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Vol 16, No 1 (2017)

Articles

THE ACTUAL PROBLEMS OF SOCIAL POLICY IN HEALTH SPHERE

Juravleva I.V.

Abstract

The article considers possible alterations in social policy supporting amelioration of population health. First of all, it is an alteration of orientation of the health care Strategy from pro-medical to another one targeting health of healthy people. This process requires development of unified working coordinating organ. These measures will provide an opportunity to validly impact various aspects developing inequities in health sphere. The efficiency of social policy is impossible without adequate perception of its activities by population. The introduction of system of education of health caring is a basis of such a perception increasing general culture of population health.
Sociology of Medicine. 2017;16(1):4-9
pages 4-9 views

THE INFORMATIVENESS IN SPHERE OF PROFESSIONAL HEALTH RISKS IN WORKERS OF INDUSTRIAL ENTERPRISES

Germanov I.A., Lebedeva-Nesevria N.A., Barg A.O.

Abstract

The data of sample sociological survey of workers of three large enterprises of chemical industry of the Permskii kraii in 2014-2015 was used to analyze features of perception of information concerning occupational risk factors encountered by workers in the process of labor activity and evaluation of the level of awareness about risks was given. It is proved that actual systems informing about risks of health damage as a result of labor activity at enterprises are mostly formal. It is established that most of workers are unaware about results of special evaluation of labor conditions. More than a half of those who are aware can't name class and sub-class of labor conditions at one's working place. The higher level of awareness about risks of health damage is typical for those workers who suffer of diseases related to their occupation. The most popular source of information concerning health risks is medical workers of feldsher and nurse post or medical sanitary unit. The mentioned source is not effective by virtue of specific terminology and unsystematic implementation of information activities. The system of informing about health risks in conditions of enterprise can be effective only under condition of interaction of all participants of informing process responsible for dissemination of information about risks, systematic education, advanced training of specialists of industrial labor protection, development of common strategy of informing about risks following the scheme "development-implementation-control-adjustment or new development-implementation".
Sociology of Medicine. 2017;16(1):10-17
pages 10-17 views

THE FAMILY STRESS AND POSSIBILITIES OF PSYCHOLOGICAL SOCIAL FAMILY ADAPTATION IN CHILDREN ONCOLOGY

Guseva M.A.

Abstract

The oncologic disease of child is accompanied by serious psychological and social problems, family stress. The organization of medical social and psychological support of family is needed t the stage of treatment with the purpose of mobilization of family proper resources and involvement of new resources for getting out of crisis. The results of cohort study demonstrated that family of ill child quite often find oneself in the situation of social isolation without necessary support on part of nearest milieu and state. The study demonstrated possibility of overcoming family stress and family adaptation through alteration of family values and increasing of reproductive attitudes in these families. The necessity is substantiated concerning organization of psychological social service in rehabilitation center for children with oncologic diseases.
Sociology of Medicine. 2017;16(1):18-22
pages 18-22 views

THE MEDICAL SOCIAL ANALYSIS OF RELATIONSHIP BETWEEN ALCOHOL DEVIATION OF WOMEN AND PSYCHIC BEHAVIORAL DISORDERS IN CHILDREN

Golovin N.A., Sereda V.M., Krasnoshiekova E.I., Kharazova A.D., Pautova N.I.

Abstract

The social crisis of the end of XX century in Russia negatively impacted psycho-emotional condition of society and provoked increasing of drug addiction and alcoholism among population. The article applies inter-disciplinary position analyzing relationship between severe social psychological atmosphere of those years and mental, behavioral disorders in generation of children caused by alcohol abuse in generation of parents, especially mothers. The dynamics is presented concerning social mood of society, level of female alcoholism, nervous diseases morbidity of children. The mental and neurological disorders are discussed in the aspect of patterns of brain development during prenatal period. The biological sociological evaluation is given concerning impact of crisis of 1990s as a macro-social factor of mental and behavioral health of age group of persons born in 1990-2000s. The burden of crisis and negative emotional atmosphere in society, especially in the middle of 1990s, increasing of alcohol consumption and also dynamics of alcoholism and alcoholic psychosis morbidity of women during the same years, dynamics of nervous diseases morbidity of children aged 0-1 year in the Russian Federation with its surges, especially in 1994-1995, 1998 and 2009, permit to consider focused effect of social crisis on physical and mental health of newborns. During relative stabilization of 2010s, there is no such a concentration of negative factors. Also, certain positive circumstances are manifesting: learning of legal standards according which person is primarily responsible for one's own health, measures of struggle with alcoholism, development of perinatal medicine, etc.
Sociology of Medicine. 2017;16(1):23-27
pages 23-27 views

THE HEALTH MAINTENANCE OF FACULTY OF INSTITUTES OF HIGHER EDUCATION

Artiukhov I.P., Gorbach N.A., Lisniak M.A.

Abstract

According concerted opinions of experts and significant self-estimations of lecturers it is established that in universities the level of faculty health is inadequate. The min manageable factors negatively effecting health of lecturers are life-style factors. The motivation of lecturers to carry on healthy life-style is determined by awareness about personal responsibility for one's own health. According expertise evaluation, among main directions of health support of lecturers’ formation of healthy life-style, diseases' prevention and organization of psychological care require priority improvement. The monitoring of individual health will favor development of health support in lecturers of universities.

Sociology of Medicine. 2017;16(1):28-31
pages 28-31 views

THE YOUNGER MEDICAL SPECIALIST AT LABOR MARKET: EXPECTATIONS OF EMPLOYERS

Reshetnikov A.V., Prisiajnaia N.V., Pavlov S.V., Morozov A.P., Petrov M.A., Kutakova Y.Y., Morozov P.N., Lakunin K.Y.

Abstract

The analysis of concepts and expectations of employers concerning level of professional competence, personal characteristics and moral attitudes of younger medical specialists was implemented. The main attention was paid to specifics of interaction between younger specialists and employers in conditions of modern labor market. The observed imbalance of demand and offer at sectoral labor market is, in particular, related to discrepancy of requirements of employers and expectations of applicants, poor channels of communication between employers and potential workers, inadequate level of interaction between universities and labor market. The expectations of younger specialists concerning future place of work is mainly related to notions about priority of availability of "good" diploma whereas employers are most of all interested in professional working experience an practical professional skills.
Sociology of Medicine. 2017;16(1):32-44
pages 32-44 views

THE EVALUATION OF PROFESSIONAL PERSPECTIVES OF DRUGGISTS BY THE FACULTY

Golikova N.S., Savosina E.F., Tarasov V.V., Vasserman B.A., Telina E.V.

Abstract

The dynamic development of pharmaceutical field in the Russian Federation requires objective approach to evaluation of manpower component, perspectives of training of modern specialists and changing attitude to profession of druggist. The classical academic principle of The I.M. Sechenov first Moscow state medical university combined with modern approaches to education, continuity of generations of lecturers and historically established role of the University as a leading medical and pharmaceutical university developed highly professional faulty with numbers of scientific schools headed by prominent scientists an pedagogues. The results of pilot survey of opinions of lecturers concerning role of profession of druggist in society and manpower perspectives of the field demonstrate development of vision of pharmacy as a perspective and actively developing direction and related requirements to graduates.
Sociology of Medicine. 2017;16(1):45-48
pages 45-48 views

THE INTRANET-PATIENT IN MEDICAL INFORMATION SYSTEMS

Kolesnichenko O.Y., Mazelis A.L., Nikolaiev A.E., Martynov A.V., Pulit V.V., Smorodin G.N., Kolesnichenko Y.Y.

Abstract

The article considers a mathematical cluster analysis of data obtained in medical information system "qMS" for annual period of data registration in three medical institutions. To evaluate cost, duration of treatment and scope of examination of patients with hypertension heart disease a special software was developed by A.L. Mazelis using Python interactive environment. The clustering was implemented in two directions: according number of medical examinations and procedures (Series treatment) and according time of waiting for medical examinations and procedures (Series time). Two groups of patients were established according distribution of cost and duration of hospital treatment. Also, based on analysis of data of medical information system, a description of social medical portrait of patient with hypertensive heart disease was presented. A proposal was made of implementing adjustment of treatment standards considering medical social portrait of patient according to established actual demands of patients. In analyzed sampling almost equal attention is paid to examination of heart and gastrointestinal tract that testifies wide prevalence of gastrointestinal diseases that requires increased diagnostic attention to them as concomitant ones to hypertension disease.
Sociology of Medicine. 2017;16(1):49-55
pages 49-55 views

THE SOCIOLOGICAL ANALYSIS OF ATTITUDE OF VARIOUS CATEGORIES OF MEDICAL PERSONNEL OF MUNICIPAL MEDICAL INSTITUTIONS TO HIV-INFECTED PATIENTS

Lisauskene M.V., Plotnikova Y.K., Rakova Y.N.

Abstract

The article presents results of medical sociological survey of attitude of various categories of medical personnel of municipal medical institutions of the Irkutskaia oblast to HIV-infected patients. The study used qualitative and quantitative sociological techniques that permitted to obtain representative data about characteristics of attitude of medical workers to patients and to establish risks of professional contamination and factors effecting development of models of behavior of medical workers in the system of relationships "physician-patient". The sociological survey fixed ambiguous and contradictory character of attitude of medical workers to HIV-infected patients related to fear of professional risk of contamination. The correlation and typological analysis permitted to establish stigmatization and discrimination of HIV-infected individuals manifesting at emotional psychological and behavioral levels and fixing in striving of particular groups of respondents to isolate HIV-infected patients. The results of survey testify necessity of development in all categories of medical personnel rational pragmatic attitudes of perception of risk of contamination permitting to manage this perception and to develop program of psychological and behavioral trainings for various categories of medical workers.
Sociology of Medicine. 2017;16(1):56-61
pages 56-61 views

THE OBJECTIFICATION OF STRATEGIES OF PALLIATIVE CARE OF PATIENTS WITH CHRONIC DISEASES IN THE CONTEXT OF REGIONAL MODEL

Krom I.L., Erugina M.V., Shmerkevitch A.B., Vodolagin A.V., Dorogaikin D.L.

Abstract

The prevention of medicalization and objectification of strategies of palliative care of patients with chronic diseases are one of important tasks of development of regional model of palliative care. The strategies of palliative care are considered in the context of quality of life of patients with diseases of blood circulation system. The indicator of quality of life determined according the WHO questionnaire "Life Quality-100" is a multifactorial criterion of evaluation of condition of patients in case of diseases of blood circulation system. The results of study proved that disease results in alterations of indices of quality of life in "physical" sphere and "level of independence» sphere determine tendencies in rehabilitation direction of palliative care in case of diseases of blood circulation system at non-terminal stage. The evaluation of indicator of quality of life permits to objectify strategies of palliative care of this category of patients.
Sociology of Medicine. 2017;16(1):62-64
pages 62-64 views

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