scholarly journals THE SOCIAL INSTITUTION OF MEDICINE. PART I

2018 ◽  
Vol 17 (1) ◽  
pp. 4-11
Author(s):  
A. V Reshetneykov

The concept of social institution correlates to period of becoming of sociology as a science and is related to classical works of O. Comte, E. Durkheim and G. Spencer. The institutional approach to studying society in classical interpretation includes five main social institutions ensuring stability of social system: family, state (politics), economics (manufacturing), education, religion. Nowadays, medicine is to be considered as an independent social institution and to proceed its investigation in the light of opening opportunities from positioning of sociology. The article minutely considers process of transformation of medicine into basic institution at the turn of XX-XXI centuries. At that it is emphasized that evolution process of institutionalization of medicine requires a new in-depth comprehension with regard to modern social transformational processes in the system of health protection. Simultaneously, an understanding is required concerning such fundamental aspects as changing situation in health care system, transformation of views of patient on process of medical care support and one's expectations from health care system, alterations of concepts of patient-physician relationships and re-arrangement of models of interaction of individual person with state, society, social institutions and groups.

2018 ◽  
Vol 17 (2) ◽  
pp. 68-79 ◽  
Author(s):  
A. M Reshetnikov

On the basis of the analysis of process of becoming (institutionalization) of social institute as a phenomenon the classical concept of five basic social institutes (family, education, religion, economic and political institutes) is broadened. The society in the course of its historical development forms new spectrum of needs hence the necessity in both reconsidering changes of functional tasks, limits, normative value and status role systems of social institutes in function and recognizing existence of new social institutes. At the modern stage, considering actual functional requirements of society, the social institute of medicine is a new social institute. The article considers process of transformation of medicine into independent social institute at the turn of XX-XXI centuries. At that it is noted that evolutionary process of institutionalization of medicine requires a new in-depth comprehension accounting actual social transforming processes in the health care system. Simultaneously, another comprehension is required related to altering situation in health care system itself, transformation of views of patient on process of rendering of medical care and expectations from health care system, alterations of concepts of patient-physician relationships, reorganization of models of interaction of a single individual with the state, society, social institutes and groups.


2017 ◽  
Vol 8 (1) ◽  
pp. 120-129 ◽  
Author(s):  
Svetlana L Akimova

The article presents data collected during the tour dedicated to the medical and social institutions of Finland about new solutions and Finnish innovations in medicine and the social sphere. The article describes the principles of the Finnish health care system, including the work of maternal and child welfare clinics, as well as common European approaches in geriatrics. Thе article describes the features of geriatric services in Finland. It reflects the role of the municipal social services to provide residents of barrier-free environment in their regions. The article presents the facts from the personal experience exploring the Finnish system of medical and social support to older generation focused on the application of the latest scientific developments. The article presents innovative products for comfortable living of older people, including a traveling exhibition of technologies for older people, specialized furniture and household items available in the functional building DoMedi and others. This article describes the function of public and private Finnish services and the Finnish Centre for Elderly, including a Finnish non-profit organization Valli. The article presents the features of a private home for the elderly “Wilhelmiina” in Helsinki and scientific developments behalf Miyna Sillanpää Foundation. The article describes the innovative products, created in the Health Innovation Village at the Finnish office of GE: vacuum therapy device for the treatment of edema, a portable device for the treatment of depression, a sensor for measuring the electrical activity of muscles. The paper presents the solutions offered by the Finnish university hospitals, including personalized medicine technology for patients with cancer, developed at the Institute of Molecular Medicine, University of Helsinki. The article describes the work of one of the divisions of the institute - Biobank. The article describes the general approach to reform the health care system in Finland.


PEDIATRICS ◽  
1996 ◽  
Vol 98 (3) ◽  
pp. 444-444

A health care system which neglects the poor and disenfranchised impoverishes the social order of which we are constituted. In a real (and not just hortatory) sense, a health care system is no better than the least well-served of its members.


2014 ◽  
pp. 32-35 ◽  
Author(s):  
Angela V. Flynn

Distinct and measurable health inequalities have been shown to persist in Ireland and these relate closely to the health system. The purpose of this research is to examine the previously taken for granted assumptions that exist in relation to Ireland’s health and welfare system so as to attempt to understand why it is that a deeply unequal health care system is tolerated. Specifically, this research considers the place of the social contract within the contemporary neoliberal order where it arguably has been replaced by a market contract. Furthermore, this study looks at the concept of solidarity in Ireland’s health and welfare systems. In order to do this it is necessary to adopt a historical perspective and to examine the context in which an unequal system of health care has emerged and has become established and normalised in Ireland. The intention is to interrogate evidence within Ireland’s health and welfare history ...


2021 ◽  
Vol 1 (1) ◽  
pp. 78-90
Author(s):  
Anna I. Mantarova

Since the beginning of 2020, the world has suddenly found itself in a unique situation - the spreading of the coronavirus has caused serious consequences in all areas and at all levels of society and required a radical change in peoples lives. The purpose of this article is, after presenting and analyzing the economic and social consequences of the spreading of COVID-19 and the measures taken by the government, to show that they have had an impact on all areas of the social system and that they will have a further reflection over time. The analysis used a sociological approach that interprets society as an integral system of interrelated and interdependent elements.The analysis showed that, especially in spring, instead of looking for options that balance safety and the ability to work, introducing fewer measures, but more carefully thought out, and strictly monitor their compliance, in fact, too many measures were taken. As the result, the control over their observance was weak. It is difficult to deny the lack of a systematic approach and thinking in perspective. The focus was exclusively on the results characterizing the spread of the coronavirus, ignoring the effects in other areas of public life, as well as in relation to diseases other than coronavirus. The epidemic highlighted problems and gaps in the countrys health care system and showed that there is a need to rethink the universality of market principles, whether they are applicable to health care system, and whether cost-effectiveness is the most important indicator for it, or the criteria for it effectiveness are different.


2012 ◽  
Vol 52 (187) ◽  
Author(s):  
A Magar ◽  
K Subba

Approximately 25-30% of the Nepalese population live below poverty line. Majority of them reside in a geographically inaccessible place while most of the health centers are focused in the urbanized cities of Nepal. Hence, they are deprived of quality health care at that level and need urgent attention by the concerned authorities. The government has not increased its human resource for health in the last two decades, while population has doubled up but the number of doctors serving in public sectors has remained the same as it was in 1990s. We have got 19 medical colleges at the moment. If one district is allocated to each medical colleges, it could help improve district health system at local level in Nepal. This can be accomplished by posting postgraduate resiendts in the peripheral district hospital as a part of their training and later encouraging them to serve for certain years. This could be a perfect example of government envisioned public private partnership in the country. This is a concept that has already been started in many parts of the world that can be moulded further to improve health service at peripheral part of the country. It is also the social accountability of the medical colleges for the development of the nation. Keywords: district health care system; medical education; social accountability.  


2020 ◽  
pp. 51-64
Author(s):  
Mykhailo KRUPKA ◽  
Iryna PRYIMAK ◽  
Bohdana VYSHYVANA

Introduction. Achieving public welfare is impossible without an effective social protection system, which combines pension insurance, social insurance, health care, as well as material support in difficult life situations. Low budget funding for social protection of population necessitates the use of insurance instruments to neutralize major social risks. However, the role of social and personal insurance in the financial provision of social protection remains insufficient, and its potential in improving the welfare of Ukrainians is underestimated. However, the role of social and personal insurance in the financial provision of social protection remains insufficient, and its potential in improving the welfare of Ukrainians is underestimated. The purpose is to define the role and outline the prospects for the development of social and personal insurance in the context of ensuring public welfare in Ukraine. Results. The essence and main components of social welfare are revealed. It was found that the level of well-being of Ukrainians is ten times lower than in European countries. There are the main negative factors which influence the social protection system defined, in particular: low income and rising expenditures of the Pension Fund of Ukraine and the Social Insurance Fund of Ukraine, the widespread practice of minimizing SSPs by refusing to enter into classic employment contracts in favor of civil agreements with individual entrepreneurs, reduction of the number of insured persons working for hire, high level of labor emigration of Ukrainians. The health care system impact on the growth of public welfare in Ukraine is analyzed. The inefficiency of the current financial support model of the health care system is substantiated, which makes it necessary for households to pay for most of the cost of medical services. Tendencies in the development of the domestic health insurance market are highlighted. Perspectives. It is proposed to revise the principles of building accumulative pension insurance and introduce a budget-insurance model of financing the health care system, which will help to improve the welfare of the population of Ukraine.


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