Saratov JOURNAL of Medical and Scientific Research

social risks

Transformation of the personal identifcation system in the context of severe somatic disease

Year: 2019, volume 15 Issue: №2 Pages: 347-352
Heading: Sociology of Medicine Article type: Original article
Authors: Orlova M.M.
Organization: Saratov National Research University n.a. N. G. Chernyshevsky

Resocialization of persons in a situation of illness determines one of the most important tasks of a health care system, namely, restoration of social opportunities of a patient. Objective: psychological analysis of identity system transformation of identifcations in a situation of a severe physical disease. Material and Methods. The study included a random sample of men and women aged 18–65: patients with ischemic heart disease (IHD) (n=116), and the control group (n=181). The following methods have been used: questionnaire, personal self-conception survey by S. R. Panteleev; R. Lazarus» study coping strategies; «Life style index»; family environment scale (FES) adapted by S. Y. Kupriyanov; WHO Quality of Life Questionnaire (WHOQOL); M. Kuhn»s test «Who am I?»; J. Rotter»s subjective control level test questionnaire; V. N. Dovlatova»s questionnaire for identifying cognitive inclination to dependency. Results. Signifcant diferences (p=0.01) in expression of identity indicators were obtained, which allowed to identify features of identifcation system characteristic of patients with ischemic heart disease without disability and with disability. Diferences in identifcation predictors with social roles, physical characteristics, negative self-identifcation and total number of self-descriptions were identifed using the regression analysis data. Conclusion. Change of personality of a patient with ischemic heart disease can be interpreted as othering and leads to difculties in social interactions and loss of opportunity to rely on their own personality, which requires psychotherapy. Socialization as a basic characteristic of modern society defnes one of the most important tasks of medical and social assistance to the population, namely, the restoration of the social capabilities of the patient. An analysis of the internal picture of the disease in patients with chronic somatic diseases in a social context makes it possible to determine the tasks of re-socialization in a situation of disability.

2019_02_347-352.pdf265.95 KB

Public health determinants in social context

Year: 2017, volume 13 Issue: №2 Pages: 292-295
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Krom I.L., Yerugina M.V., Orlova M.M., Dolgova E.M., Chernyak M.D., Bochkareva G.N.
Organization: Saratov State Medical University, Saratov state university

Demographic situation at the global and regional levels is designated by social context and social mechanisms. The probability of a certain pathological state may increase under the influence of factors, most of which can be considered as socially determined. Poverty and health care limited availability are considered by the authors in the context of the risk of the formation of a marginal situation for patients with chronic diseases, which is manifested in adaptation crisis, disability of the patient in a situation of chronic disease.

2017_02_292-295_1.pdf269.54 KB

The availability of medical care as an obligatory social health predictor of the population in Russia

Year: 2016, volume 12 Issue: №2 Pages: 101-105
Heading: Health Service Organization Article type: Review
Authors: Yerugina M.V., Krom I.L., Shmerkevich A.B., Dorogoykin D.L., Zhuzhlova N.Yu., Shigaev N.N., Bochkareva G.N.
Organization: Saratov State Medical University

Problems of social conditionality of population health are a traditional topic to discuss both in medical and social sciences. Availability of health care is considered from the perspective of social factors of macro level, representing the widest context of social factors to health risk. In Russia, the increasing availability of health care for the population is considered as a priority of social policy. The authors of the review publications consider the trends of accessibility of medical care to the population of contemporary Russia. It is noted in the article that currently the availability and quality of medical care, pretentiousness of state assurances for free medical care, and their imbalance with available financial resources are considered as one of the major Russian health care problems.

2016_02_101-105.pdf290.11 KB