About this Journal Publication ethics Editorial Board Editorial Council Editorial Office For the Authors Contacts

News feeds

Journal in Databases

eLIBRARY.RU - ═└ËÎ═└▀ Ţ╦┼╩Ďđ╬══└▀ ┴╚┴╦╚╬Ď┼╩└

Google Scholar

Google Scholar

For authors' attention

Publication is free of charge

In aims to provide interconnection of publications in international scientific journals using Digital Object Identification - DOI, our editorial office incorporated the journal "Social aspects of population health" into international reference system CrossRef.

Since 2016 DOI will be assigned to all scientific articles published in our journal free of charge.

Also DOI will be assigned to all articles published in 2014 and 2015 free of charge as well
Main arrow Archive of previous Issues arrow ╣4 2011 (20) arrow Medical-sociological approach to analysis of consumption of medical services: main propositions
Medical-sociological approach to analysis of consumption of medical services: main propositions Print
Saturday, 03 December 2011

Svetlichnaya T. G., Tsyganova O. A., Borchaninova E.L.
Northern State Medical University, Archangelsk

Summary. Consumption of medical services as a medical-sociological problem was studied by western sociologists during the whole 20-th century. The study subject was development of methodological approaches to analysis of medical services consumption. So far, the significant research and practical experience on many problems of medical services consumption has been accumulated: models of behavior of healthy and sick persons have been developed, a systemic classification of interrelations between doctors and patients has been created, there has been organized control of medical services delivery taking into account population satisfaction with quality of medical services etc.

The study goal was to summarize and systematize current methodological approaches to the study of consumption behavior at the market of medical services and to ground expedience of their application in practice of the Russian healthcare. In the article, results of a comparative analysis of scientific studies on the problem of medical services consumption have been given. Studies by 28 national and 55 foreign authors dedicated to the studied topic have been analyzed. There has been considered the content of the main theoretical-conceptual approaches developed by foreign researches for studying consumption behavior at the market of healthcare services on the basis of the structural-functional analysis of healthcare system activities by T. Parsons. A description of the main theoretical models applied in the studies concerning problems of production and consumption of medical services has been given: the Health Belief Model and the Social Behavioral Model describing sick persons behavior and their access to medical care.

The conducted comparative analysis of methodological and methodical approaches to studying of consumption behavior at the market of medical services as an interdisciplinary problem has shown the necessity of use of theoretical-conceptual constructions of medical sociology. However in our country, there is practically no continuous systematic study of medical services consumption behavior. As consequence of the forming practice of theoretical grounding of methodical empiric studies, the studies are conducted in many directions what is not reasonable. The least understood is the effect of medical services providerĺs characteristics on volumes and kinds of consumed medical care, as well the effects of consumersĺ reference to the healthcare system. Further conceptualization of the problem of interrelations between patients and providers claims special scientific attention. Poorly known are the issues of understanding influence of financial mechanisms changes in healthcare on medical services consumption behavior as well as social and medical effects obtained as a consequence of such influence.

Key words. Consumption of medical services; Health Belief Model; Behavioral Model.



  1. Alekseyev V.A. Vartanyan F.Ye., Shurandina I.S. Otsenka sistem zdravookhraneniya s pozitsiy Vsemirnoy organizatsii zdravookhraneniya [Assessment of health care systems from WHO positions]. Zdravookhraneniye 2009;(11):57-67.
  2. Barmina T.V. Kultura potrebleniya meditsinskikh uslug v sovremennom rossiyskom obshchestve [Culture in health service consumption in the present day Russian society]: [PhD. Thesis]. Volgograd; 2009. 23 p.
  3. Glembitskaya O.V. Farmakoekonomicheskoye obosnovaniye vybora obuchayushchikh metodik dlya bolnykh bronkhialnoy astmoy [Pharmacological and economical foundations for selection of training methodics for bronchial asthma patients]: [PhD. Thesis]. Volgograd; 2009. 27 p.
  4. Kucherenko V.Z., Kravchenko N.A., Ragozin A.V. Krizis zdravookhraneniya - dialektika resheniy: ot źbiznesa na boleznyakh╗ i źmeditsinskogo kommunizma╗ k rentabelnoy ekonomike obshchestvennogo zdorovya [Crisis of health care ľ dialectics of decisions: from źbusiness based on diseases╗ and źhealth communism╗ to efficient public health care economy]. Ekonomika zdravookhraneniya 2010;(3):5−15.
  5. Makintayr R. Sotsialnaya politika v stranakh s perekhodnoy ekonomikoy v aspekte razvitiya chelovecheskikh resursov [Social policy in countries in transition in the aspect of human resource development]. Problemy prognozirovaniya 2002;(2):142.
  6. Martinson Zh.S. Istoriya, osnovnyye problemy i perspektivy razvitiya sotsiologii meditsiny v USA [History, main problems and prospects for development of health sociology in the USA] [PhD. Dissertation]. Volgograd; 2006. 154 p.
  7. Panova L.V., Rusinova N.L. Dostup k uslugam zdravookhraneniya: metodologicheskiye podkhody i metody izmereniya [Access to health care service: methodological approaches and measurement methods]. Zhurnal sotsiologii i sotsialnoy antropologii 2002;(4):147−163.
  8. Reshetnikov A.V., Yefimenko S.A. Sotsiologiya patsiyenta [Sociology of a patient]. Moscow: Zdorovye i obshchestvo; 2008. 304 p.
  9. Shishkin S.V., et al. Rossiyskoye zdravookhraneniye: oplata za nalichnyy raschet [Russian health care: payment in cash]. Nezavisimyy institut sotsialnoy politiki. Moscow: Izdat. dom GU VShE. 2004. 248 p.
  10. Sheyman I. M., Shishkin S.V. Rossiyskoye zdravookhraneniye: novyye vyzovy i novyye zadachi [Russian heath care: new challenges and new targets]. GlavVrach 2009;(7):10-32.
  11. Ulumbekova G.E. Zdravookhraneniye Rossii. Chto nado delat. Nauchnoye obosnovaniye źStrategii razvitiya zdravookhraneniya RF do 2020 goda╗. Kratkaya versiya [Health care of Russia. That is what should be done. Scientific foundation of źThe strategy for development of health care in the RF up to 2020╗. Brief version]. Moscow: GEOTAR-Media; 2010. 96 p.
  12. Aday L, Cornelius LJ. Designing and conducting health surveys: a comprehensive. 3-rd ed. San Francisco, Calif.: Jossey-Bass. 2006. 518 p.
  13. Andersen R. A behavioral model of families' use of health services. Chicago; 1968. 111 p.
  14. Baggett TP, O'Connell JJ, Singer DE, Rigotti NA. Unmet Health Care Needs of Homeless Adults: A National Study. Am. J. of Public Health 2010;100(7):1326−1333.
  15. Berger SM. What your doctor didnĺt learn in medical school. What you can do about it. N.Y. Morrow Cop., 1998. 336 p.
  16. Chen JY, Fox SA, Stockdale SE, Kagawa-Singer M, Cantrell C. Health disparities and prevention : Racial/ethnic barriers to flu vaccinations. J. of Community Health 2007;32(1):5−20.
  17. Fishbein M, Ajzen I. Belief, attitude, intention, and behavior: An introduction to theory and research. Reading, MA: Addison-Wesley. 1975. 578 p.
  18. Covey JA, Davies ADM. Are people unrealistically optimistic? It depends how you ask them. Brit. Journal of Health Psychology 2004;(9):39−49.
  19. Mechanic D. Social research in health and the American sociopolitical context: the changing fortunes of medical sociology. Soc. Sci. Med. 1993;36(2):95-102.
  20. Parsons T. Social Structure and dynamic process: The case of medical practice. Social System. N.Y., 1951. 376 p.
  21. Pescosolido B. Illness Careers and Network Ties: A Conceptual Model of Utilization and Compliance. Advances in Medical Sociology /G. Albrecht and J. Levy editors. Vol. 2. Greenwich, 1991. P. 161-185.
  22. Pescosolido BA, Kronenfeld JJ. Health, illness, and healing in an uncertain era: challenges from and for medical sociology. J. Health. Soc. Behav. 1995;35:5-33.
  23. Phillips KA, Morrison K R, Andersen R, Aday LA. Understanding the context of healthcare utilization: assessing environmental and provider-related variables in the behavioral model of utilization. Health Serv. Res. 1998;33(3):571-596.
  24. Rosenstock IM. Why people use health services. Milbank Mem. Fund. Q. 1966;44(3):94-127.
  25. Saltman RB. Patient choice and patient empowerment in northern European health systems: a conceptual framework. Int. J. Health Serv. 1994;24(2):201-229.
  26. Solomonoff R, Rapoport A. Connectivity of random nets. Bul. of matematical biophisics 1951;18:107−117.
  27. Waitzkin HB. The politics of medical encounters: how patients and doctors deal with social problems. New Haven: Yale University Press, 1991. 311 p.

Views: 14509

Be first to comment this article

Write Comment
  • Please keep the topic of messages relevant to the subject of the article.
  • Personal verbal attacks will be deleted.
  • Please don't use comments to plug your web site. Such material will be removed.
  • Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button.
  • Keep in mind that the above process only applies if you simply entered the wrong security code.

Code:* Code

Last Updated ( Thursday, 15 December 2011 )
< Prev   Next >
home contact search contact search