Vol 18, No 1 (2019)

Articles

THE PROBLEM OF REGULATION OF POSTMORTEM ORGAN DONORSHIP AS A CONSTITUENT OF SOCIAL INSTITUTE OF MEDICINE IN THE LEGISLATION RUSSIAN FEDERATION

Romanov S.V.

Abstract

The article considers issues of regulation of postmortem organ donorship in the legislation of the Russian Federation. The analysis is presented concerning application of the most significant concepts of the Russian law of medical care regulating postmortem organ donorship. The justification of given a more accurate specification to «medical service» concept is proposed.
Sociology of Medicine. 2019;18(1):4-7
pages 4-7 views

THE OPPORTUNITY OF APPLYING PRINCIPLES OF AUTONOMY OF PATIENT TO POSTMORTEM DONORS OF ORGANS

Petrov G.S., Krom I.L., Erugina M.V.

Abstract

The article is devoted to autonomy of patient as applied to postmortem donors of organs. The conclusion is made on the basis sociological approach and analysis of legal concepts of «medical service», «medical intervention» and «patient» as related to postmortem organ donorship, about priority of assessment of this particular issue. The attempts of applying regulations of the law on funeral business to postmortem organ donors is inadmissible. The suggestion is developed to consider consent presumption of posthumous organ donorship as a form of transition from autonomy of particular patient to autonomy of society given population support.
Sociology of Medicine. 2019;18(1):8-10
pages 8-10 views

THE SOCIAL PORTRAIT OF PATIENT OF MUNICIPAL POLYCLINIC

Reshetnikov A.V., Ellanskiy Y.G., Aivazyan S.G.

Abstract

The article presents results of medical and sociological study carried out with purpose of exploring social characteristics of patients of municipal polyclinics in Rostov-on-Don. The derived results were compared with opinions of patients about their own health status, as well as with their perception of dispensarization. The results of the study demonstrated that mostly the patient of municipal polyclinic is characterized as woman (68.2%), aged 65 years and older (22.4%) or 18-25 years (19.1%), with higher education (51.1%) and married (55.9%). The social status of typical female patient of municipal polyclinic is worker (41.6%) or retired person (30.9%), considering her health condition to be rather poor than good (74.5%). The average rate of annual appealability to municipal polyclinic is 3.9 ± 0.3 times per year. At that, high level of patient compliance (78.6% and inadequate awareness of possibilities of dispensarization, including its purpose and tasks (only 24.7% passed dispensarization in 2018-2019) is established. The level of awareness of dispensarization program is related to age of patient (65 years and older), rate of visits to medical organization (municipal polyclinic), awareness of health maintenance and promotion.
Sociology of Medicine. 2019;18(1):11-15
pages 11-15 views

THE SOCIAL RESPONSIVENESS OF HEALTH CARE SYSTEM: THE REGIONAL ASPECTS

Shigaev N.N., Krom I.L., Erugina M.V., Eremina M.G., Skorobogatova L.G.

Abstract

According to the WHO, social responsiveness is associated with non-medical indices of health care system functioning. The integral index of responsiveness of health care system at providing specialized medical care to children in rural areas of the region was applied for assessing the degree of concordance of regional health care system to expectations of population. The most positive appraisals of respondents were given to indices of social responsiveness determined by professionalism of the medical personnel of the Oblast children hospital. The survey results demonstrated that main problem of respondents is transport accessibility of specialized medical care for children in rural areas of the region.
Sociology of Medicine. 2019;18(1):16-20
pages 16-20 views

THE ATTITUDE OF POPULATION TO NATIONAL PROGRAMS OF TRANSPLANTATION OF ORGANS AND ORGAN DONORSHIP

Romanov S.V.

Abstract

The article considers issues of population attitude to programs of transplantation and donorship of human organs. The comparative analysis is presented concerning awareness of issues of modern development of transplantology, attitude to national legislation of organ donorship and readiness for personal support of postmortem organ donorship among University students in Russia and Germany. The necessity of informing activities is emphasized since population attitude determines success of the National programs of transplantation and donorship of human organs.
Sociology of Medicine. 2019;18(1):21-23
pages 21-23 views

THE PROBLEMS OF ORGAN DONORSHIP AND TRANSPLANTATION IN RUSSIAN-LANGUAGE SOCIAL NETWORKS

Romanov S.V., Abaeva O.P.

Abstract

The article considers issue of attitude of population of Russia to programs of donorship and transplantation of human organs. The content analysis was applied to messages about transplants of human organs in Russian-language social networks for one month of 2019. The attitude of Russian-speaking net surfers to this problem turned out to be as disinterested and neutral one. Only 11.5% of all messages were emotionally negative due to issues of insecurity of postmortem donorship of organs. The emphasis is made on necessity of more active promotion of humanity of work of transplantologists.
Sociology of Medicine. 2019;18(1):24-27
pages 24-27 views

THE IMAGE OF «IDEAL» FAMILY IN NOTIONS OF MUSCOVITES

Prisiazhnaia N.V.

Abstract

The article considers concepts of Moscow residents related to the issue of «ideal» family. The generalized character of the «ideal» family in view of respondents is presented as follows: complete family with two children living in their own apartment, family relationship is based on love, mutual assistance, support, mutual understanding, domestic duties are distributed fairly and taking into account «female» and «male» types of domestic life. Furthermore, both parents are working and devote their free time to children. At that, joint leisure is mostly organized as active rest (walks, travel, sports). The study established serious gap between factual characteristics of transformation of social institution of family at present stage (increasing numbers of divorces and single parenthood, leveling of family values, decreasing of numbers of children in family, wide range of problems of modern family) and perceptions by respondents of the «ideal» family as it is. It is noted that perception of respondents of the «ideal» family may indicate preservation of value of family as social (and vital) construct. This perception also may act as intentional sources of motivation and striving for achievement of the «ideal» of family relations.
Sociology of Medicine. 2019;18(1):28-34
pages 28-34 views

THE SOCIOLOGICAL ANALYSIS OF INFORMATION ABOUT SELF-MAINTAINING BEHAVIOR IN CONDITIONS OF CLIMATE ALTERATION: THE QUALITATIVE STUDY

Varakina J.L., Kharkova O.A., Trifonova A.N.

Abstract

The article presents description of knowledge and perceptions of the Arkhangelsk Oblast population of able-bodied and elderly age concerning on-going climate alterations. The semi-structured interview was implemented for data collection. The content analysis was applied for text data consideration. In population group of able-bodied were singled out such categories as “adaptation”, “actions”, “dilemma”, “conditions”, “interest”. In population group of elderly age the singled-out categories were “ignorance”, “indifference”, “adaptation”, “condition”, “awareness”.
Sociology of Medicine. 2019;18(1):35-40
pages 35-40 views

THE THEORETICAL AND PRACTICAL ASPECTS OF APPLYING MEDICAL SOCIAL ON-LINE SERVICES IN MANAGEMENT OF REHABILITATION OF PATIENTS OF TRAUMATOLOGICAL ORTHOPEDICS PROFILE

Fedonnikov A.S., Andriyanova E.A., Grishechkina N.V., Cherhyshkova E.V.

Abstract

The issue of digital technologies implementation in practice of health care becomes one of the priorities in the conditions of resources deficiency. The digitalization of health care system is economically expedient as it allows achieving particular medical and social results without significant infrastructural investments. The on-line communication possesses significant potential in this regard. The digital health care using on-line communication democratizes access to medical services and allows to qualitatively remodel the existing model of interaction between patient and health care system. In the sociology of medicine, the sociology of rehabilitation is selected to investigate such issues as social and organizational context of rehabilitation, social orientation of medical care, role of health care personnel and other interested specialists. The article substantiates the efficiency of on-line communication in management of rehabilitation of patients as exemplified by the Monitoring and Feedback System designed and introduced in the Research Institute of Traumatology, Orthopedics and Neurosurgery of V.I. Razumovsky Saratov State Medical University.
Sociology of Medicine. 2019;18(1):41-46
pages 41-46 views

THE METHODS OF STUDYING QUALITY OF LIFE OF PATIENTS SUFFERING OF CHRONIC DISEASES

Romanov S.V., Khudoshin N.A.

Abstract

The article considers problems of quality life analysis under evaluating effectiveness of treatment of chronic diseases. The conclusion is made that there is no unification of concept of «quality of life» and methods of its investigation, that complicates comparing results of different studies.
Sociology of Medicine. 2019;18(1):47-49
pages 47-49 views

THE SOCIAL PERSPECTIVES OF DIGITIZATION OF HEALTH CARE: THE MEDICAL SOCIOLOGICAL ASPECT

Shamshurina N.G.

Abstract

In the Russian Federation, the technology platform «Medicine of the future» is specifically identified in the sector of digital economics. In the «Medicine and health care» sector, diagnostic systems based on molecular and cellular targets, genomic, post-genomic and cellular technologies are singled out. In the «Pharmaceutical industry" sector, the breakthrough areas include such innovative pharmaceuticals as vaccines (DNA vaccines), hormonal agents, coagulation factors, drugs based on cytokines, monoclonal antibodies, drugs for demographically significant diseases, antiseptics. In the sector of «Production of new materials» the priority targets is development of nano-technology and nano-materials and technologies of elaboration of bio-compatible materials. The main target is training and retraining of personnel in digital medicine skills, organization of national technological platforms for on-line education, on-line medicine and adjustment of existing and development of new educational programs. The social alterations resulting due to health care digitalization are associated with transformation of the structure of labor market of medical personnel, giving rise to emergence of new medical professions at the scientific research junction. The social perspectives of health care digitalization reflect formation of «knowledge society», development of information society and digital economics as a whole, development of competitive technologies and services in medicine. The world expert community, implementing sociological and socio-economic research, confirms that digitalization of medicine and economics gave rise to the ideology of «Social Investment» («Impact Investing», or, otherwise, «investment in social effect»). The digitalization of health care and economics has led to the need of developing new civilizational paradigm, to the necessity of human dimension of technological and economic processes. The positive social changes caused by development of digital medicine, do not exclude the emergence of social risks, manifested in possible violation of privacy, patients' rights, reducing level of security and dangerous dehumanization of society, reducing the value of patient as individual in conditions of development of biomedicine and genetic engineering as areas of digital medicine.
Sociology of Medicine. 2019;18(1):50-54
pages 50-54 views

THE MEDICAL SOCIOLOGICAL ASSESSMENT OF SOCIAL EFFICIENCY OF FUNCTIONING OF MEDICAL INSURANCE COMPANY IN THE SYSTEM OF MANDATORY MEDICAL INSURANCE OF RUSSIA

Juravleva V.A.

Abstract

The article considers medical sociological study of evaluation of efficiency of functioning of insurance medical organization in the mandatory medical insurance system. The study was carried out on the basis of data survey of insured patients. The analysis established main problems related to financing of medical care within the framework of mandatory medical insurance system of the Russian Federation.
Sociology of Medicine. 2019;18(1):55-59
pages 55-59 views
pages 60-62 views

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