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Artigo em Russo | MEDLINE | ID: mdl-31884764


The Internet and social media are becoming an influential source of information regarding health care issues, including vaccination. The profound analysis of the Russian Internet discourse on vaccination demonstrated that nowadays there is no clear-cut understanding of adequate strategy concerning informational policy in this direction. The article defines the principles of information policy for pro-vaccine attitudes spreading on the Internet. METHODS: The sampling consisted of the Muscovites Internet messages containing the keywords 'vaccine' and 'vaccinations' and their derivatives. The analyzed period of data export is the first quarter of 2019. The size of uploading was 19948 messages, the random sample of 800 messages and 280 images was taken. Veterinary and spam messages were excluded. RESULTS: The topic of vaccines in our sample is discussed more frequently by women (72%). The average age of participants is 35. The algorithms of vaccination, complications, and necessity of vaccines are the most frequently discussed issues. In our sample pro and contra vaccines messages are of equal percentage (42% and 41% respectively) and there are 17% of those who are in doubt. The key argument for contra vaccines is post-vaccination complications. The visual propaganda of vaccine supporters is aimed at the ideas of common good, rationality, scientific knowledge, they are using lots of humor, and it usually requires the context awareness. The opponents apply more personal and emotional approach. their values are family and personal experience, common sense. Their approach is more appealing to the 'common' reader. CONCLUSION: The article describes strategies for argumentation and pro and contra vaccine propaganda on the Internet. The research offers its results to the segment users concerning their rational and emotional reactions. The work strategy with each group is proposed.

Conhecimentos, Atitudes e Prática em Saúde , Internet , Vacinação , Vacinas , Emoções , Feminino , Humanos , Federação Russa
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 27(Special Issue): 552-558, 2019 Aug.
Artigo em Russo | MEDLINE | ID: mdl-31747146


Staffing problems (including staff shortage) in nursing reveal the connection with the stereotypical perception of the profession. The study of stereotypes was limited to Moscow healthcare and was based on downloading messages from social media (31,613 posts), the relevance of their study is determined by the growth of social media influence on public opinion. 24% of messages about nurses in the sample contain "large" stereotypical images (excluding spam). It was studied four "large" stereotypical images of a nurse: "guardian angel", "doctor's assistant", "authoritarian nurse" and "sensual nurse", and each one has negative aspects. Authors considered the specific perception of each of the images in social media. The remaining 76% of messages do not offer an alternative image of a nurse. The conclusion offers recommendations aimed at increasing the prestige of the profession: creating a new positive image of the profession, promoting it, encouraging nurses to join public space and increasing their autonomy.

Enfermeiras e Enfermeiros , Opinião Pública , Mídias Sociais , Estereotipagem , Humanos , Moscou
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 27(Special Issue): 578-586, 2019 Aug.
Artigo em Russo | MEDLINE | ID: mdl-31747149


Authors considered the issue of regulatory support for dynamic control methodology concerning the performance efficiency of a head (head physician) of the medical organization of Moscow healthcare system. The regulatory framework for assessing the performance of managers in the public healthcare management system is described. The indicators for assessing the execution effectiveness of the state program "Development of Healthcare in the Russian Federation" and Moscow program "Development of Healthcare in Moscow (Capital Health)" are given. Authors analyzed recommendations of the federal executive authorities on the development of performance indicators of social organizations, as well as experience of their implementation by the constituent entities of the Russian Federation. Proposals to improve the system for assessing performance efficiency of head managers of medical organizations were developed.

Assistência à Saúde , Médicos , Humanos , Moscou , Federação Russa
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 27(Special Issue): 704-709, 2019 Aug.
Artigo em Russo | MEDLINE | ID: mdl-31747165


The key role in healthy lifestyle (HLS) formation among the population belongs to medical specialists, who possess reliable scientific knowledge in this field. The effectiveness of spreading healthy living message is connected with organizational conditions: principles of segmentation and patient routing, role of non-physician staff, development of remote forms of work and staff training system. Much attention is given to healthy living attitudes among medical specialists. According to the conducted sociological study and review of foreign and national experience, the authors present practical recommendations which include organizational changes aimed at greater effectiveness of HLS promotion by healthcare professionals.

Pessoal de Saúde , Estilo de Vida Saudável , Humanos
Artigo em Russo | MEDLINE | ID: mdl-31465649


The Moscow residents are prone to lead a healthy lifestyle (29% follow most principles of a healthy lifestyle and 56% follow some of them). During the study six main aspects of a healthy lifestyle were selected and described in detail from the perspective of Muscovites' self-assessment. Factor analysis revealed two types of behavior that characterize attitudes toward a healthy lifestyle by Muscovites: an "active healthy lifestyle" (nutrition, physical activity, work and rest regime) and a "passive healthy lifestyle" (attitudes towards smoking and alcohol). The mental health factor was examined separately. Statistical analysis of the data showed that the respondents well-being is primarily related to sport and ability to cope with stress (p<0,001). The study also identified risk groups for each aspect of a healthy lifestyle based on differences in the main socio-demographic characteristics. Additionally, the aspect of rational medical behavior was analyzed. The analysis showed that not enough attention is paid to this aspect. The results of the study can be considered in developing priority directions of work in the field of the formation of a healthy lifestyle. The specificity of the approach taken in this study is that recommendations are based on determining the main aspects of a healthy lifestyle and their interrelation, as well as discovering risk groups for each of them and their connection to health self-assessment.

Estilo de Vida Saudável , Atitude , Exercício , Comportamentos Relacionados com a Saúde , Humanos , Estilo de Vida , Moscou , Fumar