Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot167910.32687/0869-866X-2023-31-2-195-200Научная статьяTHE FOUNDATIONS OF PHYSICIAN–PATIENT COMMUNICATION IN CONDITIONS OF DIGITALIZATIONButinaA. V.KuzubO. S.The Federal State Budget Educational Institution of Higher Education “The Siberian State Medical University” of the Minzdrav of Russia, 634050, Tomsk, Russia1512202331219520024062025Copyright © 2023,2023The article presents analysis of key aspects of patient-oriented approach to medical care support in conditions of wide prevalence of digital and telecommunication technologies in modern society. The theoretical reconstruction of main models of “doctor–patient” communication presented in scientific publications is made. The analysis of components of existential landscape of medical communication, (the leading ones are trust and autonomy of patient's personality) was carried out. It is established that purpose of physician–patient interaction in conditions of e-health care is defined as diagnosis and issue of medical report but not follow-up recovery. The conclusion was made about antinomy of digital health care which consists in fact that active introduction of digital technologies into modern medicine, on one hand, serves as demonstration of power of man and his superiority over his own nature. On the other hand, individual is becoming more and more objectified and becomes vulnerable to challenges of biomedical and digital technologies. All this results in increasing of existential risks for patients and physicians associated with crisis of trust and human dignity. The study is targeted to developing of scientific discussion about problems and perspectives of communication between doctors and patients in realities of modern digital society.doctorpatientcommunicationdigital societye-health caretrustdigital existenceврач и пациенткоммуникацияцифровое обществоэлектронное здравоохранениедовериецифровая экзистенция[Максимов И. Л. Коммуникация врач-пациент как актив медицинской помощи. В кн.: Здоровье человека в XXI веке: Сборник научных статей, Казань, 30—31 марта 2018 года. Казань; 2018. С. 276—80.][Li Y., James L., McKibben J. Trust between physicians and patients in the e-health era. Technol. Soc. 2016;46:28—34.][Белялетдинов Р. Р., Попова О. В. Редактируя человека. Вступительная статья приглашенных редакторов. Человек. 2021;32(6):7—9.][Камалиева И. Р. Антропологический кризис в современной медицине. Философия и культура. 2018;(5):65—70. doi: 10.7256/2454-0757.2018.5.26164][Камалиева И. Р., Невелева В. С. Доверие как основание отношения «врач — пациент» в современной медицине: философско-антропологическая интерпретация. Вестник Пермского университета. Философия. Психология. Социология. 2019;(4):504—14. doi: 10.17072/2078-7898/2019-4-504-514][Гидденс Э. Последствия современности. М.: Праксис; 2011. 352 с.][Шестопалова Л. Ф., Бородавко О. А., Кожевникова В. А., Бучок Ю. С. Доверие как фактор формирования терапевтического альянса между врачом и пациентом. Психиатрия, психотерапия и клиническая психология. 2019;10(4):758—64.][Ludwig M., Burke W. Physician-Patient Relationship. Ethics in Medicine, 2014. Режим доступа: https://depts.washington.edu/bhdept/ethics-medicine/bioethics-topics/articles/physician-patient-relationship][Banerjee A., Sanyal D., Dynamics of doctor-patient relationship: a crosssectional study on concordance, trust, and patient enablement. J. Fam. Community Med. 2012;19(1):12—9.][Kaba R., Sooriakumaran P. The evolution of the doctor-patient relationship. Int. J. Surg. 2007;5(1):57—65.][Lagerkvist A (ed.). Digital Existence: Ontology, Ethics and Transcendence in Digital Culture. Routledge; 2019.][Lagerkvist A. Existential media: Toward a theorization of digital thrownness. New Media Soc. 2017;19(1):96—110.][Россияне об искусственном интеллекте и роботизации. Режим доступа: https://wciom.ru/presentation/prezentacii/rossijane-ob-iskusstvennom-intellekte-i-robotizacii][Balint M. The doctor, his patient and the illness. London: Pittman Medical; 1964.][Szasz T., Hollender M. A contribution to the philosophy of medicine: the basic model of the doctor-patient relationship. Arch. Int. Med. 1956;97:585—92.][Вич Р. Модели моральной медицины в эпоху революционных изменений. Вопросы философии. 1994;(3):67—73.][Levy N. Taking responsibility for health in an epistemically polluted environment. Theor. Med. Bioeth. 2018;39:123—41. doi: 10.1007/s11017-018-9444-1]