{"id":1123,"date":"2019-01-07T23:58:43","date_gmt":"2019-01-07T23:58:43","guid":{"rendered":"http:\/\/ehps.easyall.org\/php\/?p=1123"},"modified":"2025-11-04T14:33:59","modified_gmt":"2025-11-04T14:33:59","slug":"patient-talk-what-the-doctor-clearly-says-and-the-patient-clearly-does-not-understand","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/bg\/2019\/01\/patient-talk-what-the-doctor-clearly-says-and-the-patient-clearly-does-not-understand\/","title":{"rendered":"\u0420\u0430\u0437\u0433\u043e\u0432\u043e\u0440 \u0441 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430: \u041a\u0430\u043a\u0432\u043e \u0434\u043e\u043a\u0442\u043e\u0440\u044a\u0442 \u043a\u0430\u0437\u0432\u0430 \u044f\u0441\u043d\u043e, \u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442 \u044f\u0432\u043d\u043e \u043d\u0435 \u0440\u0430\u0437\u0431\u0438\u0440\u0430"},"content":{"rendered":"<p><strong>\u043e\u0442 \u0410\u043d \u041c\u0430\u0440\u0438 \u041f\u043b\u0430\u0441, \u0423\u043d\u0438\u0432\u0435\u0440\u0441\u0438\u0442\u0435\u0442\u0441\u043a\u0438 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438 \u0446\u0435\u043d\u0442\u044a\u0440 \u0413\u044c\u043e\u0442\u0438\u043d\u0433\u0435\u043d, \u0413\u0435\u0440\u043c\u0430\u043d\u0438\u044f<\/strong><\/p>\n<p><em>\u041f\u0440\u0435\u0434\u0438 <\/em><em>\u0438\u0437\u0432\u0435\u0441\u0442\u043d\u043e <\/em><em>\u0432\u0440\u0435\u043c\u0435 <\/em><em>\u043b\u0435\u043a\u0430\u0440\u043a\u0430-<\/em><em>\u0434\u0435\u0440\u043c\u0430\u0442\u043e\u043b\u043e\u0433, \u043a\u043e<\/em><em>\u044f<\/em><em>\u0442\u043e \u0440\u0430\u0431\u043e\u0442\u0438 \u043a\u0430\u0442\u043e <\/em><em>\u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442 \u043f\u043e <\/em><em>\u043f\u0441\u043e\u0440\u0438\u0430\u0437\u0438\u0441 (\u0445\u0440\u043e\u043d\u0438\u0447\u043d\u043e \u043a\u043e\u0436\u043d\u043e <\/em><em>\u0437\u0430\u0431\u043e\u043b\u044f\u0432\u0430\u043d\u0435<\/em><em>) \u0432 \u0443\u043d\u0438\u0432\u0435\u0440\u0441\u0438\u0442\u0435\u0442\u0441\u043a\u0430 \u0431\u043e\u043b\u043d\u0438\u0446\u0430, <\/em><em>\u043c\u0438 \u0441\u0435 <\/em><em>\u00a0\u043e\u043f\u043b\u0430\u043a\u0430 \u043e\u0442 \u043c\u043d\u043e\u0433\u043e<\/em><em>\u0442\u043e<\/em><em> \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438, \u043a\u043e\u0438\u0442\u043e \u043d\u0435 \u0441\u0435 \u043f\u0440\u0438\u0434\u044a\u0440\u0436\u0430\u0442 \u043a\u044a\u043c <\/em><em>\u043f\u0440\u0435\u0434\u043f\u0438\u0441\u0430\u043d\u043e\u0442\u043e \u043b\u0435\u0447\u0435\u043d\u0438\u0435<\/em><em>, \u0432\u044a\u043f\u0440\u0435\u043a\u0438 \u0447\u0435<\/em><em> \u0435 \u0431\u0438\u043b\u0430 \u043f\u043e\u0441\u0442\u0430\u0432\u0435\u043d\u0430 \u043e\u0431\u0449\u0430 \u0446\u0435\u043b, \u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u0435\u0442\u043e \u0435 \u0431\u0438\u043b\u043e \u0432\u0437\u0435\u0442\u043e <\/em><em>\u0437\u0430\u0435\u0434\u043d\u043e <\/em><em>\u0441 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430<\/em><em>.<\/em><\/p>\n<p>\u0421\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u043e\u0442\u043e \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f \u0441\u0435 \u0434\u0435\u0444\u0438\u043d\u0438\u0440\u0430 \u043a\u0430\u0442\u043e \u201e\u043f\u043e\u0434\u0445\u043e\u0434, \u043f\u0440\u0438 \u043a\u043e\u0439\u0442\u043e \u043b\u0435\u043a\u0430\u0440\u0438\u0442\u0435 \u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0437\u0430\u0435\u0434\u043d\u043e \u043e\u0431\u0441\u044a\u0436\u0434\u0430\u0442 \u043d\u0430\u0439-\u0434\u043e\u0431\u0440\u0438\u0442\u0435 \u043d\u0430\u043b\u0438\u0447\u043d\u0438 \u0434\u043e\u043a\u0430\u0437\u0430\u0442\u0435\u043b\u0441\u0442\u0432\u0430, \u043a\u043e\u0433\u0430\u0442\u043e \u0441\u0430 \u0438\u0437\u043f\u0440\u0430\u0432\u0435\u043d\u0438 \u043f\u0440\u0435\u0434 \u0437\u0430\u0434\u0430\u0447\u0430\u0442\u0430 \u0434\u0430 \u0432\u0437\u0435\u043c\u0430\u0442 \u0440\u0435\u0448\u0435\u043d\u0438\u044f\u201c (Elwyn et al, 2010). \u0421\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u043e\u0442\u043e \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f \u0441\u0435 \u043f\u0440\u0438\u043b\u0430\u0433\u0430 \u043e\u0431\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u043e \u043a\u043e\u0433\u0430\u0442\u043e \u0441\u0430 \u043d\u0430\u043b\u0438\u0446\u0435 \u0434\u0432\u0430 \u0438\u043b\u0438 \u043f\u043e\u0432\u0435\u0447\u0435 \u0432\u0430\u0440\u0438\u0430\u043d\u0442\u0430 \u0437\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u0435, \u0438\u043b\u0438 \u043a\u043e\u0433\u0430\u0442\u043e \u0443\u0447\u0430\u0441\u0442\u0432\u0430 \u043f\u043e\u0432\u0435\u0447\u0435 \u043e\u0442 \u0435\u0434\u0438\u043d \u0447\u043e\u0432\u0435\u043a. \u0418 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435, \u0438 \u043b\u0435\u043a\u0430\u0440\u0438\u0442\u0435 \u0434\u043e\u043f\u0440\u0438\u043d\u0430\u0441\u044f\u0442 \u0437\u0430 \u043f\u0440\u043e\u0446\u0435\u0441\u0430 \u043d\u0430 \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438 \u0440\u0435\u0448\u0435\u043d\u0438\u044f, \u043a\u0430\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0431\u0438\u0432\u0430\u0442 \u043f\u043e\u0434\u043f\u043e\u043c\u0430\u0433\u0430\u043d\u0438 \u0434\u0430 \u043e\u0431\u043c\u0438\u0441\u043b\u044f\u0442 \u0432\u0430\u0440\u0438\u0430\u043d\u0442\u0438 \u0437\u0430 \u043f\u043e\u0441\u0442\u0438\u0433\u0430\u043d\u0435 \u043d\u0430 \u0438\u043d\u0444\u043e\u0440\u043c\u0438\u0440\u0430\u043d\u0438 \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0438\u0442\u0430\u043d\u0438\u044f \u0438 \u0436\u0435\u043b\u0430\u043d\u0438 \u0440\u0435\u0437\u0443\u043b\u0442\u0430\u0442\u0438. \u0421\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u0438\u0442\u0435 \u0440\u0435\u0448\u0435\u043d\u0438\u044f \u0441\u0442\u0430\u0432\u0430\u0442 \u0432\u0441\u0435 \u043f\u043e-\u0432\u0430\u0436\u043d\u0438 \u0432 \u043f\u043e\u043b\u0438\u0442\u0438\u043a\u0430\u0442\u0430 \u0432 \u043e\u0431\u043b\u0430\u0441\u0442\u0442\u0430 \u043d\u0430 \u0437\u0434\u0440\u0430\u0432\u0435\u043e\u043f\u0430\u0437\u0432\u0430\u043d\u0435\u0442\u043e (O\u2019Connor, 2007), \u043a\u0430\u0442\u043e \u043c\u043d\u043e\u0433\u043e \u0437\u0434\u0440\u0430\u0432\u043d\u0438 \u043f\u0440\u043e\u0444\u0435\u0441\u0438\u043e\u043d\u0430\u043b\u0438\u0441\u0442\u0438 \u043f\u0440\u0430\u0432\u044f\u0442 \u0432\u0441\u0438\u0447\u043a\u043e \u0432\u044a\u0437\u043c\u043e\u0436\u043d\u043e \u0434\u0430 \u0434\u0435\u0439\u0441\u0442\u0432\u0430\u0442 \u043f\u043e \u043c\u0430\u043a\u0441\u0438\u043c\u0430\u043b\u043d\u043e \u0446\u0435\u043d\u0442\u0440\u0438\u0440\u0430\u043d \u0432\u044a\u0440\u0445\u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u043d\u0430\u0447\u0438\u043d (Elwyn et al, 2010). \u041e\u0441\u043e\u0431\u0435\u043d\u043e \u0441\u043b\u0435\u0434 \u043a\u0430\u0442\u043e \u0442\u043e\u0437\u0438 \u043d\u0430\u0447\u0438\u043d \u043d\u0430 \u043a\u043e\u043c\u0443\u043d\u0438\u043a\u0430\u0446\u0438\u044f \u0441 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u043c\u043e\u0436\u0435 \u0434\u0430 \u043f\u043e\u0434\u043e\u0431\u0440\u0438 \u043f\u0440\u0438\u0434\u044a\u0440\u0436\u0430\u043d\u0435\u0442\u043e \u043a\u044a\u043c \u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e \u0438 \u0434\u043e\u0432\u0435\u0440\u0438\u0435\u0442\u043e.<\/p>\n<p>\u0412 \u043e\u0441\u043d\u043e\u0432\u0430\u0442\u0430 \u0441\u0438 \u0441\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u043e\u0442\u043e \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f \u0441\u0435 \u043e\u0441\u043d\u043e\u0432\u0430\u0432\u0430 \u043d\u0430 \u0432\u0437\u0430\u0438\u043c\u043d\u043e \u0440\u0430\u0437\u0431\u0438\u0440\u0430\u0442\u0435\u043b\u0441\u0442\u0432\u043e \u0438 \u0443\u0432\u0430\u0436\u0435\u043d\u0438\u0435 (Epstein, Alper, &amp; Quill, 2004). \u041b\u0435\u043a\u0430\u0440\u044f\u0442 \u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442 \u0441\u0430 \u0440\u0430\u0432\u043d\u043e\u0441\u0442\u043e\u0439\u043d\u0438 \u043f\u0430\u0440\u0442\u043d\u044c\u043e\u0440\u0438 \u0432 \u0442\u043e\u0437\u0438 \u043f\u0440\u043e\u0446\u0435\u0441, \u043a\u0430\u0442\u043e \u0438 \u0434\u0432\u0430\u043c\u0430\u0442\u0430 \u0434\u043e\u043f\u0440\u0438\u043d\u0430\u0441\u044f\u0442 \u0437\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u0435\u0442\u043e, \u0432\u043d\u0430\u0441\u044f\u0439\u043a\u0438 \u0441\u0432\u043e\u044f\u0442\u0430 \u0435\u043a\u0441\u043f\u0435\u0440\u0442\u0438\u0437\u0430 \u0438 \u043f\u0440\u0435\u0436\u0438\u0432\u044f\u0432\u0430\u043d\u0438\u044f \u0432 \u0440\u0430\u0437\u0433\u043e\u0432\u043e\u0440\u0430. \u041b\u0435\u043a\u0430\u0440\u044f\u0442 \u0434\u043e\u043f\u0440\u0438\u043d\u0430\u0441\u044f \u0441 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438 \u0437\u043d\u0430\u043d\u0438\u044f \u0438 \u0435\u043a\u0441\u043f\u0435\u0440\u0442\u0438\u0437\u0430, \u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442 \u0434\u043e\u0431\u0430\u0432\u044f \u0437\u043d\u0430\u043d\u0438\u044f \u0438 \u0435\u043a\u0441\u043f\u0435\u0440\u0442\u0438\u0437\u0430 \u0437\u0430 \u0441\u0432\u043e\u044f \u043b\u0438\u0447\u0435\u043d \u0436\u0438\u0432\u043e\u0442. \u0422\u043e\u0432\u0430 \u043e\u0431\u0430\u0447\u0435 \u0435 \u043f\u043e-\u043b\u0435\u0441\u043d\u043e \u0434\u0430 \u0441\u0435 \u043a\u0430\u0436\u0435, \u043e\u0442\u043a\u043e\u043b\u043a\u043e\u0442\u043e \u0434\u0430 \u0441\u0435 \u043d\u0430\u043f\u0440\u0430\u0432\u0438. \u0414\u043e\u043a\u0430\u0442\u043e \u043c\u043d\u043e\u0433\u043e \u0437\u0434\u0440\u0430\u0432\u043d\u0438 \u043f\u0440\u043e\u0444\u0435\u0441\u0438\u043e\u043d\u0430\u043b\u0438\u0441\u0442\u0438 \u0442\u0432\u044a\u0440\u0434\u044f\u0442, \u0447\u0435 \u0442\u0435 \u201e\u0432\u0435\u0447\u0435 \u0433\u043e \u043f\u0440\u0430\u0432\u044f\u0442\u201c, \u0434\u0430\u043d\u043d\u0438 \u043e\u0442 \u043f\u0440\u043e\u0443\u0447\u0432\u0430\u043d\u0438\u044f \u043d\u0430 \u043f\u0440\u0435\u0436\u0438\u0432\u044f\u0432\u0430\u043d\u0438\u044f\u0442\u0430 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043f\u043e\u043a\u0430\u0437\u0432\u0430\u0442, \u0447\u0435 \u0442\u043e\u0432\u0430 \u0432 \u043f\u043e\u0432\u0435\u0447\u0435\u0442\u043e \u0441\u043b\u0443\u0447\u0430\u0438 \u043d\u0435 \u0435 \u0442\u0430\u043a\u0430 (Zikmund-Fisher et al, 2010; Coulter, 2010).<\/p>\n<p><em>\u041b\u0435\u043a\u0430\u0440\u043a\u0430\u0442\u0430-\u0434\u0435\u0440\u043c\u0430\u0442\u043e\u043b\u043e\u0433, <\/em><em>\u0441<\/em><em> \u043a\u043e\u044f\u0442\u043e <\/em><em>\u0440\u0430\u0437\u0433\u043e\u0432\u0430\u0440\u044f\u0445<\/em><em>, <\/em><em>\u0441\u0438 \u0441\u044a\u0437\u0434\u0430\u0434\u0435<\/em><em> \u043d\u0430\u0432\u0438\u043a \u0434\u0430 \u043d\u0435 <\/em><em>\u0432\u0437\u0435\u043c\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f<\/em><em> \u043e\u0442 \u0438\u043c\u0435\u0442\u043e \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0441\u0438, \u0430 <\/em><em>\u0434\u0430 \u0440\u0435\u0448\u0430\u0432\u0430 <\/em><em>\u0437\u0430\u0435\u0434\u043d\u043e \u0441 <\/em><em>\u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435<\/em><em> \u043a\u043e\u0435 <\/em><em>\u043b\u0435\u0447\u0435\u043d\u0438\u0435<\/em> <em>\u0431\u0438 \u0431\u0438\u043b\u043e<\/em><em> \u043d\u0430\u0439-\u043f\u043e\u0434\u0445\u043e\u0434\u044f\u0449\u043e<\/em><em> \u0437\u0430 \u0442\u044f\u0445<\/em><em>. <\/em><em>\u0417\u0430\u0442\u043e\u0432\u0430<\/em><em> \u0442\u044f <\/em><em>\u0438\u0437\u043e\u0431\u0449\u043e<\/em><em> \u043d\u0435 \u0440\u0430\u0437\u0431\u0438\u0440\u0430<\/em><em>\u0448\u0435<\/em><em> \u0437\u0430\u0449\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0439 \u0432\u0441\u0435 <\/em><em>\u0442\u0430\u043a\u0430<\/em><em> \u043d\u0435 \u0441\u0430 \u043c\u043e\u0442\u0438\u0432\u0438\u0440\u0430\u043d\u0438 \u0434\u0430 \u043f\u0440\u0438\u0435\u043c\u0430\u0442 \u0445\u0430\u043f\u0447\u0435\u0442\u0430\u0442\u0430, \u043a\u0430\u043a\u0442\u043e <\/em><em>\u0438\u043c <\/em><em>\u0435 \u043f\u0440\u0435\u0434\u043f\u0438\u0441\u0430\u043d\u043e, \u0434\u043e\u0440\u0438 \u0441\u043b\u0435\u0434 \u043a\u0430\u0442\u043e <\/em><em>\u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e \u0435 \u0431\u0438\u043b\u043e <\/em><em>\u0431\u0430\u0437\u0438\u0440\u0430<\/em><em>\u043d\u043e <\/em><em>\u0432\u044a\u0440\u0445\u0443 \u043b\u0438\u0447\u043d\u0438\u0442\u0435 \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0438\u0442\u0430\u043d\u0438\u044f \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430. <\/em><em>\u041a\u043e\u0433\u0430\u0442\u043e \u043e\u043f\u0438\u0441\u0432\u0430\u0448\u0435<\/em><em> \u043d\u0430\u0447\u0438\u043d\u0430, \u043f\u043e \u043a\u043e\u0439\u0442\u043e \u043f\u0440\u0438\u043b\u0430\u0433\u0430 \u0441\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u0438\u044f \u043f\u0440\u043e\u0446\u0435\u0441 \u043d\u0430 \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f \u0432 \u0435\u0436\u0435\u0434\u043d\u0435\u0432\u043d\u0430\u0442\u0430 \u043a\u043b\u0438\u043d\u0438\u0447\u043d\u0430 \u043f\u0440\u0430\u043a\u0442\u0438\u043a\u0430, \u0442\u044f \u043a\u0430\u0437\u0430, \u0447\u0435 \u0432\u0435\u0434\u043d\u0430\u0433\u0430 \u0441\u043b\u0435\u0434 <\/em><em>\u0432\u043b\u0438\u0437\u0430\u043d\u0435\u0442\u043e \u043d\u0430 <\/em><em>\u043f\u0430\u0446\u0438\u0435\u043d\u0442<\/em><em>\u0430 \u0442\u044f<\/em><em> \u0433\u043e \u0438\u043d\u0444\u043e\u0440\u043c\u0438\u0440\u0430, \u0447\u0435 \u043f\u043e \u0432\u0440\u0435\u043c\u0435 \u043d\u0430 \u0442\u0430\u0437\u0438 \u043a\u043e\u043d\u0441\u0443\u043b\u0442\u0430\u0446\u0438\u044f \u0442\u0435 \u0437\u0430\u0435\u0434\u043d\u043e <\/em><em>\u0442\u0440\u044f\u0431\u0432\u0430 \u0434\u0430<\/em><em> \u0440\u0435\u0448\u0430\u0442 <\/em><em>\u043a\u0430\u043a\u0432\u043e \u0434\u0430 \u0431\u044a\u0434\u0435 \u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e, \u0438 \u0437\u0430\u0442\u043e\u0432\u0430 \u0437\u0430\u0435\u0434\u043d\u043e \u0449\u0435 \u043e\u0431\u0441\u044a\u0434\u044f\u0442 <\/em><em>\u0440\u0430\u0437\u043b\u0438\u0447\u043d\u0438\u0442\u0435 <\/em><em>\u0432\u0430\u0440\u0438\u0430\u043d\u0442\u0438 \u0437\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u0435<\/em><em>.<\/em><\/p>\n<p>\u041f\u043e\u043d\u044f\u043a\u043e\u0433\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043c\u043e\u0436\u0435 \u0434\u0430 \u0441\u0435 \u043d\u0443\u0436\u0434\u0430\u044f\u0442 \u043e\u0442 \u0432\u0440\u0435\u043c\u0435, \u0437\u0430 \u0434\u0430 \u043f\u0440\u043e\u0443\u0447\u0430\u0442 \u043d\u043e\u0432\u0430 \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f \u0438 \u0434\u0430 \u043e\u0431\u043c\u0438\u0441\u043b\u044f\u0442 \u043b\u0438\u0447\u043d\u0438\u0442\u0435 \u0441\u0438 \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0438\u0442\u0430\u043d\u0438\u044f, \u043f\u0440\u0435\u0434\u0438 \u0434\u0430 \u0441\u0435 \u0430\u043d\u0433\u0430\u0436\u0438\u0440\u0430\u0442 \u0441 \u043d\u043e\u0432\u0438 \u0440\u0435\u0448\u0435\u043d\u0438\u044f. \u0422\u043e\u0432\u0430 \u0435 \u043e\u0441\u043e\u0431\u0435\u043d\u043e \u0432\u044f\u0440\u043d\u043e, \u043a\u043e\u0433\u0430\u0442\u043e \u0431\u044a\u0434\u0435\u0449\u0435\u0442\u043e \u043d\u0430 \u0442\u044f\u0445\u043d\u043e\u0442\u043e \u0437\u0430\u0431\u043e\u043b\u044f\u0432\u0430\u043d\u0435 \u0435 \u043d\u0435\u0438\u0437\u0432\u0435\u0441\u0442\u043d\u043e. \u0422\u043e\u0433\u0430\u0432\u0430 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043c\u043e\u0436\u0435 \u0434\u0430 \u0438\u043c \u0441\u0435 \u043d\u0430\u043b\u043e\u0436\u0438 \u0434\u0430 \u043c\u0438\u0441\u043b\u044f\u0442 \u0437\u0430 \u0432\u0435\u0440\u043e\u044f\u0442\u043d\u0438 \u0431\u044a\u0434\u0435\u0449\u0438 \u0441\u044a\u0441\u0442\u043e\u044f\u043d\u0438\u044f, \u043a\u043e\u0438\u0442\u043e \u043d\u0438\u043a\u043e\u0433\u0430 \u0434\u043e\u0441\u0435\u0433\u0430 \u043d\u0435 \u0441\u0430 \u043f\u0440\u0435\u0436\u0438\u0432\u044f\u0432\u0430\u043b\u0438 (Epstein, &amp; Peters, 2009). \u0417\u0430\u0442\u043e\u0432\u0430 \u043a\u043e\u0433\u0430\u0442\u043e \u0438\u043c \u0441\u0435 \u043f\u0440\u0435\u0434\u043b\u043e\u0436\u0438 \u0440\u043e\u043b\u044f \u0432 \u043f\u0440\u043e\u0446\u0435\u0441\u0430 \u043d\u0430 \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f, \u043d\u044f\u043a\u043e\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0441\u0435 \u043f\u043e\u0447\u0443\u0432\u0441\u0442\u0432\u0430\u0442 \u0438\u0437\u043d\u0435\u043d\u0430\u0434\u0430\u043d\u0438 \u0438\u043b\u0438 \u0441\u043c\u0443\u0442\u0435\u043d\u0438 \u043e\u0442 \u043f\u0440\u0435\u0434\u043b\u0430\u0433\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0432\u0430\u0440\u0438\u0430\u043d\u0442\u0438 \u0438 \u043d\u0435\u0441\u0438\u0433\u0443\u0440\u043d\u0438 \u0437\u0430 \u0442\u043e\u0432\u0430 \u043a\u043e\u0435 \u0431\u0438 \u043c\u043e\u0433\u043b\u043e \u0434\u0430 \u0435 \u043d\u0430\u0439-\u0434\u043e\u0431\u0440\u043e\u0442\u043e. \u0421\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u0435\u043b\u043d\u043e, \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u043d\u043e\u0442\u043e \u0438\u043d\u0444\u043e\u0440\u043c\u0438\u0440\u0430\u043d\u0435 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0437\u0430 \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u0438\u0442\u0435 \u0432\u0430\u0440\u0438\u0430\u043d\u0442\u0438 \u043d\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u0435, \u043a\u0430\u043a\u0442\u043e \u0438 \u0447\u0435 \u0441\u0435 \u043e\u0447\u0430\u043a\u0432\u0430 \u0442\u0435 \u0434\u0430 \u0443\u0447\u0430\u0441\u0442\u0432\u0430\u0442 \u0432 \u0441\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u043e \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f, \u043c\u043e\u0436\u0435 \u0434\u0430 \u043f\u043e\u0434\u043e\u0431\u0440\u0438 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0442\u0430 \u043d\u0430 \u0441\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u043e\u0442\u043e \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f (Politi, Clark, Ombao, Dizon, &amp; Elwyn, 2011; Say, Murtagh, &amp; Thompson, 2006).<\/p>\n<p><em>\u0417\u0430 \u0434\u0430 \u043f\u043e\u043c\u043e\u0433\u043d\u0435 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0441\u0438 \u0434\u0430 \u0432\u0437\u0435\u043c\u0430\u0442 \u0440\u0435\u0448\u0435\u043d\u0438\u0435 \u0437\u0430 <\/em><em>\u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e<\/em><em>, \u043a\u043e<\/em><em>\u0435<\/em><em>\u0442\u043e \u043d\u0430\u0439-\u0434\u043e\u0431\u0440\u0435 <\/em><em>\u0431\u0438 <\/em><em>\u043e\u0442\u0433\u043e\u0432\u0430\u0440\u044f<\/em><em>\u043b\u043e<\/em><em> \u043d\u0430 \u043b\u0438\u0447\u043d\u0438\u0442\u0435 \u0438\u043c \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0438\u0442\u0430\u043d\u0438\u044f, \u0442<\/em><em>\u0430\u0437\u0438 \u043b\u0435\u043a\u0430\u0440\u043a\u0430-<\/em><em>\u0434\u0435\u0440\u043c\u0430\u0442\u043e\u043b\u043e\u0433 \u043f\u0440\u0435\u0434\u043b\u0430\u0433\u0430 <\/em><em>\u0432\u044a\u0437\u043c\u043e\u0436\u043d\u0438\u0442\u0435 \u0446\u0435\u043b\u0438 \u043d\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e \u043a\u0430\u0442\u043e <\/em><em>\u043f\u0440\u043e\u0446\u0435\u043d\u0442\u0438, \u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440 <\/em><em>\u0446\u0435\u043b\u0442\u0430 \u0435 <\/em><em>10% \u0438\u043b\u0438 20% \u043f\u043e\u0434\u043e\u0431\u0440\u0435\u043d\u0438\u0435. \u0421\u043b\u0435\u0434 \u043a\u0430\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442 \u0438\u0437\u0431\u0435\u0440\u0435 \u043f\u0440\u043e\u0446\u0435\u043d\u0442\u0430, \u043a\u043e\u0439\u0442\u043e <\/em><em>\u043d\u0430\u043c\u0438\u0440\u0430<\/em> <em>\u0437\u0430 <\/em><em>\u043d\u0430\u0439-\u043f\u043e\u0434\u0445\u043e\u0434\u044f\u0449, \u0434\u0435\u0440\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u044a\u0442 \u043e\u0431\u044f\u0441\u043d<\/em><em>\u044f\u0432\u0430<\/em><em> \u043a\u0430\u043a\u0432<\/em><em>\u043e \u043b\u0435\u0447\u0435\u043d\u0438\u0435 <\/em><em>\u0438 \u043c\u0435\u0434\u0438\u043a\u0430\u043c\u0435\u043d\u0442\u0438 \u0449\u0435 \u0441\u0430 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u0438 \u0437\u0430 \u043f\u043e\u0441\u0442\u0438\u0433\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0442\u0430\u0437\u0438 \u0446\u0435\u043b, \u043a\u0430\u0442\u043e \u043f\u043e \u0442\u043e\u0437\u0438 \u043d\u0430\u0447\u0438\u043d \u0430\u043a\u0442\u0438\u0432\u043d\u043e \u0430\u043d\u0433\u0430\u0436\u0438\u0440\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430 \u0432 \u043f\u0440\u043e\u0446\u0435\u0441\u0430 \u043d\u0430 \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438<\/em><em>\u0435<\/em><em>. <\/em><em>\u0412\u044a\u043f\u0440\u0435\u043a\u0438 \u0432\u0441\u0438\u0447\u043a\u043e<\/em><em> \u0442\u043e\u0432\u0430, \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0439 \u0432\u0441\u0435 \u043e\u0449\u0435 \u043d\u0435 \u0441\u0435 \u043f\u0440\u0438\u0434\u044a\u0440\u0436\u0430<\/em><em>\u0442<\/em><em> \u043a\u044a\u043c <\/em><em>\u043f\u0440\u0435\u0434\u043f\u0438\u0441\u0430\u043d\u043e\u0442\u043e \u043b\u0435\u0447\u0435\u043d\u0438\u0435<\/em><em>, <\/em><em>\u043c\u0430\u043a\u0430\u0440<\/em><em> \u0447\u0435 \u0441\u0430\u043c\u0438\u0442\u0435 \u0442\u0435 <\/em><em>\u0441\u0430 <\/em><em>\u0438\u0437\u0431\u0440\u0430<\/em><em>\u043b\u0438<\/em> <em>\u0442\u043e\u0437\u0438 \u0432\u0430\u0440\u0438\u0430\u043d\u0442 \u043a\u0430\u0442\u043e \u043d\u0430\u0439-\u043f\u043e\u0434\u0445\u043e\u0434\u044f\u0449 \u0437\u0430 \u0442\u044f\u0445\u043d\u0430\u0442\u0430 \u043a\u043e\u043d\u043a\u0440\u0435\u0442\u043d\u0430 \u0441\u0438\u0442\u0443\u0430\u0446\u0438\u044f<\/em><em>. \u041f\u043e\u043f\u0438\u0442\u0430\u0445 \u044f \u0434\u0430\u043b\u0438 <\/em><em>\u0441\u043c\u044f\u0442\u0430<\/em><em>, \u0447\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0439 \u0440\u0430\u0437\u0431\u0438\u0440\u0430\u0442 \u0441\u043c\u0438\u0441\u044a\u043b\u0430 \u043d\u0430 20%, 30% \u0438 \u0442.\u043d., \u0438 \u0434\u0430\u043b\u0438 \u0442\u0435 \u0431\u0438\u0445\u0430 \u0441\u0435 \u0438\u0437\u0440\u0430\u0437\u0438\u043b\u0438 \u043f\u043e <\/em><em>\u0442\u043e\u0437\u0438<\/em><em> \u043d\u0430\u0447\u0438\u043d, \u043a\u043e\u0433\u0430\u0442\u043e <\/em><em>\u043e\u0431\u044f\u0441\u043d\u044f\u0432\u0430<\/em><em>\u0442 \u0436\u0435\u043b\u0430\u043d\u043e\u0442\u043e \u043e\u0431\u043b\u0435\u043a\u0447\u0430\u0432\u0430\u043d\u0435 \u043d\u0430 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0438\u0442\u0435 <\/em><em>\u043d\u0430<\/em><em> \u0434\u0440\u0443\u0433\u0438<\/em><em> \u0445\u043e\u0440\u0430<\/em><em>.<\/em><\/p>\n<p>\u0415\u0434\u043d\u0430 \u043e\u0442 \u0442\u0440\u0443\u0434\u043d\u043e\u0441\u0442\u0438\u0442\u0435 \u0435 \u0442\u0435\u043d\u0434\u0435\u043d\u0446\u0438\u044f\u0442\u0430, \u043f\u0440\u0438\u0441\u044a\u0449\u0430 \u043d\u0430 \u043f\u0440\u043e\u0444\u0435\u0441\u0438\u043e\u043d\u0430\u043b\u0438\u0441\u0442\u0438\u0442\u0435 (\u0432\u043a\u043b\u044e\u0447\u0438\u0442\u0435\u043b\u043d\u043e \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435), \u0434\u0430 \u0438\u0437\u043f\u043e\u043b\u0437\u0432\u0430\u0442 \u0435\u0437\u0438\u043a, \u043a\u043e\u0439\u0442\u043e \u0435 \u044f\u0441\u0435\u043d \u0438 \u043f\u043e\u043d\u044f\u0442\u0435\u043d \u043d\u0430\u0439-\u0432\u0435\u0447\u0435 \u0437\u0430 \u043a\u043e\u043b\u0435\u0433\u0438\u0442\u0435 \u0438\u043c \u043f\u0440\u043e\u0444\u0435\u0441\u0438\u043e\u043d\u0430\u043b\u0438\u0441\u0442\u0438 (Hull, 2016). \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u044f\u0442 \u0435\u0437\u0438\u043a \u043c\u043e\u0436\u0435 \u0434\u0430 \u0431\u044a\u0434\u0435 \u0441\u043b\u043e\u0436\u0435\u043d, \u0430 \u0438\u0437\u0441\u043b\u0435\u0434\u0432\u0430\u043d\u0438\u044f\u0442\u0430 \u043f\u043e\u043a\u0430\u0437\u0432\u0430\u0442, \u0447\u0435 \u043f\u043e\u0447\u0442\u0438 \u043f\u043e\u043b\u043e\u0432\u0438\u043d\u0430\u0442\u0430 \u043e\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0438\u0437\u043f\u0438\u0442\u0432\u0430\u0442 \u0442\u0440\u0443\u0434\u043d\u043e\u0441\u0442\u0438 \u0434\u0430 \u0433\u043e \u0440\u0430\u0437\u0431\u0435\u0440\u0430\u0442 (Royal College of GPs, 2014; Britten et al, 2000). \u0416\u0430\u0440\u0433\u043e\u043d\u044a\u0442 \u0438 \u0430\u0431\u0441\u0442\u0440\u0430\u043a\u0442\u043d\u0438\u0442\u0435 \u0442\u0435\u0440\u043c\u0438\u043d\u0438 \u0447\u0435\u0441\u0442\u043e \u043f\u043e\u0440\u0430\u0436\u0434\u0430\u0442 \u0448\u0438\u0440\u043e\u043a \u0434\u0438\u0430\u043f\u0430\u0437\u043e\u043d \u043e\u0442 \u0438\u043d\u0442\u0435\u0440\u043f\u0440\u0435\u0442\u0430\u0446\u0438\u0438, \u043a\u043e\u0438\u0442\u043e \u043c\u043e\u0436\u0435 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u043d\u043e \u0434\u0430 \u0441\u0435 \u043e\u0442\u043a\u043b\u043e\u043d\u044f\u0442 \u043e\u0442 \u0442\u043e\u0432\u0430, \u043a\u043e\u0435\u0442\u043e \u043b\u0435\u043a\u0430\u0440\u044f\u0442 \u0435 \u0438\u043c\u0430\u043b \u043f\u0440\u0435\u0434\u0432\u0438\u0434. \u041e\u0441\u0432\u0435\u043d \u0442\u043e\u0432\u0430, \u043c\u043d\u043e\u0433\u043e \u0438\u0437\u0441\u043b\u0435\u0434\u0432\u0430\u043d\u0438\u044f \u043f\u043e\u043a\u0430\u0437\u0432\u0430\u0442, \u0447\u0435 \u0435\u0434\u0438\u043d\u0438\u0446\u0438\u0442\u0435 \u0437\u0430 \u043e\u0446\u0435\u043d\u043a\u0430 \u0441\u044a\u0449\u043e \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0431\u044a\u0434\u0430\u0442 \u043f\u0440\u0435\u0434\u043c\u0435\u0442 \u043d\u0430 \u043d\u0435\u043f\u0440\u0430\u0432\u0438\u043b\u043d\u043e \u0442\u044a\u043b\u043a\u0443\u0432\u0430\u043d\u0435 \u0438\u043b\u0438 \u0434\u0430 \u043d\u0435 \u0443\u0441\u043f\u0435\u044f\u0442 \u0437\u0430 \u0438\u0437\u043c\u0435\u0440\u044f\u0442 \u0442\u043e\u0432\u0430, \u043a\u043e\u0435\u0442\u043e \u0441\u0430 \u0446\u0435\u043b\u044f\u043b\u0438 (Royal College of GPs, 2014). \u041d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u0445\u043e\u0440\u0430\u0442\u0430 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u043f\u043e\u0441\u043e\u0447\u0430\u0442 \u0432\u044a\u0432 \u0432\u044a\u043f\u0440\u043e\u0441\u043d\u0438\u043a, \u0447\u0435 \u043d\u0435 \u0441\u0430 \u0432 \u0441\u044a\u0441\u0442\u043e\u044f\u043d\u0438\u0435 \u0434\u0430 \u0445\u043e\u0434\u044f\u0442 500 \u043c\u0435\u0442\u0440\u0430, \u043d\u043e \u0441\u043b\u0435\u0434 \u0442\u043e\u0432\u0430 \u0432 \u0440\u0430\u0437\u0433\u043e\u0432\u043e\u0440 \u0442\u0435 \u043c\u043e\u0433\u0430\u0442 \u0434\u0430 \u0440\u0430\u0437\u043a\u0440\u0438\u044f\u0442, \u0447\u0435 \u0447\u0435\u0441\u0442\u043e \u0445\u043e\u0434\u044f\u0442 \u043f\u043e\u0432\u0435\u0447\u0435 \u043e\u0442 \u0447\u0430\u0441 \u0432 \u0442\u044a\u0440\u0433\u043e\u0432\u0441\u043a\u0438\u044f \u0446\u0435\u043d\u0442\u044a\u0440.<\/p>\n<p><em>\u041e\u0442\u0433\u043e\u0432\u043e\u0440\u0438\u0445 \u043d\u0430 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0430, \u0447\u0435 \u0430\u043a\u043e <\/em><em>\u0430\u0437 <\/em><em>\u0431\u044f\u0445 <\/em><em>\u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442<\/em><em>, \u0431\u0438\u0445 \u0438\u0441\u043a\u0430\u043b<\/em><em>\u0430<\/em> <em>\u043a\u0430\u0442\u043e \u043a\u0440\u0430\u0439\u043d\u0430 \u0446\u0435\u043b \u043d\u0430 <\/em><em>\u043b\u0435\u0447\u0435\u043d\u0438\u0435\u0442\u043e<\/em> <em>\u0434\u0430 <\/em><em>\u0441\u044a\u043c \u0432 \u0441\u044a\u0441\u0442\u043e\u044f\u043d\u0438\u0435 \u0434\u0430 \u0441\u0435 \u0440\u044a\u043a\u0443\u0432\u0430\u043c \u0441 \u0445\u043e\u0440\u0430\u0442\u0430<\/em><em> \u0438\u043b\u0438 <\/em><em>\u043f\u044a\u043a <\/em><em>\u0434\u0430 \u043d\u043e\u0441\u044f \u0442\u0435\u043d\u0438\u0441\u043a\u0430 \u0441 \u043a\u044a\u0441 \u0440\u044a\u043a\u0430\u0432, \u043d\u0435\u0449\u043e \u0442\u0430\u043a\u043e\u0432\u0430. \u0422\u044f \u043c\u0435 \u043f\u043e\u0433\u043b\u0435\u0434\u043d\u0430 <\/em><em>\u0432\u0442\u0440\u0435\u043d\u0447\u0435\u043d\u043e <\/em><em>\u0438 \u0437\u0430\u043f\u043e\u0447\u043d\u0430 \u0434\u0430 \u0441\u0435 \u0441\u043c\u0435\u0435, \u043a\u0430\u0437\u0432\u0430\u0439\u043a\u0438, \u0447\u0435 <\/em><em>\u0441\u044a\u043c<\/em><em> \u043f\u0440\u0430\u0432<\/em><em>\u0430<\/em><em>, \u043d\u043e <\/em><em>\u0447\u0435 \u0442\u044f <\/em><em>\u043d\u0438\u043a\u043e\u0433\u0430 \u043d\u044f\u043c\u0430\u0448\u0435 <\/em><em>\u0441\u0430\u043c\u0430 <\/em><em>\u0434\u0430 \u0441\u0435 \u0441\u0435\u0442\u0438 \u0437\u0430 \u0442\u043e\u0432\u0430. \u041e\u0441\u0432\u0435\u043d \u0442\u043e\u0432\u0430, \u0442\u044f \u043d\u0435 \u0431\u0435 \u043e\u0441\u044a\u0437\u043d\u0430\u043b\u0430, \u0447\u0435 <\/em><em>\u0434\u0430 \u0441\u0435 <\/em><em>\u0438\u043d\u0444\u043e\u0440\u043c\u0438\u0440\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044a\u0442 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u043d\u043e \u0437\u0430 \u043f\u0440\u043e\u0446\u0435\u0441\u0430 \u043d\u0430 \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438<\/em><em>\u0435<\/em><em> \u043c\u043e\u0436\u0435 \u0434\u0430 \u0431\u044a\u0434\u0435 \u043f\u043e-\u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e.<\/em><\/p>\n<p>\u0421\u043b\u0435\u0434\u043e\u0432\u0430\u0442\u0435\u043b\u043d\u043e, \u043e\u0442 \u0436\u0438\u0437\u043d\u0435\u043d\u043e\u0432\u0430\u0436\u043d\u043e \u0437\u043d\u0430\u0447\u0435\u043d\u0438\u0435 \u0435 \u0437\u0434\u0440\u0430\u0432\u043d\u0438\u0442\u0435 \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0438 \u0434\u0430 \u043e\u0431\u0440\u044a\u0449\u0430\u0442 \u0434\u043e\u0441\u0442\u0430\u0442\u044a\u0447\u043d\u043e \u0432\u043d\u0438\u043c\u0430\u043d\u0438\u0435 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435, \u043a\u043e\u0438\u0442\u043e \u043b\u0435\u043a\u0443\u0432\u0430\u0442, \u0438 \u043d\u0430 \u0442\u043e\u0432\u0430, \u043a\u043e\u0435\u0442\u043e \u0440\u0430\u0437\u0431\u0438\u0440\u0430\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435. \u0422\u0443\u043a \u043d\u0435 \u0441\u0442\u0430\u0432\u0430 \u0434\u0443\u043c\u0430 \u0435\u0434\u0438\u043d\u0441\u0442\u0432\u0435\u043d\u043e \u0437\u0430 \u0445\u043e\u0440\u0430\u0442\u0430 \u0441 \u043d\u0438\u0441\u043a\u043e \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435 (\u043d\u0438\u0441\u043a\u0430 \u0437\u0434\u0440\u0430\u0432\u043d\u0430 \u0433\u0440\u0430\u043c\u043e\u0442\u043d\u043e\u0441\u0442) \u2013 \u0437\u0430 \u0432\u0441\u0438\u0447\u043a\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438 \u044f\u0441\u043d\u0430\u0442\u0430 \u0438 \u0442\u043e\u0447\u043d\u0430 \u0438\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0438\u044f \u0438 \u043f\u0440\u0435\u043c\u0430\u0445\u0432\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0436\u0430\u0440\u0433\u043e\u043d\u0430 \u0431\u0438\u0445\u0430 \u0431\u0438\u043b\u0438 \u043e\u0442 \u043f\u043e\u043b\u0437\u0430. \u041e\u0441\u0432\u0435\u043d \u0442\u043e\u0432\u0430 \u0435 \u043e\u0442 \u0438\u0437\u043a\u043b\u044e\u0447\u0438\u0442\u0435\u043b\u043d\u0430 \u0432\u0430\u0436\u043d\u043e\u0441\u0442 \u043b\u0435\u043a\u0430\u0440\u0438\u0442\u0435 \u0434\u0430 \u043a\u043e\u043c\u0443\u043d\u0438\u043a\u0438\u0440\u0430\u0442 \u043d\u0430 \u0435\u0437\u0438\u043a\u0430, \u043d\u0430 \u043a\u043e\u0439\u0442\u043e \u0441\u0430 \u0441\u0432\u0438\u043a\u043d\u0430\u043b\u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435, \u0438\u0437\u0440\u0430\u0437\u044f\u0432\u0430\u0439\u043a\u0438 \u0441\u0435 \u0441 \u0434\u0443\u043c\u0438, \u043a\u043e\u0438\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0431\u0438\u0445\u0430 \u0438\u0437\u043f\u043e\u043b\u0437\u0432\u0430\u043b\u0438.<\/p>\n<p>\u041f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u0438 \u043f\u0440\u0438\u043b\u043e\u0436\u0435\u043d\u0438\u044f:<\/p>\n<ul>\n<li>\u041f\u043e\u0432\u0438\u0448\u0435\u043d\u043e\u0442\u043e \u0443\u0447\u0430\u0441\u0442\u0438\u0435 \u043d\u0430 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0432 \u043f\u0440\u043e\u0446\u0435\u0441\u0438\u0442\u0435 \u043d\u0430 \u0432\u0437\u0435\u043c\u0430\u043d\u0435 \u043d\u0430 \u0440\u0435\u0448\u0435\u043d\u0438\u044f \u043c\u043e\u0436\u0435 \u0434\u0430 \u043f\u043e\u0434\u043e\u0431\u0440\u0438 \u043f\u0440\u0438\u0434\u044a\u0440\u0436\u0430\u043d\u0435\u0442\u043e \u043a\u044a\u043c \u043f\u0440\u0435\u0434\u043f\u0438\u0441\u0430\u043d\u043e\u0442\u043e \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u0438 \u0440\u0435\u0437\u0443\u043b\u0442\u0430\u0442\u0438\u0442\u0435 \u043e\u0442 \u043d\u0435\u0433\u043e.<\/li>\n<li>\u0412\u0438\u043d\u0430\u0433\u0438 \u0441\u0435 \u043e\u043f\u0438\u0442\u0432\u0430\u0439\u0442\u0435 \u0434\u0430 \u0441\u0435 \u0438\u0437\u0440\u0430\u0437\u044f\u0432\u0430\u0442\u0435 \u0441 \u0434\u0443\u043c\u0438, \u043a\u043e\u0438\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u0431\u0438\u0445\u0430 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\u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0438\u0442\u0435 \u043f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u043d\u043e \u043a\u0430\u043a\u0432\u043e \u0441\u0435 \u043e\u0447\u0430\u043a\u0432\u0430 \u043e\u0442 \u0442\u044f\u0445 \u043f\u0440\u0438 \u0432\u0437\u0435\u043c\u0430\u043d\u0435\u0442\u043e \u043d\u0430 \u0441\u044a\u0432\u043c\u0435\u0441\u0442\u043d\u0438 \u0440\u0435\u0448\u0435\u043d\u0438\u044f.<\/li>\n<\/ul>\n<p>*\u0411\u0438\u0445\u0442\u0435 \u043c\u043e\u0433\u043b\u0438 \u0434\u0430 \u0441\u0435 \u0437\u0430\u043f\u043e\u0437\u043d\u0430\u0435\u0442\u0435 \u0441 \u043f\u044a\u043b\u043d\u0438\u044f \u0442\u0435\u043a\u0441\u0442 \u043d\u0430 \u0446\u0438\u0442\u0438\u0440\u0430\u043d\u0438\u0442\u0435 \u043b\u0438\u0442\u0435\u0440\u0430\u0442\u0443\u0440\u043d\u0438 \u0438\u0437\u0442\u043e\u0447\u043d\u0438\u0446\u0438 \u043f\u043e\u0441\u0440\u0435\u0434\u0441\u0442\u0432\u043e\u043c \u043b\u0438\u043d\u043a\u043e\u0432\u0435\u0442\u0435 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