[The impact of social deadaptation on rural population health in the Novosibirsk oblast].

The sociological survey was organized for developing of organization of medical care to socially deadapted patients in rural territories. The sampling consisted of 156 district therapists of central district hospitals of the Novosibirskaia oblast providing primary medical care at out-patient stage. The females consisted 83.3%, males 16.7°%, average age of respondents made up to 43 years. The carrier experience made up to 19 years in average. It is established that in 57.1% of cases patients indicated social factors as a cause of development of disease. At that, 82.7°% of physicians are confident that activities concerning social adaptation of socially deadapted patients will ameliorate quality of provided medical care. The most of respondents (64.15) indicate the need in activities concerning social adaptation of such patients. The most of physicians (67.2%) mention that activities of adaptation of socially deadapted patients are to involve clinical psychologists and psychotherapists and 31.7°% consider that it is necessary to involve social workers. The organization of rehabilitation activities of social adaptation for this type of contingent is to be intersectoral with participation of medical and social workers.

[The opinions of district physicians-therapists concerning expedience of distant counseling of patients at the ambulatory level].

The sociological survey of 91 district physician-therapists was carried out to evaluate degree of implementation by patients of prescribed treatment. At the same time, most of the respondents assume that untimely decision of issues appeared in patients during treatment process decrease effectiveness of prescribed treatment. Besides, these issues very often can be resolved using Internet. The remote counseling, as an element of system of medical information support in out-patient medical organization is a method of development of organization of ambulatory care of population.

[The expert evaluation of enhancement of organization of functioning of territorial polyclinic].

The planning of optimizing activities of out-patient service is appropriate to carry out examination of opinions of administrators of ambulatory medical organizations. The expertise of 70 head physicians and their deputies of treatment activities of ambulatory medical organizations of Novosibirsk determined directions of optimization of functioning of territorial polyclinic. The applied activities resulted in decreasing of indicators of period of visiting, and level of social deadaptation of patients. The number of treated patients increased both in polyclinic and day-stay hospital. The average duration of treatment in day-stay hospital and numbers of calls of emergency care ambulance on the territory ofpolyclinic attendance decreased