Vol 12, No 2 (2013)

To determine the status of physician in the system of mandatory medical insurance a complex approach is needed in studying different components of this status in the context of directions of changes in public health in general. The status of physician is determined by both official position of medical profession and by positioning of this profession within different social relationships of physician in the process of one’s professional activities. Hence, according opinion of medical workers themselves, the most important task of medical sociological monitoring is the detection and analysis of processes related to main components of physician status to further elaborate adequate managerial decisions.

The article presents the results of sociological survey of opinions of physicians of clinical hospital of medical university concerning characteristics of status of physician and formation of prestige of physician work. The factors impacting positively and negatively the personnel support of treatment activities of state educational institution.

The socially dangerous diseases comprise tuberculosis, HIV-infection, parenteral hepatitis and sexually transmitted infections. Per se they are ultimately different diseases. The only connecting link between them is their social component. It is possible to consider whole social component as a unity of "social input" allowing evaluating the effect of social factors on beginning and maintenance of epidemic process. Furthermore, this component can be also considered as "a social response" resulting propagation of infections throughout society. In this case, it becomes clear that social character of tuberculosis infection is more manifested at the level of "social input" than "social response". This pattern is conditioned by the characteristics of pathogenesis of tuberculosis infection. "The social input" effects on both development of disease and its maintenance in society on the stage of becoming of recurrences of tuberculosis disease. At the same time, the burden of "social response" of society to infection is significantly lower in case of tuberculosis than under HIV-infection and parenteral hepatitis. This occurrence is also related to lesser effect on demographic indicators and small "unprofitability" of disease as compared with hemocontact infections.

The article presents the results of sociological survey of patients of voluntary Moscow municipal multi-type hospital supplied with services on paid basis according individual agreement or within the framework of voluntary medical insurance. The statistical analysis of questionnaires facilitated to compose the group portrait of consumer of paid medical services. The degree of satisfaction of patients with standards of paid medical services was revealed. The requirements of patients to quality of paid medical services were established in every segment of target of audience.

The article presents the data concerning the epidemiological situation with HIV/AIDS infection in Russia. The new approaches to HIV-infection preventive activities primarily related to development and testing of anti-HIV/AIDS vaccines are considered. The need in comprehensive study of problems of HIV-infection in the framework of sociology of medicine is emphasized.

The article deals with issues of development of comprehensive regional medical organization of palliative care in large region, megalopolis included. The organization structure of system of organization of hospice care in the complex "megalopolis-oblast" is characterized. The concept of optimization of palliative care is developed, including the system of interactions of medical institutions providing this type of care. It is demonstrated that in the Nizhniy Novgorod region the hospice can stand out in the capacity of central section of system of rendering palliative care to population.