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dc.contributor.authorLeonavičius, Vylius-
dc.contributor.authorBaltrušaitytė, Giedrė-
dc.contributor.authorNaujokaitė, Ingrida-
dc.contributor.authorRaila, Gediminas-
dc.contributor.authorValius, Leonas-
dc.description.abstractPirminės sveikatos priežiūros sistemos pacientai skundžiasi negalavimais, kurie nepaaiškinami organine patologija. Sudėtinga diagnostika, reikalaujanti daugybės įvairių tyrimų, menkos negalavimų palengvinimo ar šalinimo prognozės lemia įvairias sveikatos priežiūros sistemos problemas. Pacientai, kurie skundžiasi mediciniškai nepaaiškinamais negalavimais, dažnai yra laikomi ekonomine našta sveikatos priežiūros sistemai, taip pat jie mažina mediko profesijos autoritetą, nes, esant problemiškai diagnozei, sunkiau skirti gydymą. Šio straipsnio tikslas – remiantis pirminės sveikatos priežiūros sistemos vadovų interviu aptarti, kaip mediciniškai nepaaiškinami negalavimai traktuojami pirminės sveikatos priežiūros sistemoje. Straipsnyje vadovaujamasi prielaida, kad pirminės sveikatos priežiūros vadovai, anot R. Collinso, labiau tapatinasi su institucija, ją reprezentuoja ir atstovauja institucijos interesams. Pirminės sveikatos priežiūros sistemos vadovų interviu patvirtino šias prielaidaslt
dc.description.abstractIn the primary health care system (PHCS) there are illnesses unrelated to any organic pathology. They are described as medically unexplained illnesses (MUI). The debatable origin of the symptoms raises a number of questions for PHCS. Difficult diagnosis requiring a large number of various tests. Patients complaining of medically unexplained illnesses are considered to be an economic burden to the health care system and undermine the image of the medical profession. The article discusses the interest of the PHCS from the point of MUI. The analysis is grounded on the data of interview with directors of primary health care institutions (policlinics). According to R. Collins, the managers of very high positions of the hierarchical systems identify themselves with the system. They identify their interests with the interests of the system. It means that from the point of the MUI the directors are in a very controversial position. On one hand, they are inclined to maintain the biomedical conception of disease. This conception allows to define a very strict line between the biomedical reasons of diseases and speculations about diseases. In this case they prefer a clearer diagnosis because it improves the image of a PHC institution and doctors. On the other hand, the MUI serves as a very easy way to get more money from the National Health Insurance Fund. Every PHC institution have second-level-specialists and get money for each consultation of a specialist. The institutions’ interest is to direct more patients from the first level to the second level and get more moneyen
dc.description.sponsorshipLietuvos sveikatos mokslų universitetas-
dc.description.sponsorshipSocialinių mokslų fakultetas-
dc.description.sponsorshipSociologijos katedra-
dc.description.sponsorshipVytauto Didžiojo universitetas-
dc.format.extentp. 65-80-
dc.relation.ispartofKultūra ir visuomenė : socialinių tyrimų žurnalas = Culture and society : journal of social research. Kaunas : Vytauto Didžiojo universiteto leidykla, 2013, nr. 4(1)-
dc.rightsSutarties data 2010-07-08, nr. A1005, laisvai prieinamas internetelt_LT
dc.subjectPirminės sveikatos priežiūros sistemalt
dc.subjectInstitucijų vadovailt
dc.subjectSveikatos sampratos tipologijalt
dc.subjectMediciniškai nepaaiškinami negalavimailt
dc.subjectPrimary health careen
dc.subjectTypology of health conceptionen
dc.subjectManagers of health institutionsen
dc.subjectMedically unexplained illnessesen
dc.subject.otherSociologija / Sociology (S005)-
dc.titleMediciniškai nepaaiškinami negalavimai pirminės sveikatos priežiūros sistemos vadovų požiūriult
dc.title.alternativeMedically unexplained illnesses from the point of view of primary health care system’s interestsen
dc.typeStraipsnis kitose duomenų bazėse / Article in other databases (S4)-
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Appears in Collections:Kultūra ir visuomenė: socialinių tyrimų žurnalas 2013, nr. 4(1)
Universiteto mokslo publikacijos / University Research Publications
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