emphasizes the evolving nature of the definition of patient orientation, determined by changes in patients’ goals and expectations when receiving medical care depending on the socioeconomic situation and the level of development of medicine.</p></abstract><trans-abstract xml:lang="ru"><p>Статья посвящена эволюции дефиниции пациентоориентированности и факторам, влияющим на её формирование. В обзоре проведён анализ подходов к соотношению понятий, используемых для характеристики ориентации системы здравоохранения на интересы пациента, в первую очередь — пациентоориентированности и пациентоцентричности; выполнена сводка существующих вариантов определения пациентоориентированности с учётом механизмов её достижения.</p> <p>Учитывая масштаб влияния цифровой трансформации здравоохранения на процесс оказания медицинской помощи, авторы приходят к выводу о необходимости осмысления нового формата взаимоотношений врача и пациента при формировании дефиниции пациентоориентированности на современном этапе. В связи с этим на основании анализа источников литературы и нормативно-правовой базы предложено интегральное определение пациентоориентированности в условиях цифровой трансформации здравоохранения — как организационного принципа предоставления медицинской помощи, основанного на социальной эмпатии и гармонизации классических взаимоотношений врача и пациента с цифровой экосистемой отрасли, направленного на обеспечение оптимального уровня удовлетворённости медицинскими услугами.</p> <p>В заключении статьи подчёркивается динамичный характер дефиниции пациентоориентированности, обусловленный изменениями целей и ожиданий пациента при получении медицинской помощи в зависимости от социальноэкономической ситуации и уровня развития медицины.</p></trans-abstract><kwd-group xml:lang="en"><kwd>patient orientation</kwd><kwd>patient-centered care</kwd><kwd>digital health transformation</kwd><kwd>review</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>пациентоориентированность</kwd><kwd>пациентоцентричность</kwd><kwd>цифровая трансформация здравоохранения</kwd><kwd>обзор</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Reshetnikov AM. 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