THE PHENOMENON OF SOCIAL (DIS)TRUST OF THE RUSSIAN SOCIETY IN THE INSTITUTE FOR HEALTH PROTECTION IN THE CONTEXT OF THE COVID-19 PANDEMIC: COGNITIVE ILLUSIONS AND METHODOLOGICAL PROBLEMS
N. A. Vyalykh
Southern Federal University, Rostov-on-Don, Russian Federation
Keywords: healthcare institute, COVID-19 pandemic, social trust, social distrust, Russian society, methodology of sociological research, medical care consumers
Abstract
The article reveals methodological guidelines of the scientific study of healthcare system as a space for the construction and reproduction of social trust/distrust in Russian society. It is investigated how the consequences of the COVID-19 pandemic, in terms of media rhetoric and health policy of the last decades, have affected trust in healthcare institute in Russia today. The cognitive limitation of the modern concepts is connected with the reduction of social trust to positive perceptions of health services and their external accessibility, although it should rather be about the result of influence of the social situation, culture as well as individual traits, social values, attitudes and self-preservation behavioral patterns. It is shown that there is methodological turn significance from quantitative sociological assessments of medical care consumers’ satisfaction to qualitative interpretive practices of different institutional agents’ activities that allow revealing the deep socio-economic, organizational, managerial and socio-cultural factors of distrust in the healthcare sphere. The author comes to conclusion that the polyparadigmality and multidisciplinary constitute the key conceptual advantage of sociological methodology, since social trust in healthcare is a complex and layered reality, with its own internal dynamics and structure.
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