Vol 12, No 1 (2013)

The modern system of evaluation of quality and accessibility of medical service makes it possible to receive a clear-cut picture concerning the prospective directions of activities of medical organization included into the system of medical insurance to satisfy needs of the insured as much as possible. The major value has the development of forms and methods of evaluation of effectiveness of medical sociological monitoring to make possible to change the indicators of functioning of the system of mandatory medical insurance and public health on the whole. In actual conditions the system of mandatory medical insurance is a reliable guarantor of free medical care providing social protection of all categories of citizen. The social effect of activities of the Moscow territorial fund of mandatory medical insurance is in organization of protection of rights and interests of the insured.

The sociology ofmedicine is one the most dynamically developing discipline of medical biologic scientific cluster. The accumulation of factual data supports the development of new technique approaches to its statistical processing. The actual study analyzes the structured indicators which never considered as independent characteristics of medical sociologic occurrences before. By the example of groups of women of reproductive age with different level of gynecologic health is demonstrated that data concerning common morbidity, value field or communicative environment can support large-scale modeling of complicated medical social occurrences. The proposed technique of transformation of attributive (qualitative) characteristics into quantitative (dimensional) characteristics makes it possible to broaden possibilities of sociology of medicine as an instrument of cognition of medical social reality.

The evaluation of negative component of post-professional adaptation in ex-sportsmen was carried out. The dependence of sociologic factors of deadaptation from gender characteristics was established. The reliably higher rate of frequency of manifestation of deadaptation disorders of medical social nature in male ex-sportsmen was established as compared with women ceased regular training and competition loads. The social predictors of deadaptation in early postprofessional period in male ex-sportsmen were established.

The article presents the results of medical sociologic survey of organizational culture of two children polyclinics - state budget institutions of Moscow health department of the Southern administrative okrug. The data results demonstrate that state budget health sector is characterized by the organizations of organic and bureaucratic types with high degree of regulation and control, tight integration and distinct hierarchic levels. The effectiveness of strategy of management of medical organization is conditioned by both professional and personal qualities of personnel and paternalistic position of top manager taken with attention centered on the processes of re-engineering and development of rational infrastructure of organization.

The Ural state pedagogic university, 620144 Yekaterinburg, Russia The propagation of global net technologies inputs drastic alterations into all areas of society life. The article deals with effect of Internet informational field on transformation of medicine and public health system. The new for national science notion of "cyberspace" is analyzed. G. Eisenbach defines cybermedicine as a new area of knowledge originated on intersection of informatics and public health. Within its framework, the main attention is paid to application of Internet and global net technologies in medicine and public health. The article analyzes the possibilities and limitations of application of Internet resources in medical activities from point of view of both physician and patient. The results of study among administrators of curative preventive institutions of Yekaterinburg provided the clarification of issues of informatization of national public health care system.

The characteristics of social self-feeling of patients with diabetes mellitus are analyzed within the framework of medical social discourse. The determinants of social self-feeling under diabetes mellitus are determined. The social self-feeling is considered as an indicator of attitude to therapy in the context of its value normative specificity.

The assessment of activity of service of insurance representatives organized within the framework of functioning of medical insurance organizations of St. Petersburg proved its high effectiveness. The analysis of structure of causes of addressing of citizen to insurance representatives demonstrated that more often patients have complaints about unsatisfactory conditions of medical care provision re lated to poor organization of hospital functioning. The second cause is to receive counseling support related to issues of mandatory medical insurance. The questionnaire survey of 5542 patients was carried out. The results demonstrated that in spite of availability of policy of mandatory medical insurance 23% of patients were obliged to use personal funds to pay hospital treatment. The content of service of insurance representatives has no need in special financial costs and requires further development and enhancement.