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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.



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