Sgibneva O.I., Boboshko A.A. Social Problems of Healthcare in the Mirror of Sociology (Expert Assessment)
DOI: https://doi.org/10.15688/lp.jvolsu.2024.2.18
Olga I. Sgibneva
Doctor of Sciences (Philosophy), Professor, Department of Sociology and Political Science, Volgograd State University
Prosp. Universitetsky, 100, 400062 Volgograd, Russian Federation
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https://orcid.org/0000-0001-6397-6148
Artem A. Boboshko
Postgraduate Student, Department of Sociology and Political Science, Volgograd State University
Prosp. Universitetsky, 100, 400062 Volgograd, Russian Federation
Chief
Physician, OOO Clinic of Rehabilitation Dentistry (LLC)
Letchikov St, 6, 299011 Sevastopol, Russian Federation
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https://orcid.org/0000-0001-6990-7282
Abstract. The article presents the results of a sociological study conducted in Crimea and Sevastopol in 2023. The purpose of the study was to identify expert opinions on the process of transformation of healthcare in the Republic of Crimea and Sevastopol after joining the Russian Federation and its assessment by medical personnel in terms of providing high-quality medical care to the population and improving the working conditions of doctors. The semi-structured interview method was used. The study involved 15 experts corresponding to the target sample: medical workers with higher education (doctors) of state budgetary institutions of Crimea and Sevastopol with work experience from 10 to 30 years, with experience in the Ukrainian period up to 2014. Experts noted positive changes in healthcare after 2014 related to the introduction of insurance medicine and the expansion of the range of medical institutions, but the accumulated problems cannot be solved quickly. Administrative reforms and strengthening of the material and technical base still do not solve the semantic problems of healthcare related to mutual understanding between a doctor and a patient, joint participation in the fight against diseases. Key figures in the development of healthcare are doctors; their qualifications, their professionalism, and therefore their working conditions are important, including economic, psychological, organizational, and their confidence in the future. None of the experts pointed to an increase in living standards or noted clear prospects for professional development in the interview. The understanding of medical care as a "service" reduces the status of a doctor and deprives the profession of the inner meaning of serving people. The study made it possible to identify those pain points of modern Russian healthcare that affect the decrease in the effectiveness of doctors and inhibit the development of doctor-patient partnerships in the treatment process.
Key words: healthcare, health, expert interview method, interpersonal communication, social status, quality of life, social risks.
Citation. Sgibneva O.I., Boboshko A.A. Social Problems of Healthcare in the Mirror of Sociology (Expert Assessment). Logos et Praxis, 2024, vol. 23, no. 2, pp. 178-187. (in Russian). DOI: https://doi.org/10.15688/lp.jvolsu.2024.2.18
Social Problems of Healthcare in the Mirror of Sociology (Expert Assessment) by Sgibneva O.I., Boboshko A.A. is licensed under Creative Commons Attribution 4.0 International 
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