Bioethics of the ethnos has meanings that reflect the history and culture of a particular people. At the same time, the ethnos in its existence realizes the general bioethical principles and norms that integrate into ethnic bioethics. The ratio of these modifications of bioethics can ensure the self-preserving behavior of the ethnos and help maintain the genetic diversity of mankind. The assessment and standards in modern bioethics cannot be exactly the same for all countries and peoples; they must match the ethnic age of this particular ethnic group. Thus, scientificallyinvariant biomedical ethics always functionally acts as a cultural reflection of the national model of medicine. On the other hand, the normative bioethical regulation allows adapting the National standards of medicine as a cultural complex to international requirements. The article shows the options for the ethical support of various ethnic parameters in medicine.
The Round table on the topic "Geography of medical tourism: problems and prospects" was held in the editorial office of the journal "Bioethics" (on March 28, 2019) with the support of the Volgograd state medical University and the Volgograd medical research center. It was attended by scientists of the VSMU and VNC, foreign experts in the field of medical tourism, representatives of Russian clinics included in the activities for the development of medical tourism. two fundamentally opposite approaches in assessing the experience of the development of medical tourism in different ethno-cultural environments were noted during the discussion. One approach involves the active participation of the state in this process, the other absolutes the role of private medicine. We are mainly interested in ethical arguments in this dispute.
The subject of the study is the main and background institutional factors of medical tourism. It is proved that the background factors are, among other things, a complex of ethno-cultural components, the inclusion of which in the practice of the phenomenon can significantly increase the attractiveness of the host territory. Special attention is paid to such a factor as the ethno-cultural preparation of a medical tourist to stay in a different environment in terms of social interaction. The importance of the proposed approach in all types and forms of medical tourism is emphasized: health/medical, inbound, outbound, domestic (taking into account the polyethnicity of our country). The conducted sociological measurements (focus group discussions, mass survey) showed that such work with patients is not carried out. Health and wellness practices include the interaction of two social groups – the patient and the medical staff. In the case of medical tourism, the second of the groups is differentiated into two subgroups – medical personnel and specialists of the tourism industry. It is established that there is no unified scheme for ensuring the process at the level of collegial interaction of these two subgroups at all. The novelty of the research consists in actualizing this contradiction and substantiating the expediency of ethno-cultural preparation of a medical tourist to stay in a different environment in terms of social interaction in the context of multiculturalism. The author of the article comes to the conclusion that it is necessary to create an expert formation at the regional level, which could ensure the complexity of the interaction of both subgroups on the basis of public-private partnership and achieve a more capacious inclusion of the ethnocultural potential of the territory in the medical product. This poses the task of additional training of tourist specialists specifically for medical tourism - to work with patients in the direction of familiarizing them with the ethnocultural features of the receiving locus and with variants of models of interaction between a doctor and a patient.
The theme of the paper is defined by the relevance and insufficient scientific elaboration of the concept of dental tourism in Russia on the basis of deep, comprehensive and conceptually oriented research. The article presents the analytical review of foreign literature in the field of dental tourism. The authors consider various approaches to the definition of the conceptof dental tourism. Scientific developments which are devoted to the dental tourism have not been conducted in our country yet. Mainly, the scientific developments in the sphere of dental tourism are conducted for advertising purposes. The authors points to the possibility and necessity of this study within the framework of sociology of medicine which has the methodological and operational basis for achieving the planned result.
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