Vol 9, No 2 (2010)

The last decades were marked by significant changes in the methodology of national studies of medical sociological issues. The medical sociological studies are especially important for practical physician because the comprehension of doctor's own role and patient's social role facilitates to decrease the number of errors in forecasting the sequence of actions. The practical implementation of medical sociological monitoring data allows marking out the most acceptable forms of alterating the system of mandatory medical insurance. Additionally, the legitimate approval of citizen the activities of reforming social sector can be received. The effectiveness of monitoring in public health can be increased at the expense of developing the permanent system of sociological information collection and the foundation of data bank on the level of particular institutions, districts, cities and regions. The development of modern information technologies allows implementing a more detailed analysis of medical sociological information in various profiles with more elaborated mathematical tools. These approaches provide an opportunity of long-tern information storage for its subsequent utilization with fast search of needed data.

The article presents the analysis of the social demographic professional status of the stomatologists in different regions of Russia. The negative and positive aspects of age-gender structure of specialists are revealed. The issues of medical institutions with different forms of property are discussed, combining jobs included.

The questionnaire polling of 452 physicians of the City of Volgograd revealed a critical need of public health in the development and implementation of national innovative technologies and ascertained numerous interfering factors.

The article deals with the study of issues of impact of health of elderly people on the processes of their adaptation to the conditions of residing in nursing homes. The original research differentiation between five groups of elderly people according conditions of physical and mental health is discussed. The level, quickness and results of social adaptation to the conditions of residing in nursing homes are considered.

The consumers of pharmaceuticals are not permanently satisfied with drug quality and pharmaceutical services standards. This dissatisfaction has objective and subjective reasons. The consumers have overrated the expectances related to the effectiveness of pharmaceuticals and demonstrate lower indicators of compliance. The objective causes of consumers' dissatisfaction are related to the non-qualifying quality of remedies as products (right up to selling of falsified medicines) and to lower quality of services in retail pharmacy network.

The examination of the sample of 38 children of preschool age infected with mycobacteria of tuberculosis on its early stage of primary tuberculosis infection was carried out. The techniques of questionnaire polling and data sampling from medical documentation in anamnesis of examined children were applied. Numerous epidemiological and social environmental risk factors of tuberculosis infection were revealed. The directions optimizing the dispanserization monitoring of children infected with mycobacteria of tuberculosis within the structure of children polyclinics with the view of prevention of tuberculosis development were proposed.

The manifestation of climacteric syndrome is one of the serious issues concerning the medical biological, psychological and social cultural aspects of life of women of climacteric (premenopausal) age. The pathologic manifestations of climacteric syndrome interfere with professional activities of women and decrease their social activity and alter interpersonal relationships. These are the objective reasons to organize the special study of assessment of medical social characteristics of quality of life of women with the manifestations of climacteric syndrome. The research program provided the assessment of quality of life on the sample of 276 women in the period of climacterim (premenopausal age). The specially developed questionnaire was applied to investigate medical psychological and social aspects of the subject of research. The questionnaire comprised of issues covering such scales as "quality of life", "infertility", "sexual life", "emotional states", "social role", "physical efficiency", "mental efficiency", and "financial capacities", "psychoemotional experiences", "menstrual dysfunction". In 190 out of 276 women were revealed the manifestations of climacteric syndrome of light and mean severity. In 86 women the course of climacteric period was normal. The results of study demonstrated that women with the manifestations of climacteric syndrome have lower quality of life. Hence, the indicator of quality of life can be applied to provide a comprehensive assessment of overall health state of women during the period of climacterim (premenopausal age).