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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1573</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2024-32-6-1343-1349</article-id><article-categories><subj-group subj-group-type="heading"><subject>Неопределен</subject></subj-group></article-categories><title-group><article-title>On the issue of determining notions “medical malpractice”, “yatrogeny” and “defect of medical care”: &#13;
social legal aspects</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Liadova</surname><given-names>Anna Vasilijevna</given-names></name><email>annaslm@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Liadova</surname><given-names>Mariia Vasilijevna</given-names></name><email>mariadoc1@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff id="aff-1">The Federal State Budget Educational Institution of Higher Education The M. V. Lomonosov Moscow State University, 119991, Moscow, Russia</aff><aff id="aff-2">The Federal State Budget Educational Institution of Higher Education “N. I. Pirogov Russian National Research Medical University” of Minzdrav of Russia, 117997, Moscow, Russia</aff><pub-date date-type="epub" iso-8601-date="2024-12-09" publication-format="electronic"><day>09</day><month>12</month><year>2024</year></pub-date><volume>32</volume><issue>6</issue><history><pub-date date-type="received" iso-8601-date="2025-04-28"><day>28</day><month>04</month><year>2025</year></pub-date><pub-date date-type="accepted" iso-8601-date="2025-04-28"><day>28</day><month>04</month><year>2025</year></pub-date></history><permissions><copyright-statement>Copyright © 2025,</copyright-statement><copyright-year>2025</copyright-year></permissions><abstract>&lt;p&gt;The article considers social legal aspects of concepts of medical error, iatrogenesis, defect of medical care in view of absence of their clear definition and understanding in public and professional communities. The usage of these concepts is distinguished by chronological continuity that is conditioned by influence of approaches existed at different stages. On the basis of analysis of scientific publications and normative legal base their genesis and peculiarities of definition are demonstrated. The social aspects affecting their transformation were revealed. It is established that initially traditional understanding of possible shortcomings in medical work was formed as conscientious delusion of physician because of insufficiency of existing medical knowledge about certain health problems. The results of original empirical study demonstrated stability of this understanding in professional community of practicing physicians. However, in conditions of development of new model of national health care based on application of new diagnostic and treatment tools oriented to individual approach to patient and under effect of mediatization of health sphere traditional understanding of medical errors became limited that resulted in occurrence of concept of medical care defect. However, its application is limited due to ambiguity of interpretation because of absence of its definition in legal field. In this regard, the article emphasizes necessity of legal substantiation of relevant definitions due to increasing of both appeals from patients and the number of civil and criminal medical cases and proposes to introduce into legal circulation term omission under provision of medical care.&lt;/p&gt;</abstract><kwd-group xml:lang="en"><kwd>medical error</kwd><kwd>iatrogenesis</kwd><kwd>medical care</kwd><kwd>defect</kwd><kwd>health protection</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>врачебная ошибка</kwd><kwd>ятрогения</kwd><kwd>дефект медицинской помощи</kwd><kwd>охрана здоровья</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Shchepin V. O, Shishkin E. V. The analysis of mortality of population of able-bodied age because of external causes. 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