That confirmation / refutation of ...

This confirmation / refutation of these assumptions was sent to our investigation on the modern relationship between doctor and patient. The aim of the study was to obtain some comparative characteristics of patients and health professionals to issues of economic (market) relationships in medicine. The database included a field study participants territorial mandatory health insurance (MHI) of the central region, Vladimir region, which includes three medical insurance organization (SMO) and 77 health care facilities (HCF). Policyholders are 26 administrations of cities and districts of Vladimir Region, 43,753 organizations of all forms of ownership. The number of the insured population of Vladimir region of 01.01.2000 amounted to 1,275,107 people. In the process of scientific research, the following activities: a technique for the research program, outlines a framework of research, define and justify the amount of sample population, recommendations for organizing the collection of information, developed tools for studying the views of respondents used a system of computer information technologies for processing and analysis of collected information. Assessment of current relations between the patient and the doctor performed on a specially designed and pre-tested questionnaires. The questionnaire contains 17 subjective judgments and direct each of which respondents are asked to agree to disagree or express difficulty in answering. The survey involved physicians and nurses (271 persons), as well as patients of hospitals and outpatient clinics (312 people). Separate data results of the study are consistent with the program of social monitoring system OMS Vladimir Region (AL Lindenbraten et al., 1999) and studies of some ethical and legal challenges physician-patient relationship in the Republic of Tatarstan (L. Sh Zyyatdinov, 2000) etc. In analyzing the data obtained by questionnaires in different hospitals and among patients, there was no significant difference in respondents' answers. Changing the essence of the relationship between doctor and patient that had occurred over the past 10-15 years in the health care system say 62% of patients and 71% of health workers. The questionnaire was asked to detail the changing relationship: "The prevailing there in the modern relationship between doctor and patient (his family), economic considerations?". With this statement turned out to agree more than 2 thirds of the patients (74%) and more than half of physicians (59%). More than a third of physicians (37%) disagreed with this statement. Dissent among patients was only 12% less than the share of doubters (14%). Among the doctors found it difficult to give an unequivocal answer to this proposition 8%. In order to confirm the views of the change / not change the relationship between doctor and patient asked to describe the proposition: "The economic relationship has always prevailed in the relationship between doctor and patient."