[The competence in health issues of population of circumpolar region of the Russian Federation].

The health literacy of citizen is determined by a set of demographic and social factors. The deficiency of health literacy of population in the Russian Arctic Zone conditions delay in indicators characterizing population health from their all-Russian values and menaces ability to achieve the targets of the National Strategy of Development of Russian Arctic Zone and Ensuring National Security up to 2035.The purpose of the study is to assess level of health literacy of patients and healthy population residing in circumpolar territories of Russia (Arkhangelsk Oblast).The level of general health literacy in the subgroups of respondents varied in narrow range of 26.9-36.3 points. The most significant difference was established between scores of interactive health literacy (Δ = 4.1 points) and critical health literacy (Δ = 3.4 points), which were higher in group of healthy respondents. The predictors of level of general health literacy are clinical status (value of dependent variables in healthy respondents was on average higher on 0.75-1.73 points), self-assessment of one's positioning in society (every additional point increases average level of general health literacy by 0.47-0.79 points) and age (every additional year of life reduces level of general health literacy by 0.08 - 0.09 points). The results of the study indicate on dependency between clinical status and the level of health literacy, determine social characteristics of risk group with low health literacy as object of additional preventive measures directed at citizen residing in in circumpolar terrotories of The Russian Federation.

[SATISFACTION OF THE RESIDENTS OF THE CIRCUMPOLAR REGION WITH THE STATE HEALTHCARE SYSTEM, DEPENDING ON THE LEVEL OF THEIR HEALTH LITERACY].

Regions of Arctic Zone and Far North of Russia have a weak social infrastructure, including regional segments of the state healthcare system. The study of citizens satisfaction with the healthcare system is one of the leading methods for assessing its effectiveness. Citizens satisfaction may be distorted by their health literacy (HL). Half of the 'healthy' citizens (51.1%) had an excellent or sufficient level of general GVH; 2/3 of the patients of medical organizations (70.4%) had an insufficient or problematic level of general HL. The level of citizens` satisfaction with domestic healthcare is determined by their clinical status - it is higher in the group of patients (60.1%) than in the group of 'healthy' people (31.0%). Patients evaluate it more loyally in comparison with health people. Respondents with an insufficient HL evaluate the health care system less loyally. The high level of HL allows patients to assess the results of the work of the domestic health care system more objectively in comparison with healthy citizens. The aim of this study is to assess the satisfaction of the residents of the circumpolar region of Russia (the Arkhangelsk Oblast) with the regional segment of the State Healthcare System, depending on the level of their HL.

[Predictors of the patients' satisfaction with the quality of hospital-based medical care].

The paper reports results of sociological analysis of satisfaction of the patients with the medical care provided in in-patient facilities of Arkhangelsk and Vologda regions and Komi Republic. The authors distinguish three groups of factors (professional, organizational, informational) that determine the patients' content with the quality of medical services. The study revealed the generally low level of patients' satisfaction estimated based on selected criteria for medical aid and services.

[The information awareness of physicians about legal foundations of medical activities].

The article deals with the results of analysis of physicians' information awareness about legal foundations of medical activities. The study included the sample of 918 medical workers (229 clinical interns and 689 physicians). To evaluate the readiness of medical stuff to inform the patients about their rights and duties during medical care provision and the implementation of these rights the indicator of relative number of right answers to the questions of test questionnaire was applied. This technique was used to measure the quality of legal background of medical workers. The inadequate average level of legal knowledge of physicians is revealed. It is demonstrated that the fullness of physicians' legal knowledge depends on labor experience, qualification and medical specialty. The need to revise the education programs on medical legal subject is substantiated. The necessity to record the test results at the physicians' certification is emphasized.

[The organization of defense of patients rights in the system of mandatory medical insurance].

The transition of Russian economy to the market relationship demanded the corresponding alterations in the organization of the population social defence system. The mandatory medical insurance is one of its important components. On the basis of data of the monitoring of defence of rights of insured in the system of mandatory medical insurance in Arkhangelskaya Oblast from 1998 to 2006 a significant increase of complaints of citizen was established. Among major reasons--unlawful actions of medical personnel during execution of their professional duties. It gives evidence of increased legal competence of population. The characteristic of complaints of insured is given according type, reasons and financial consequences for public health institutions. The main factors promoting the optimization of actual system of defense of right of insured citizen are considered.