Medicine and society: micro level of social interaction

This article examines the features of the interaction of social institutions of medicine and health care in modern Russian society at the micro level — within the social system “doctor — patient”. Sufficient space is given to a comparative analysis of traditional (paternalistic and collegial) and modern (informational and contractual) models of social relations between doctors and patients. Ne author highlights the factors under which the widespread use of information and contractual models in Russian realities contribute to the transformation of traditionally solidary social relations in the system under consideration into conflict ones.
The article, based on the original author’s sociological research, examines the features of the conflict confrontation between doctors and patients, identifies their specific differences from traditional social conflicts. On the one hand, the conflicts that unfold in the social system “doctor — patient” are precisely social conflicts, since the interaction in this system embraces both all representatives of the medical community and practically all members of society, each of which, one way or another, becomes patient. On the other hand, if the prerequisite and then the basis of the usual conflict interaction is the presence of a single indivisible object, then in the case of a social conflict in the “doctor — patient” system, health can hardly be considered “a single and indivisible object”. Health for the subjects of this conflict is indeed an important spiritual value, but much more often the conflict arises over the rights and obligations, as well as the distribution of power among the interacting parties.
Enough attention is paid to the analysis of the macro-, meso- and micro- causes of this conflict, as well as to the problem of the influence of the media on the genesis of this type of conflict relationship; tendencies that are especially characteristic in the relationship between the patient audience and the media in recent times are highlighted and revealed.

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