Vol 17, No 1 (2018)

The awareness of population about essence of functioning of mandatory medical insurance system continues to be low. The purpose of study was analysis of opinions of residents of the Moscow oblast about this particular system. The sociological survey was carried out according standard technology using an original questionnaire. The public opinion was investigated among visitors of medical organizations in 2013 and 2017. According data of survey, the percentage of respondents with positive response to question concerning their awareness about the insurance company they are insured slightly increased in 2017. however, every thirteenth respondent responded negatively to this question. Only every sixth respondent addresses to the insurance company in case of occurrence of problems with medical care support. According data of both surveys, the right of choosing insurance company, medical organization and physician was applied only by 17% and 22% respondents correspondingly. In 2013, 20% of respondents addressed nowhere because of absence of problems in case of receiving medical care support. In 2017, a significant increase of addressing to administrations of medical organizations was established. Also, number of addressing to insurance medical organizations and foundations of mandatory medical insurance increased up to 13% and 27% correspondingly. The percentage of respondents that responded positively to question about unofficial compulsion to pay for medical services during four years decreased on 18% and made up to 12.6% out of 709 participants of survey. Thereby, from one hand activities related to informing population about occurring changes in health care system, including broadening of rights of citizen is not enough. From the other hand, citizen in number of cases have no interest in receiving necessary information and ignore it even including title of insurance medical company mentioned in mandatory medical insurance policy.

The problem of physician errors is resolved predominantly from position of empirical data. The related publications are inadequate due to subjectivism at disregarding methodological (formal logical and dialectic) laws of cognition of truth. This situation results in discrepancy and suspense of problem. most of the studies remain within the limits of critical but not positive (constructive) consideration of the problem. On balance authors receive no new knowledge. The article discusses methodological sources of subjective difficulties of implementing the role of physician. The solutions are proposed concerning certain aspects of the mentioned problem.

The article presents the analysis of the results of the comparative European Social Study related to health and psychological well-being obtained in the course of the third (2006) and Seventh (2014) waves. The indices of health self-appraisal, satisfaction with one's own life, health care system functioning, social security, feeling of happiness, personal attitudes to charity and environment protection. In majority of listed indices, the positive values of the citizen of Russia are on the last positions in the enumeration of 22 European countries. But while comparing data of 2014 and 2006 the responses of the citizen of Russia demonstrate increasing of positive values and decreasing of negative values. The detected positive trends permit to look for perspectives of social policy in health area with optimism. The reliability of obtained results is substantiated by data of studies of national sociological centers and statistical numbers concerning positive changes in sphere of life related to health of citizen of Russia.

The oncologic diagnosis is a high-stress situation that determinatively effects the order of life of child, parents and relatives. The timely addressing for specialized medical care has a priority importance for favorable prognosis of course of disease. At that, the well-being of child with oncologic disease in many ways depends on social, economic, psycho-emotional resources that family disposes of. Besides, a significant potential of support of family and child in this situation have charity foundations, public organizations and volunteer associations (parental ones in the first place) which activities are targeted to supporting children with oncologic diseases.