新冠肺炎疫情对医患社会交往的影响

Eremina M.V., Donika A.D.
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引用次数: 1

摘要

摘要新型冠状病毒感染的传播导致了前所未有的紧急情况,这一现代现实对社会机构,尤其是医疗保健构成了挑战,这不能不影响到医生与患者的社交互动。目的是确定大流行中医生和病人之间社会互动的特征。对问题领域的基本和现代工作进行了回顾。这项工作的经验基础是使用谷歌表格进行的社会学调查(N=420)和来自“红色区域”的医生焦点小组(N=7)的材料。根据获得的数据,大多数“红色区域”的受访医生认为家长式的与患者的关系模式对于这些情况是最佳的:86.7% (p 0.5)。此外,调查结果还可以对医生的个人素质进行排名,他们认为这些医生在大流行期间最需要工作。“耐心”(79.8%)、“人性”(78.7%)和“尽责”(82.4%)在选择的答案中名列前茅;其次是同情心(56.8%)、责任感(66.5%)和反应性(53.4%);排在第三位的是责任(52.2%)、正义感(44.5%)和“正派”(41.3%)。2019冠状病毒病大流行显示出适应发病率变化的国家特点。在俄罗斯,社会对专业医生群体的态度发生了变化,这导致了家长式模式的回归。老年患者的脆弱性也促进了这一点,对他们的家长式作风的期望更具特征,包括对苏联医生形象的怀旧表现,部分原因是全球数字化背景下的数字不平等。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
THE COVID-19 PANDEMIC INFLUENCE ON DOCTOR AND PATIENT SOCIAL INTERACTION
Abstract. The modern realities of an unprecedented emergency situation caused by the spread of a new coronavirus infection have become a challenge to social institutions and, above all, healthcare, which could not but affect the social interaction of a doctor with patients. Aim is to identify the features of social interaction between a doctor and a patient in a pandemic. A review of fundamental and modern works in the problem field is carried out. The empirical basis of the work was the materials of a sociological survey using Google forms (N=420) and a focus group with doctors from the "red zone" (N=7). According to the data obtained, the majority of the interviewed doctors of the “red zone” consider the paternalistic model of relationship with the patient to be optimal for these conditions: it was noted by 86.7% (p<0.05 with the number of other answers). District therapists rated the paternalistic and partner models approximately equally (56.7% and 38.8%, respectively, p > 0.5). Moreover, the results of the survey made it possible to rank the personal qualities of doctors who, in their opinion, were most in demand to work in a pandemic. Patience (79.8%), "humanity" (78.7%) and conscientiousness (82.4%) ranked first in the number of selected answers; in second place are compassion (56.8%), a sense of duty (66.5%) and responsiveness (53.4%); in third place - responsibility (52.2%), a sense of justice (44.5%), "decency" (41.3%). The COVID-19 pandemic has shown national specific features of adaptation to changing waves of morbidity. In Russia, there has been a change in the attitude of society towards the professional group of doctors, which has led to the return of the paternalistic model. This was also facilitated by the vulnerability of patients in the older age group of the population, for which the expectations of paternalism are more characteristic, including as a manifestation of nostalgia for the image of a Soviet doctor and partly as a result of digital inequality against the backdrop of global digitalization.
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