Vol 13, No 1 (2014)

The article discusses positive and negative impact of technification and commercialization of medicine on professional and personality qualities of physician. The sides of personality of modern physician are focused. The possible directions of their optimization are proposed.

The questionnaire survey was applied to 584 patients with tuberculosis, 92 phthisiologists and 144 therapists from general medicine network. The analysis established that phthisiologists and therapists of general medicine network assess extremely low compliance of patients with tuberculosis. At that, 76.5% of patients consider that they totally implement recommendations of physician and 19.7% indicate that they implement recommendations only partially. These findings testify ineffective interaction in dyad “patient-physician” negatively resulting in outcomes of curative rehabilitative process in general. Hence, need to put a question about necessity of psychological support where determining role plays medical (clinical) psychologist. The increase of compliance of patients and correction of stigmatizing manifestations in physicians will be one of the main directions of activities of psychologist.

Russia The article presents the results of sociological survey of Moscow oblast inhabitants carried out in August-September 2013. The study analyzed opinions of population about system of mandatory medical insurance in conditions of purview of law regulating this system during last two years. The sampling included 584 respondents being visitors of municipal polyclinics. The survey established that after twenty years from the moment of organization of the system of mandatory medical insurance not all citizens are oriented in it. So, 8.7% of respondents have no awareness about their medical insurance company and 29.1% are not aware about functions of foundation of mandatory medical insurance. Nevertheless, citizens actively apply their rights related to choice of medical institution and especially their attending physician. During last two years, these rights were applied by 13.2% and 21.7% of respondents correspondingly. The participants of system of mandatory medical insurance still are lacking position of major advocates of interests and rights of the insured. In case of necessity to get medical care only 15.2% of respondents refer to system of mandatory medical insurance and even less (4.8%) to foundation of mandatory medical insurance. Most of the respondents (84.6%) emphasized absence of informal payments in case of provision of medical care during last two years.

The persistent tendency of decrease of size of population of the Russian Federation, children population included is observed since end of XX century. The totals of the All-Russia population censuses in 2002 and 2010 made it possible to reveal significant decrease of percentage of both boys and girls in total structure of population, especially in age group of 10-17 years. Over a period of all child age (0-17 years) boys are dominating by their numbers and this trend is fully expressed during first five years of life. The comparison of age dynamics in children during examined period established a specific «crossover» manifested by increase of newborns and children younger than 4 years and decrease of numbers of children aged 10-17 years in 2010. At the same time, in 2002 the tendency was diametrically opposite. Hereinafter, this trend can result in significant reduction of size of population of reproductive age and create a foundation for new demographic crisis.

The article presents the results of sociological survey in questionnaire form applied to visitors of municipal and private stomatological polyclinics in Kaluga. The study was organized to analyze satisfaction of population with quality of stomatological care. The issues of detection and ranking of factors in a highest degree impacting evaluation of quality of stomatological care were covered. The analysis of differences in valuation of private and municipal systems of stomatological care was implemented. The sampling included 748 visitors of stomatological polyclinics of Kaluga. The implemented sociological questionnaire made it possible to evaluate quality of stomatological care and satisfaction of consumers of medical services. The sociological survey facilitated to reveal factors in a highest degree impacting evaluation of quality of stomatological care. On the whole, 84.6% of respondents expressed satisfaction with medical service in stomatological polyclinics, 5.5% expressed dissatisfaction and 9.9% find difficulty in replying.

The article presents the analysis of results of actual foreign sociological surveys concerning the issue of relationship between life-style and health. The similar aspects inherent to these surveys are noted. Among them are the study of economically valuable groups of population, the stratification of these groups by different features and the attempt to establish polyetiology of modern pathology. The strong and weak sides of the analyzed occurrences are pointed out.

The study was organized concerning health of elderly people permanently residing in public stationary institutions of social care in Yaroslavl. The factors effecting health were analyzed. The particular attention was paid to gerontological education, its essence and specifics of implementation in a specific nursing home. The perspectives of development of such nursing home were determined as a health factor of mentioned social group of population of Russia. The gerontological education is considered as an innovative technology of social work with elderly people. The purpose of this kind of education is to enhance physical, psychological and social health and to increase levels of social activity and adaptation. The experience of functioning of health schools organized in the Yaroslavl oblast gerontological center is presented. The analysis is given concerning their impact on health of elderly people residing in this center. The results of original studies of effect of education of elderly people on their health during 2008-2012 are summarized.