Vol 11, No 2 (2012)

The evolution of sociology of medicine A.V Reshetnikov The I.M. Sechenov first Moscow medical university, Moscow The article deals with the main stages of becoming of sociology of medicine as an independent scientific discipline. The actuality of medical sociologic monitoring of reorganization in public health system is demonstrated. The necessity of introduction of a new specialty "sociologist of medicine" is explained.

The decennial experience of initiative studies in the field of sociology of medicine is analyzed using the materials of dissertation council of the Volgograd state medical university. The conclusion is made that all studies are characterized by interdisciplinary character dictated by the very subject of such a unique science as sociology of medicine. Possibly, the experience of these years will make it possible to make changes in the Passport of specialty 14.00.52 to broaden the circle of issues under study. It is proposed to discuss this issue on the pages of the Journal "Sociology of medicine".

The clinical studies are one of the most important directions in developing safe and effective vaccine against HIV-infection/AIDS. The significant components of process of clinical tests of candidate vaccines against HIV-infection/AIDS are medical sociological and ethical issues related to formation of volunteers’ cohorts, getting their informed consent, safety and security of volunteers and their counseling about decreasing the risk of HIV-infection. The article discusses the characteristics of medical sociological and ethical aspects of clinical studies of vaccines against HIV-infection/AIDS.

The article deals with the integral characteristic of quality of life as a medical sociological category from the perspective of sociology of medicine. The review is presented considering the research studies of qualitative and quantitative analysis of quality of life in medical practice. Key words: quality of life, health concept, sociology of medicine The review is presented considering the research studies of qualitative and quantitative analysis of quality of life in medical practice.

The article presents the results of medical sociological questionnaire of medical personnel of ambulatory polyclinic institutions of Moscow. The social demographic and professional official characteristics of respondents were analyzed. The degree of satisfaction with professional work and salary were studied. The social psychological climate in the staff and relationship within the "patient-physician" system were investigated. The issues of value benchmarks of physicians and prestigiousness of profession of physician were considered too.

The federal program "The zemstvo doctor" is in action from January 1 2012. In accordance with this program, the junior physicians aged up to 35 years and who decided to leave for countryside to work during 5 years will get both 1 million rubles as a compensation payment from the federal authorities and other social benefits from local authorities. The article presents the results of questionnaire survey carried out in February-March 2012. The respondent sampling included interns, resident doctors and students of graduate courses of full-time tuition of therapeutic faculty of the I.M. Sechenov first Moscow medical university. The purpose of study became carrying out of survey of junior medical professionals about measures targeted to resurrection of zemstvo medicine in Russia and motivation of junior specialists to work in rural area.

The article considers the professional and humanistic characteristics of modern physician. The trend to disunion of patient and physician caused by technological progression in medicine is marked. The significance of general culture of physician in communication with patient is analyzed. The role of lecturer of medical university in formation of humanistic principles of future physician is emphasized.

The article presents the results of studying the opinion of female patients received emergency medical care because of acute gynecological conditions in hospital. The opinion of gynecologists of ambulatory policlinic institutions where the mentioned female patients are observed was surveyed too concerning the causes of emergency hospitalization of these patients instead of planning observation and treatment. The survey demonstrated that the female patients consider their attitude to one’s own health and inadequate information from their physicians about the risks of development of gynecologic diseases as main causes of their hospitalization due to emergency indications instead of planned observation and treatment. For their part, the gynecologists indicated as the major cause of emergency hospitalization the lacking of possibility for counseling female patients with gynecologic diseases in need of surgery on conservative treatment in hospital.

The article deals with analysis of research publications concerning the issues of resource support of curative preventive institutions of the basis of public order. The genuine sociologic survey of this issue was also carried out. The specifics of management of purchases in actual social economic conditions are demonstrated.

The actual ecological condition of natural environment is conditioned by long-term and heterogeneous impact of social practices formed complex of behavior models in its totality labeled as ecologic culture. Its scope covers the culture of healthy life-style too. This type of culture determines to a considerable degree the quality of ecological, social and psychophysical health of society.