{"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\/uk\/2019\/01\/patient-talk-what-the-doctor-clearly-says-and-the-patient-clearly-does-not-understand\/","title":{"rendered":"\u0420\u043e\u0437\u043c\u043e\u0432\u0430 \u0437 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c: \u0429\u043e \u0434\u043e\u043a\u0442\u043e\u0440 \u0447\u0456\u0442\u043a\u043e \u0433\u043e\u0432\u043e\u0440\u0438\u0442\u044c \u0442\u0430 \u043f\u0430\u0446\u0456\u0454\u043d\u0442 \u0447\u0456\u0442\u043a\u043e \u043d\u0435 \u0440\u043e\u0437\u0443\u043c\u0456\u0454."},"content":{"rendered":"<p><strong>\u0410\u043d\u043d\u0430 \u041c\u0430\u0440\u0456\u044f \u041f\u043b\u0430\u0441\u0441 (Anne Marie Plass), \u0423\u043d\u0438\u0432\u0435\u0440\u0441\u0438\u0442\u0435\u0442\u0441\u044c\u043a\u0438\u0439 \u043c\u0435\u0434\u0438\u0447\u043d\u0438\u0439 \u0446\u0435\u043d\u0442\u0440 \u0413\u0435\u0442\u0442\u0456\u043d\u0433\u0435\u043d\u0443, \u041d\u0456\u043c\u0435\u0447\u0447\u0438\u043d\u0430<\/strong><\/p>\n<p><em>\u0414\u0435\u044f\u043a\u0438\u0439 \u0447\u0430\u0441 \u0442\u043e\u043c\u0443 \u0434\u0435\u0440\u043c\u0430\u0442\u043e\u043b\u043e\u0433, \u044f\u043a\u0438\u0439 \u043f\u0440\u0430\u0446\u044e\u0454 \u044f\u043a \u0444\u0430\u0445\u0456\u0432\u0435\u0446\u044c \u0437 \u043f\u0441\u043e\u0440\u0456\u0430\u0437\u0443 (\u0445\u0440\u043e\u043d\u0456\u0447\u043d\u0435 \u0437\u0430\u0445\u0432\u043e\u0440\u044e\u0432\u0430\u043d\u043d\u044f \u0448\u043a\u0456\u0440\u0438) &#8211; \u0441\u043f\u0435\u0446\u0456\u0430\u043b\u0456\u0441\u0442 \u0432 \u0443\u043d\u0456\u0432\u0435\u0440\u0441\u0438\u0442\u0435\u0442\u0441\u044c\u043a\u0456\u0439 \u043b\u0456\u043a\u0430\u0440\u043d\u0456, \u043f\u043e\u0441\u043a\u0430\u0440\u0436\u0438\u0432\u0441\u044f \u043c\u0435\u043d\u0456 \u043d\u0430 \u0431\u0430\u0433\u0430\u0442\u044c\u043e\u0445 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432, \u044f\u043a\u0456 \u043d\u0435 \u0434\u043e\u0442\u0440\u0438\u043c\u0443\u044e\u0442\u044c\u0441\u044f \u0442\u0435\u0440\u0430\u043f\u0456\u0457, \u0445\u043e\u0447\u0430 \u0432\u0437\u0430\u0454\u043c\u043d\u0430 \u043c\u0435\u0442\u0430 \u0431\u0443\u043b\u0430 \u0432\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0430, \u0456 \u0441\u043f\u0456\u043b\u044c\u043d\u0456 \u0440\u0456\u0448\u0435\u043d\u043d\u044f \u0431\u0443\u043b\u0438 \u0437\u0440\u043e\u0431\u043b\u0435\u043d\u0456. <\/em><\/p>\n<p>\u0421\u043f\u0456\u043b\u044c\u043d\u0435 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u0440\u0456\u0448\u0435\u043d\u044c \u0431\u0443\u043b\u043e \u0432\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043e \u044f\u043a \u00ab\u043f\u0456\u0434\u0445\u0456\u0434, \u043a\u043e\u043b\u0438 \u043a\u043b\u0456\u043d\u0456\u0446\u0438\u0441\u0442\u0438 \u0456 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 \u043e\u0431\u043c\u0456\u043d\u044e\u044e\u0442\u044c\u0441\u044f \u043d\u0430\u0439\u043a\u0440\u0430\u0449\u0438\u043c\u0438 \u043d\u0430\u044f\u0432\u043d\u0438\u043c\u0438 \u0444\u0430\u043a\u0442\u0430\u043c\u0438, \u043a\u043e\u043b\u0438 \u0441\u0442\u0438\u043a\u0430\u044e\u0442\u044c\u0441\u044f \u0437 \u0437\u0430\u0432\u0434\u0430\u043d\u043d\u044f\u043c \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u0440\u0456\u0448\u0435\u043d\u044c (<a href=\"https:\/\/www.bmj.com\/content\/341\/bmj.c5146.long\">decisions<\/a>)\u00bb, \u044f\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u043a\u043e\u043b\u0438 \u0434\u043e\u0441\u0442\u0443\u043f\u043d\u0456 \u0434\u0432\u0430 \u0430\u0431\u043e \u0431\u0456\u043b\u044c\u0448\u0435 \u0432\u0430\u0440\u0456\u0430\u043d\u0442\u0456\u0432 \u043b\u0456\u043a\u0443\u0432\u0430\u043d\u043d\u044f, \u0430\u0431\u043e \u0443\u0442\u044f\u0433\u043d\u0443\u0442\u043e \u0431\u0456\u043b\u044c\u0448\u0435 \u043d\u0456\u0436 \u043e\u0434\u043d\u0443 \u043b\u044e\u0434\u0438\u043d\u0438. \u042f\u043a \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438, \u0442\u0430\u043a \u0456 \u043b\u0456\u043a\u0430\u0440\u0456 \u0441\u043f\u0440\u0438\u044f\u044e\u0442\u044c \u043f\u0440\u043e\u0446\u0435\u0441\u0443 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u043c\u0435\u0434\u0438\u0447\u043d\u0438\u0445 \u0440\u0456\u0448\u0435\u043d\u044c (<a href=\"https:\/\/en.wikipedia.org\/wiki\/Shared_decision-making_in_medicine\">decision-making process<\/a>), \u0456 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 \u043e\u0442\u0440\u0438\u043c\u0443\u044e\u0442\u044c \u043f\u0456\u0434\u0442\u0440\u0438\u043c\u043a\u0443 \u0434\u043b\u044f \u0440\u043e\u0437\u0433\u043b\u044f\u0434\u0443 \u0432\u0430\u0440\u0456\u0430\u043d\u0442\u0456\u0432 \u0434\u043e\u0441\u044f\u0433\u043d\u0435\u043d\u043d\u044f \u043e\u0447\u0456\u043a\u0443\u0432\u0430\u043d\u0438\u0445 \u043f\u0435\u0440\u0435\u0432\u0430\u0433 \u0442\u0430 \u0431\u0430\u0436\u0430\u043d\u0438\u0445 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0456\u0432. \u0421\u043f\u0456\u043b\u044c\u043d\u0456 \u0440\u0456\u0448\u0435\u043d\u043d\u044f \u0441\u0442\u0430\u044e\u0442\u044c \u0432\u0441\u0435 \u0431\u0456\u043b\u044c\u0448 \u043f\u043e\u043c\u0456\u0442\u043d\u0438\u043c \u0443 \u043f\u043e\u043b\u0456\u0442\u0438\u0446\u0456 \u043e\u0445\u043e\u0440\u043e\u043d\u0438 \u0437\u0434\u043e\u0440\u043e\u0432&#8217;\u044f (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17485749\">health care policy<\/a>), \u043e\u0441\u043a\u0456\u043b\u044c\u043a\u0438 \u0431\u0430\u0433\u0430\u0442\u043e \u043f\u0440\u043e\u0444\u0435\u0441\u0456\u0439\u043d\u0438\u0445 \u043c\u0435\u0434\u0438\u0447\u043d\u0438\u0445 \u043f\u0440\u0430\u0446\u0456\u0432\u043d\u0438\u043a\u0456\u0432 \u043d\u0430\u043c\u0430\u0433\u0430\u044e\u0442\u044c\u0441\u044f \u0437\u0440\u043e\u0431\u0438\u0442\u0438 \u0432\u0441\u0435 \u043c\u043e\u0436\u043b\u0438\u0432\u0435 \u0434\u043b\u044f \u0442\u043e\u0433\u043e, \u0449\u043e\u0431 \u0434\u0456\u044f\u0442\u0438 \u043d\u0430\u0441\u043a\u0456\u043b\u044c\u043a\u0438-\u043c\u043e\u0436\u043b\u0438\u0432\u043e \u0437 \u043e\u0440\u0456\u0454\u043d\u0442\u0430\u0446\u0456\u0454\u044e \u043d\u0430 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430 (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20947577\">patient-centered<\/a>). \u0422\u0438\u043c \u0431\u0456\u043b\u044c\u0448\u0435, \u0449\u043e \u0442\u0430\u043a\u0438\u0439 \u0441\u043f\u043e\u0441\u0456\u0431 \u0441\u043f\u0456\u043b\u043a\u0443\u0432\u0430\u043d\u043d\u044f \u0437 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c \u043c\u043e\u0436\u0435 \u043f\u043e\u043b\u0456\u043f\u0448\u0438\u0442\u0438 \u043f\u0440\u0438\u0445\u0438\u043b\u044c\u043d\u0456\u0441\u0442\u044c \u0434\u043e \u0442\u0435\u0440\u0430\u043f\u0456\u0457 \u0442\u0430 \u0434\u043e\u0432\u0456\u0440\u0443.<\/p>\n<p><!--more--><\/p>\n<p>\u041f\u043e \u0441\u0443\u0442\u0456, \u0441\u043f\u0456\u043b\u044c\u043d\u0435 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u0440\u0456\u0448\u0435\u043d\u044c \u0431\u0430\u0437\u0443\u0454\u0442\u044c\u0441\u044f \u043d\u0430 \u0432\u0437\u0430\u0454\u043c\u043e\u0440\u043e\u0437\u0443\u043c\u0456\u043d\u043d\u0456 \u0442\u0430 \u043f\u043e\u0432\u0430\u0437\u0456 (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/15150208\">respect<\/a>). \u041b\u0456\u043a\u0430\u0440 \u0456 \u043f\u0430\u0446\u0456\u0454\u043d\u0442 \u0454 \u0440\u0456\u0432\u043d\u043e\u043f\u0440\u0430\u0432\u043d\u0438\u043c\u0438 \u043f\u0430\u0440\u0442\u043d\u0435\u0440\u0430\u043c\u0438 \u0432 \u0446\u044c\u043e\u043c\u0443 \u043f\u0440\u043e\u0446\u0435\u0441\u0456, \u043e\u0431\u0438\u0434\u0432\u0430 \u0441\u043f\u0440\u0438\u044f\u044e\u0442\u044c \u0440\u0456\u0448\u0435\u043d\u043d\u044e, \u043f\u0440\u0438\u043d\u043e\u0441\u044f\u0447\u0438 \u0432\u043b\u0430\u0441\u043d\u0443 \u0435\u043a\u0441\u043f\u0435\u0440\u0442\u0438\u0437\u0443 \u0442\u0430 \u0434\u043e\u0441\u0432\u0456\u0434 \u0434\u043e \u0440\u043e\u0437\u043c\u043e\u0432\u0438. \u0422\u0430\u043a\u0438\u043c \u0447\u0438\u043d\u043e\u043c, \u043b\u0456\u043a\u0430\u0440 \u043d\u0430\u0434\u0430\u0454 \u043c\u0435\u0434\u0438\u0447\u043d\u0456 \u0437\u043d\u0430\u043d\u043d\u044f \u0442\u0430 \u0434\u043e\u0441\u0432\u0456\u0434, \u0430 \u043f\u0430\u0446\u0456\u0454\u043d\u0442 \u0434\u043e\u0434\u0430\u0454 \u0437\u043d\u0430\u043d\u043d\u044f \u0442\u0430 \u0434\u043e\u0441\u0432\u0456\u0434 \u0449\u043e\u0434\u043e \u0441\u0432\u043e\u0433\u043e \u043e\u0441\u043e\u0431\u0438\u0441\u0442\u043e\u0433\u043e \u0436\u0438\u0442\u0442\u044f. \u0426\u0435, \u043e\u0434\u043d\u0430\u043a, \u043b\u0435\u0433\u0448\u0435 \u0441\u043a\u0430\u0437\u0430\u0442\u0438, \u043d\u0456\u0436 \u0437\u0440\u043e\u0431\u0438\u0442\u0438. \u0425\u043e\u0447\u0430 \u0431\u0430\u0433\u0430\u0442\u043e \u043f\u0440\u0430\u0446\u0456\u0432\u043d\u0438\u043a\u0456\u0432 \u043e\u0445\u043e\u0440\u043e\u043d\u0438 \u0437\u0434\u043e\u0440\u043e\u0432&#8217;\u044f \u0441\u0442\u0432\u0435\u0440\u0434\u0436\u0443\u044e\u0442\u044c, \u0449\u043e \u0432\u043e\u043d\u0438 &#8220;\u0432\u0436\u0435 \u0446\u0435 \u0440\u043e\u0431\u043b\u044f\u0442\u044c&#8221;, \u0434\u0430\u043d\u0456 \u043e\u043f\u0438\u0442\u0443\u0432\u0430\u043d\u044c \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432 (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20393104\">patient experience surveys<\/a>) \u0441\u0432\u0456\u0434\u0447\u0430\u0442\u044c, \u0449\u043e \u0446\u0435 \u0432\u0437\u0430\u0433\u0430\u043b\u0456 \u043d\u0435 \u0442\u0430\u043a (<a href=\"https:\/\/www.bmj.com\/content\/341\/bmj.c4989.long\">this is not generally the case<\/a>).<\/p>\n<p><em>\u0414\u0435\u0440\u043c\u0430\u0442\u043e\u043b\u043e\u0433, \u0437 \u044f\u043a\u0438\u043c \u044f \u0440\u043e\u0437\u043c\u043e\u0432\u043b\u044f\u043b\u0430, \u0432\u0437\u044f\u0432 \u0437\u0432\u0438\u0447\u043a\u0443 \u043d\u0435 \u0432\u0438\u0440\u0456\u0448\u0443\u0432\u0430\u0442\u0438 \u0432\u0456\u0434 \u0456\u043c\u0435\u043d\u0456 \u0441\u0432\u043e\u0457\u0445 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432, \u0430 \u0440\u0430\u0437\u043e\u043c \u0437 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430\u043c\u0438 \u0432\u0438\u0440\u0456\u0448\u0443\u0432\u0430\u0442\u0438, \u044f\u043a\u0430 \u0442\u0435\u0440\u0430\u043f\u0456\u044f \u0457\u043c \u043f\u0456\u0434\u0456\u0439\u0434\u0435 \u043d\u0430\u0439\u043a\u0440\u0430\u0449\u0435. \u0422\u043e\u043c\u0443 \u0432\u043e\u043d\u0430 \u0437\u043e\u0432\u0441\u0456\u043c \u043d\u0435 \u0440\u043e\u0437\u0443\u043c\u0456\u043b\u0430, \u0447\u043e\u043c\u0443 \u0457\u0457 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 \u0432\u0441\u0435 \u0449\u0435 \u043d\u0435 \u0431\u0443\u043b\u0438 \u043c\u043e\u0442\u0438\u0432\u043e\u0432\u0430\u043d\u0456 \u043f\u0440\u0438\u0439\u043c\u0430\u0442\u0438 \u0442\u0430\u0431\u043b\u0435\u0442\u043a\u0438, \u044f\u043a \u0446\u0435 \u0431\u0443\u043b\u043e \u043f\u0440\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043e, \u043d\u0430\u0432\u0456\u0442\u044c \u043f\u0456\u0441\u043b\u044f \u0442\u043e\u0433\u043e, \u044f\u043a \u0442\u0435\u0440\u0430\u043f\u0456\u044f \u0431\u0443\u043b\u0430 \u0437\u0430\u0441\u043d\u043e\u0432\u0430\u043d\u0430 \u043d\u0430 \u043e\u0441\u043e\u0431\u0438\u0441\u0442\u0438\u0445 \u0443\u043f\u043e\u0434\u043e\u0431\u0430\u043d\u043d\u044f\u0445 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430. \u041e\u043f\u0438\u0441\u0443\u044e\u0447\u0438, \u044f\u043a \u0432\u043e\u043d\u0430 \u0432\u043f\u0440\u043e\u0432\u0430\u0434\u0438\u043b\u0430 \u0441\u043f\u0456\u043b\u044c\u043d\u0438\u0439 \u043f\u0440\u043e\u0446\u0435\u0441 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u0440\u0456\u0448\u0435\u043d\u044c \u0443 \u0449\u043e\u0434\u0435\u043d\u043d\u0443 \u043a\u043b\u0456\u043d\u0456\u0447\u043d\u0443 \u043f\u0440\u0430\u043a\u0442\u0438\u043a\u0443, \u0432\u043e\u043d\u0430 \u0441\u043a\u0430\u0437\u0430\u043b\u0430, \u0449\u043e \u044f\u043a \u0442\u0456\u043b\u044c\u043a\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442 \u043f\u0440\u0438\u0445\u043e\u0434\u0438\u0432, \u0432\u043e\u043d\u0430 \u043f\u043e\u0432\u0456\u0434\u043e\u043c\u043b\u044f\u043b\u0430 \u0439\u043e\u043c\u0443 \/ \u0457\u0439, \u0449\u043e \u043f\u0456\u0434 \u0447\u0430\u0441 \u0446\u0456\u0454\u0457 \u043a\u043e\u043d\u0441\u0443\u043b\u044c\u0442\u0430\u0446\u0456\u0457 \u0432\u043e\u043d\u0438 \u0440\u0430\u0437\u043e\u043c \u043f\u0440\u0438\u0439\u043c\u0430\u044e\u0442\u044c \u0440\u0456\u0448\u0435\u043d\u043d\u044f \u043f\u0440\u043e \u0442\u0435\u0440\u0430\u043f\u0456\u044e, \u0456 \u0442\u0430\u043a\u0438\u043c \u0447\u0438\u043d\u043e\u043c \u0437\u0431\u0438\u0440\u0430\u044e\u0442\u044c\u0441\u044f \u043e\u0431\u0433\u043e\u0432\u043e\u0440\u0438\u0442\u0438 \u0440\u0456\u0437\u043d\u0456 \u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438\u0447\u043d\u0456 \u0432\u0430\u0440\u0456\u0430\u043d\u0442\u0438 \u0440\u0430\u0437\u043e\u043c. <\/em><\/p>\n<p>\u0406\u043d\u043e\u0434\u0456 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430\u043c \u043c\u043e\u0436\u0435 \u0437\u043d\u0430\u0434\u043e\u0431\u0438\u0442\u0438\u0441\u044f \u0447\u0430\u0441 \u0434\u043b\u044f \u0432\u0438\u0432\u0447\u0435\u043d\u043d\u044f \u043d\u043e\u0432\u043e\u0457 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u0457 \u0442\u0430 \u0440\u043e\u0437\u0433\u043b\u044f\u0434\u0443 \u0441\u0432\u043e\u0457\u0445 \u043e\u0441\u043e\u0431\u0438\u0441\u0442\u0438\u0445 \u0443\u043f\u043e\u0434\u043e\u0431\u0430\u043d\u044c \u0434\u043e \u0442\u043e\u0433\u043e, \u044f\u043a \u0432\u043e\u043d\u0438 \u043f\u0440\u0438\u0439\u043c\u0443\u0442\u044c \u043d\u043e\u0432\u0456 \u0440\u0456\u0448\u0435\u043d\u043d\u044f. \u0426\u0435 \u043e\u0441\u043e\u0431\u043b\u0438\u0432\u043e \u0432\u0430\u0436\u043b\u0438\u0432\u043e, \u043a\u043e\u043b\u0438 \u043c\u0430\u0439\u0431\u0443\u0442\u043d\u0454 \u0457\u0445\u043d\u044c\u043e\u0433\u043e \u0441\u0442\u0430\u043d\u0443 \u043d\u0435\u0432\u0456\u0434\u043e\u043c\u0435, \u0456 \u0457\u043c, \u043c\u043e\u0436\u043b\u0438\u0432\u043e, \u0434\u043e\u0432\u0435\u0434\u0435\u0442\u044c\u0441\u044f \u043f\u043e\u0434\u0443\u043c\u0430\u0442\u0438 \u043f\u0440\u043e \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0438, \u044f\u043a\u0456 \u0432\u043e\u043d\u0438 \u043d\u0456\u043a\u043e\u043b\u0438 \u043d\u0435 \u0432\u0456\u0434\u0447\u0443\u0432\u0430\u043b\u0438 (<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/184205\">experienced<\/a>). \u041a\u043e\u043b\u0438 \u0457\u043c \u043f\u0440\u043e\u043f\u043e\u043d\u0443\u0454\u0442\u044c\u0441\u044f \u0440\u043e\u043b\u044c \u0443 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u0456 \u0440\u0456\u0448\u0435\u043d\u044c, \u0434\u0435\u044f\u043a\u0456 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 \u043c\u043e\u0436\u0443\u0442\u044c \u0432\u0456\u0434\u0447\u0443\u0432\u0430\u0442\u0438 \u0441\u0435\u0431\u0435 \u0437\u0434\u0438\u0432\u043e\u0432\u0430\u043d\u0438\u043c\u0438 \u0430\u0431\u043e \u043d\u0435\u0441\u043f\u043e\u043a\u0456\u0439\u043d\u0438\u043c\u0438 \u0437\u0430\u043f\u0440\u043e\u043f\u043e\u043d\u0443\u0432\u0430\u043d\u043d\u044f\u043c \u0440\u0456\u0437\u043d\u0438\u0445 \u0432\u0430\u0440\u0456\u0430\u043d\u0442\u0456\u0432 \u0456 \u043d\u0435 \u0432\u043f\u0435\u0432\u043d\u0435\u043d\u0438\u043c\u0438 \u0432 \u0442\u043e\u043c\u0443, \u0449\u043e \u043c\u043e\u0436\u0435 \u0431\u0443\u0442\u0438 \u043a\u0440\u0430\u0449\u0438\u043c. \u0406\u043d\u0444\u043e\u0440\u043c\u0443\u0432\u0430\u043d\u043d\u044f \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432 \u043f\u0440\u043e \u0440\u0456\u0437\u043d\u0456 \u0432\u0430\u0440\u0456\u0430\u043d\u0442\u0438 \u043b\u0456\u043a\u0443\u0432\u0430\u043d\u043d\u044f, \u0430 \u0442\u0430\u043a\u043e\u0436 \u043f\u043e\u043f\u0435\u0440\u0435\u0434\u0436\u0435\u043d\u043d\u044f \u0437\u0430\u0437\u0434\u0430\u043b\u0435\u0433\u0456\u0434\u044c (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3010418\/\">beforehand <\/a>), \u0449\u043e \u0432\u043e\u043d\u0438 \u043c\u0443\u0441\u044f\u0442\u044c \u0431\u0440\u0430\u0442\u0438 \u0443\u0447\u0430\u0441\u0442\u044c \u0443 \u0441\u043f\u0456\u043b\u044c\u043d\u043e\u043c\u0443 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u0456 \u0440\u0456\u0448\u0435\u043d\u044c, \u043c\u043e\u0436\u0435, \u0442\u0430\u043a\u0438\u043c \u0447\u0438\u043d\u043e\u043c, \u043f\u0456\u0434\u0432\u0438\u0449\u0438\u0442\u0438 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u0456\u0441\u0442\u044c (<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0738399105000546?via%3Dihub\">effectiveness<\/a>) \u0441\u043f\u0456\u043b\u044c\u043d\u043e\u0433\u043e \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u0440\u0456\u0448\u0435\u043d\u044c.<\/p>\n<p><em>\u0414\u043b\u044f \u0442\u043e\u0433\u043e, \u0449\u043e\u0431 \u0434\u043e\u043f\u043e\u043c\u043e\u0433\u0442\u0438 \u0441\u0432\u043e\u0457\u043c \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430\u043c \u0443 \u0432\u0438\u0440\u0456\u0448\u0435\u043d\u043d\u0456 \u043f\u0438\u0442\u0430\u043d\u043d\u044f \u043f\u0440\u043e \u0442\u0435\u0440\u0430\u043f\u0456\u044e, \u044f\u043a\u0430 \u043d\u0430\u0439\u043a\u0440\u0430\u0449\u0438\u043c \u0447\u0438\u043d\u043e\u043c \u0432\u0456\u0434\u043f\u043e\u0432\u0456\u0434\u0430\u0454 \u0457\u0445\u043d\u0456\u043c \u043e\u0441\u043e\u0431\u0438\u0441\u0442\u0438\u043c \u0443\u043f\u043e\u0434\u043e\u0431\u0430\u043d\u043d\u044f\u043c, \u0446\u0435\u0439 \u0434\u0435\u0440\u043c\u0430\u0442\u043e\u043b\u043e\u0433 \u043f\u0440\u043e\u043f\u043e\u043d\u0443\u0454 \u043f\u0440\u043e\u043f\u043e\u0440\u0446\u0456\u0457, \u043d\u0430\u043f\u0440\u0438\u043a\u043b\u0430\u0434, 10%, \u0430\u0431\u043e 20% \u043f\u043e\u043b\u0456\u043f\u0448\u0435\u043d\u043d\u044f, \u044f\u043a \u0457\u0445 \u043c\u043e\u0436\u043b\u0438\u0432\u0438\u0445 \u0446\u0456\u043b\u0435\u0439. \u041f\u0456\u0441\u043b\u044f \u0442\u043e\u0433\u043e, \u044f\u043a \u043f\u0430\u0446\u0456\u0454\u043d\u0442 \u0432\u0438\u0431\u0438\u0440\u0430\u0454 \u0442\u043e\u0439 \u0432\u0456\u0434\u0441\u043e\u0442\u043e\u043a, \u044f\u043a\u0438\u0439 \u0457\u043c \u043d\u0430\u0439\u0431\u0456\u043b\u044c\u0448\u0435 \u043f\u0456\u0434\u0445\u043e\u0434\u0438\u0442\u044c, \u0434\u0435\u0440\u043c\u0430\u0442\u043e\u043b\u043e\u0433 \u043f\u043e\u044f\u0441\u043d\u0438\u0432, \u044f\u043a\u0443 \u0442\u0435\u0440\u0430\u043f\u0456\u044e \u0442\u0430 \u043c\u0435\u0434\u0438\u043a\u0430\u043c\u0435\u043d\u0442\u043e\u0437\u043d\u0435 \u043b\u0456\u043a\u0443\u0432\u0430\u043d\u043d\u044f \u043d\u0435\u043e\u0431\u0445\u0456\u0434\u043d\u043e \u0431\u0443\u0434\u0435 \u043f\u0440\u043e\u0432\u043e\u0434\u0438\u0442\u0438 \u0434\u043b\u044f \u0434\u043e\u0441\u044f\u0433\u043d\u0435\u043d\u043d\u044f \u0446\u0456\u0454\u0457 \u043c\u0435\u0442\u0438, \u0442\u0438\u043c \u0441\u0430\u043c\u0438\u043c \u0430\u043a\u0442\u0438\u0432\u043d\u043e \u0437\u0430\u043b\u0443\u0447\u0430\u044e\u0447\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430 \u0434\u043e \u043f\u0440\u043e\u0446\u0435\u0441\u0443 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u0440\u0456\u0448\u0435\u043d\u044c. \u041d\u0435\u0437\u0432\u0430\u0436\u0430\u044e\u0447\u0438 \u043d\u0430 \u0432\u0441\u0435 \u0446\u0435, \u0457\u0457 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 \u0432\u0441\u0435 \u0449\u0435 \u043d\u0435 \u0434\u043e\u0442\u0440\u0438\u043c\u0443\u044e\u0442\u044c\u0441\u044f \u0442\u0435\u0440\u0430\u043f\u0456\u0457, \u043d\u0430\u0432\u0456\u0442\u044c \u044f\u043a\u0449\u043e \u0432\u043e\u043d\u0438 \u0441\u0430\u043c\u0456 \u0432\u0438\u0431\u0440\u0430\u043b\u0438 \u0446\u0435\u0439 \u0432\u0430\u0440\u0456\u0430\u043d\u0442, \u044f\u043a\u0438\u0439 \u043d\u0430\u0439\u043a\u0440\u0430\u0449\u0438\u043c \u0447\u0438\u043d\u043e\u043c \u0432\u0456\u0434\u043f\u043e\u0432\u0456\u0434\u0430\u0454 \u0457\u0445 \u043e\u0441\u043e\u0431\u0438\u0441\u0442\u0456\u0439 \u0441\u0438\u0442\u0443\u0430\u0446\u0456\u0457. \u042f \u0437\u0430\u043f\u0438\u0442\u0430\u043b\u0430 \u0457\u0457, \u0447\u0438 \u0432\u0432\u0430\u0436\u0430\u0454 \u0432\u043e\u043d\u0430, \u0449\u043e \u0457\u0457 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 \u0440\u043e\u0437\u0443\u043c\u0456\u044e\u0442\u044c \u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f 20%, 30% \u0442\u043e\u0449\u043e, \u0456 \u0447\u0438 \u0431\u0443\u0434\u0443\u0442\u044c \u0432\u043e\u043d\u0438 \u0432\u0438\u0441\u043b\u043e\u0432\u043b\u044e\u0432\u0430\u0442\u0438\u0441\u044f \u0442\u0430\u043a \u0441\u0430\u043c\u043e, \u043a\u043e\u043b\u0438 \u043f\u043e\u044f\u0441\u043d\u0438\u043c\u0443\u0442\u044c \u0431\u0430\u0436\u0430\u043d\u0435 \u043f\u043e\u043b\u0435\u0433\u0448\u0435\u043d\u043d\u044f \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0456\u0432 \u0456\u043d\u0448\u0438\u043c. <\/em><\/p>\n<p>\u0427\u0430\u0441\u0442\u0438\u043d\u0430 \u0442\u0440\u0443\u0434\u043d\u043e\u0449\u0456\u0432 (<a href=\"http:\/\/www.theguardian.com\/healthcare-network\/2014\/jul\/01\/impact-medical-jargon-patient-centred-care\">difficulty<\/a>) \u043f\u043e\u043b\u044f\u0433\u0430\u0454 \u0443 \u043f\u0440\u0438\u0442\u0430\u043c\u0430\u043d\u043d\u0456\u0439 (\u043c\u0435\u0434\u0438\u0447\u043d\u0438\u043c) \u043f\u0440\u043e\u0444\u0435\u0441\u0456\u043e\u043d\u0430\u043b\u0430\u043c \u0442\u0435\u043d\u0434\u0435\u043d\u0446\u0456\u0457 \u0434\u043e \u0432\u0438\u043a\u043e\u0440\u0438\u0441\u0442\u0430\u043d\u043d\u044f \u043c\u043e\u0432\u0438 (<a href=\"http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0020748915000619?via%3Dihub\">use language<\/a>), \u044f\u043a\u0430 \u0432 \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u043c\u0443 \u0454 \u043f\u0440\u043e\u0437\u043e\u0440\u043e\u044e \u0434\u043b\u044f \u043a\u043e\u043b\u0435\u0433-\u043f\u0440\u043e\u0444\u0435\u0441\u0456\u043e\u043d\u0430\u043b\u0456\u0432. \u041c\u0435\u0434\u0438\u0447\u043d\u0430 \u043c\u043e\u0432\u0430 \u043c\u043e\u0436\u0435 \u0431\u0443\u0442\u0438 \u0441\u043a\u043b\u0430\u0434\u043d\u043e\u044e, \u0456 \u0434\u043e\u043a\u0430\u0437\u0438 \u0441\u0432\u0456\u0434\u0447\u0430\u0442\u044c, \u0449\u043e \u043c\u0430\u0439\u0436\u0435 \u043f\u043e\u043b\u043e\u0432\u0438\u043d\u0430 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432 (<a href=\"https:\/\/www.telegraph.co.uk\/news\/health\/news\/10909421\/Nearly-half-of-patients-do-not-understand-medical-language.html\">nearly half of patients<\/a>) \u0443\u0442\u0440\u0443\u0434\u043d\u044e\u044e\u0442\u044c\u0441\u044f \u0457\u0457 \u0437\u0440\u043e\u0437\u0443\u043c\u0456\u0442\u0438 (<a href=\"http:\/\/www.bmj.com\/content\/320\/7233\/484?fromsource=nelm;%20www.tandfonline.com\/doi\/abs\/10.3109\/09638288.2013.793409\">understand<\/a>). \u0416\u0430\u0440\u0433\u043e\u043d \u0456 \u0430\u0431\u0441\u0442\u0440\u0430\u043a\u0442\u043d\u0456 \u0442\u0435\u0440\u043c\u0456\u043d\u0438, \u044f\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u0432\u0438\u043a\u043b\u0438\u043a\u0430\u044e\u0442\u044c \u0448\u0438\u0440\u043e\u043a\u0438\u0439 \u0441\u043f\u0435\u043a\u0442\u0440 \u0456\u043d\u0442\u0435\u0440\u043f\u0440\u0435\u0442\u0430\u0446\u0456\u0439, \u044f\u043a\u0456 \u043c\u043e\u0436\u0443\u0442\u044c \u043f\u043e\u043c\u0456\u0442\u043d\u043e \u0432\u0456\u0434\u0440\u0456\u0437\u043d\u044f\u0442\u0438\u0441\u044f \u0432\u0456\u0434 \u0442\u043e\u0433\u043e, \u0449\u043e \u043c\u0430\u0432 \u043d\u0430 \u0443\u0432\u0430\u0437\u0456 \u043c\u0435\u0434\u0438\u0447\u043d\u0438\u0439 \u0444\u0430\u0445\u0456\u0432\u0435\u0446\u044c. \u0411\u0456\u043b\u044c\u0448\u0435 \u0442\u043e\u0433\u043e, \u0432\u0435\u043b\u0438\u043a\u0430 \u043a\u0456\u043b\u044c\u043a\u0456\u0441\u0442\u044c \u0434\u043e\u043a\u0430\u0437\u0456\u0432 \u0441\u0432\u0456\u0434\u0447\u0438\u0442\u044c \u043f\u0440\u043e \u0442\u0435, \u0449\u043e \u043e\u0446\u0456\u043d\u044e\u0432\u0430\u043d\u0456 \u043a\u0430\u0442\u0435\u0433\u043e\u0440\u0456\u0457 \u0442\u0430\u043a\u043e\u0436 \u043c\u043e\u0436\u0443\u0442\u044c \u0431\u0443\u0442\u0438 \u043f\u0440\u0435\u0434\u043c\u0435\u0442\u043e\u043c \u0441\u0443\u0442\u0442\u0454\u0432\u043e \u043d\u0435\u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u043e\u0433\u043e \u0442\u043b\u0443\u043c\u0430\u0447\u0435\u043d\u043d\u044f \u0430\u0431\u043e \u0456\u043d\u0448\u0438\u043c \u0447\u0438\u043d\u043e\u043c \u043d\u0435 \u0432\u0438\u0437\u043d\u0430\u0447\u0430\u0442\u0438 \u0442\u0435, \u0449\u043e \u043f\u043b\u0430\u043d\u0443\u0432\u0430\u043b\u043e\u0441\u044f (<a href=\"https:\/\/www.telegraph.co.uk\/news\/health\/news\/10909421\/Nearly-half-of-patients-do-not-understand-medical-language.html\">fail to measure what was intended<\/a>). \u041b\u044e\u0434\u0438 \u043c\u043e\u0436\u0443\u0442\u044c \u0432\u043a\u0430\u0437\u0443\u0432\u0430\u0442\u0438 \u0432 \u0430\u043d\u043a\u0435\u0442\u0456, \u0449\u043e \u0432\u043e\u043d\u0438 \u043d\u0435 \u0437\u0434\u0430\u0442\u043d\u0456 \u043f\u0440\u043e\u0439\u0442\u0438 500 \u043c\u0435\u0442\u0440\u0456\u0432, \u0430\u043b\u0435 \u0432 \u043f\u0440\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u0456 \u0440\u043e\u0437\u043c\u043e\u0432\u0438 \u0432\u043e\u043d\u0438 \u043c\u043e\u0436\u0443\u0442\u044c \u043f\u043e\u0432\u0456\u0434\u043e\u043c\u0438\u0442\u0438, \u0449\u043e \u0432\u043e\u043d\u0438 \u0447\u0430\u0441\u0442\u043e \u0445\u043e\u0434\u044f\u0442\u044c \u0431\u0456\u043b\u044c\u0448\u0435 \u0433\u043e\u0434\u0438\u043d\u0438 \u0432 \u0442\u043e\u0440\u0433\u043e\u0432\u043e\u043c\u0443 \u0446\u0435\u043d\u0442\u0440\u0456.<\/p>\n<p><em>\u042f \u0432\u0456\u0434\u043f\u043e\u0432\u0456\u043b\u0430 \u0444\u0430\u0445\u0456\u0432\u0446\u0435\u0432\u0456, \u0449\u043e \u044f\u043a\u0449\u043e \u0431 \u044f \u0431\u0443\u043b\u0430 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c, \u044f \u0445\u043e\u0442\u0456\u043b\u0430 \u0431\u0438 \u043c\u0430\u0442\u0438 \u043c\u043e\u0436\u043b\u0438\u0432\u0456\u0441\u0442\u044c \u043f\u043e\u0442\u0438\u0441\u043d\u0443\u0442\u0438 \u0440\u0443\u043a\u0438 \u0443 \u044f\u043a\u043e\u0441\u0442\u0456 \u043a\u0456\u043d\u0446\u0435\u0432\u043e\u0457 \u043c\u0435\u0442\u0438 \u0442\u0435\u0440\u0430\u043f\u0456\u0457, \u0430\u0431\u043e \u043d\u043e\u0441\u0438\u0442\u0438 \u0444\u0443\u0442\u0431\u043e\u043b\u043a\u0443 \u0437 \u043a\u043e\u0440\u043e\u0442\u043a\u0438\u043c\u0438 \u0440\u0443\u043a\u0430\u0432\u0430\u043c\u0438, \u0449\u043e\u0441\u044c \u043f\u043e\u0434\u0456\u0431\u043d\u0435. \u0412\u043e\u043d\u0430 \u043f\u043e\u0434\u0438\u0432\u0438\u043b\u0430\u0441\u044f \u043d\u0430 \u043c\u0435\u043d\u0435 \u0456 \u043f\u043e\u0447\u0430\u043b\u0430 \u0441\u043c\u0456\u044f\u0442\u0438\u0441\u044f, \u043a\u0430\u0436\u0443\u0447\u0438, \u0449\u043e \u0446\u0435 \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u043e, \u0430\u043b\u0435 \u0432\u043e\u043d\u0430 \u043d\u0456\u043a\u043e\u043b\u0438 \u0431 \u043d\u0435 \u043f\u043e\u0434\u0443\u043c\u0430\u043b\u0430 \u043f\u0440\u043e \u0446\u0435 \u0441\u0430\u043c\u0430. \u041a\u0440\u0456\u043c \u0442\u043e\u0433\u043e, \u0432\u043e\u043d\u0430 \u043d\u0435 \u0443\u0441\u0432\u0456\u0434\u043e\u043c\u043b\u044e\u0432\u0430\u043b\u0430, \u0449\u043e \u0456\u043d\u0444\u043e\u0440\u043c\u0443\u0432\u0430\u043d\u043d\u044f \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430 \u0437\u0430\u0437\u0434\u0430\u043b\u0435\u0433\u0456\u0434\u044c \u043f\u0440\u043e \u043f\u0440\u043e\u0446\u0435\u0441 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u0440\u0456\u0448\u0435\u043d\u044c \u043c\u043e\u0436\u0435 \u043d\u0430\u0434\u0430\u0432\u0430\u0442\u0438 \u0431\u0456\u043b\u044c\u0448\u0438\u0439 \u0435\u0444\u0435\u043a\u0442. <\/em><\/p>\n<p>\u0422\u043e\u043c\u0443 \u0434\u0443\u0436\u0435 \u0432\u0430\u0436\u043b\u0438\u0432\u043e, \u0449\u043e\u0431 \u043c\u0435\u0434\u0438\u0447\u043d\u0456 \u043f\u0440\u0430\u0446\u0456\u0432\u043d\u0438\u043a\u0438 \u0431\u0443\u043b\u0438 \u0441\u0432\u0456\u0434\u043e\u043c\u0456 \u0449\u043e\u0434\u043e \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432, \u044f\u043a\u0438\u0445 \u0432\u043e\u043d\u0438 \u043b\u0456\u043a\u0443\u044e\u0442\u044c, \u0456 \u0440\u043e\u0437\u0443\u043c\u0456\u043b\u0438 \u0457\u0445. \u0426\u0435 \u043d\u0435 \u043e\u0431\u043c\u0435\u0436\u0443\u0454\u0442\u044c\u0441\u044f \u043b\u0438\u0448\u0435 \u043b\u044e\u0434\u044c\u043c\u0438 \u0437 \u043e\u0431\u043c\u0435\u0436\u0435\u043d\u043e\u044e (\u043c\u0435\u0434\u0438\u0447\u043d\u043e\u044e) \u0433\u0440\u0430\u043c\u043e\u0442\u043d\u0456\u0441\u0442\u044e, \u0430\u043b\u0435 \u0432\u0441\u0456 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 \u0432\u0438\u0433\u0440\u0430\u044e\u0442\u044c \u0432\u0456\u0434 \u043d\u0430\u0434\u0430\u043d\u043d\u044f \u0447\u0456\u0442\u043a\u043e\u0457 \u0442\u0430 \u0441\u0442\u0438\u0441\u043b\u043e\u0457 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u0457 \u0431\u0435\u0437 \u0436\u0430\u0440\u0433\u043e\u043d\u0443. \u0411\u0456\u043b\u044c\u0448\u0435 \u0442\u043e\u0433\u043e, \u0434\u043b\u044f \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043d\u0430\u0434\u0437\u0432\u0438\u0447\u0430\u0439\u043d\u043e \u0432\u0430\u0436\u043b\u0438\u0432\u043e \u0441\u043f\u0456\u043b\u043a\u0443\u0432\u0430\u0442\u0438\u0441\u044f \u043c\u043e\u0432\u043e\u044e, \u0434\u043e \u044f\u043a\u043e\u0457 \u0437\u0432\u0438\u043a\u043b\u0438 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438, \u0432\u0438\u0441\u043b\u043e\u0432\u043b\u044e\u044e\u0447\u0438\u0441\u044c \u0441\u043b\u043e\u0432\u0430\u043c\u0438, \u044f\u043a\u0438\u043c\u0438 \u0431\u0443\u0434\u0443\u0442\u044c \u043a\u043e\u0440\u0438\u0441\u0442\u0443\u0432\u0430\u0442\u0438\u0441\u044f \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438.<\/p>\n<p><strong>\u041f\u0440\u0430\u043a\u0442\u0438\u0447\u043d\u0456 \u0432\u0438\u0441\u043d\u043e\u0432\u043a\u0438:<\/strong><\/p>\n<ul>\n<li>\u041f\u0456\u0434\u0432\u0438\u0449\u0435\u043d\u043d\u044f \u0437\u0430\u043b\u0443\u0447\u0435\u043d\u043e\u0441\u0442\u0456 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0456\u0432 \u0434\u043e \u043f\u0440\u043e\u0446\u0435\u0441\u0456\u0432 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u044f \u0440\u0456\u0448\u0435\u043d\u044c \u043c\u043e\u0436\u0435 \u043f\u043e\u043b\u0456\u043f\u0448\u0438\u0442\u0438 \u0434\u043e\u0442\u0440\u0438\u043c\u0430\u043d\u043d\u044f \u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438\u0447\u043d\u0438\u0445 \u0441\u0445\u0435\u043c \u0456 \u0440\u0435\u0437\u0443\u043b\u044c\u0442\u0430\u0442\u0456\u0432 \u043b\u0456\u043a\u0443\u0432\u0430\u043d\u043d\u044f.<\/li>\n<li>\u0417\u0430\u0432\u0436\u0434\u0438 \u043d\u0430\u043c\u0430\u0433\u0430\u0439\u0442\u0435\u0441\u044f \u0432\u0438\u0441\u043b\u043e\u0432\u043b\u044e\u0432\u0430\u0442\u0438\u0441\u044f \u0442\u0438\u043c\u0438 \u0441\u043b\u043e\u0432\u0430\u043c\u0438, \u044f\u043a\u0438\u043c\u0438 \u0431\u0443\u0434\u0443\u0442\u044c \u043a\u043e\u0440\u0438\u0441\u0442\u0443\u0432\u0430\u0442\u0438\u0441\u044f \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0438 (\u0442\u043e\u0431\u0442\u043e \u0443\u043d\u0438\u043a\u0430\u0439\u0442\u0435 \u043c\u0435\u0434\u0438\u0447\u043d\u043e\u0433\u043e \u0436\u0430\u0440\u0433\u043e\u043d\u0443).<\/li>\n<li>\u041c\u0430\u0439\u0442\u0435 \u043d\u0430 \u0443\u0432\u0430\u0437\u0456, \u0449\u043e, \u0445\u043e\u0447 \u0442\u0435, \u0449\u043e \u0432\u0438 \u0433\u043e\u0432\u043e\u0440\u0438\u0442\u0435, \u0432\u0430\u043c \u0446\u0456\u043b\u043a\u043e\u043c \u0437\u0440\u043e\u0437\u0443\u043c\u0456\u043b\u043e, \u043c\u043e\u0436\u0443\u0442\u044c \u0432\u0438\u043d\u0438\u043a\u043d\u0443\u0442\u0438 \u0437\u043d\u0430\u0447\u043d\u0456 \u043d\u0435\u043f\u043e\u0440\u043e\u0437\u0443\u043c\u0456\u043d\u043d\u044f. \u0422\u043e\u043c\u0443 \u0437\u0430\u0432\u0436\u0434\u0438 \u043f\u0435\u0440\u0435\u0432\u0456\u0440\u044f\u0439\u0442\u0435 \u0440\u043e\u0437\u0443\u043c\u0456\u043d\u043d\u044f \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u043e\u043c \u0442\u043e\u0433\u043e, \u0449\u043e \u0432\u0438 \u0441\u043a\u0430\u0437\u0430\u043b\u0438.<\/li>\n<li>\u0417\u0430\u043f\u0440\u043e\u043f\u043e\u043d\u043e\u0432\u0443\u0439\u0442\u0435 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430\u043c \u0447\u0430\u0441 \u0456 \u043a\u043e\u0440\u0438\u0441\u043d\u0443, \u043b\u0435\u0433\u043a\u0443 \u0434\u043b\u044f \u0440\u043e\u0437\u0443\u043c\u0456\u043d\u043d\u044f \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u044e; \u043f\u0435\u0440\u0435\u043a\u043e\u043d\u0430\u0439\u0442\u0435\u0441\u044f, \u0449\u043e \u0432\u0438 \u0434\u043e\u0431\u0440\u0435 \u043f\u0456\u0434\u0433\u043e\u0442\u043e\u0432\u043b\u0435\u043d\u0456 \u0434\u043e \u0432\u0430\u0436\u043b\u0438\u0432\u0438\u0445 \u043a\u043e\u043d\u0441\u0443\u043b\u044c\u0442\u0430\u0446\u0456\u0439.<\/li>\n<li>\u0414\u043e\u0437\u0432\u043e\u043b\u044c\u0442\u0435 \u043f\u0430\u0446\u0456\u0454\u043d\u0442\u0430\u043c \u0437\u0430\u0437\u0434\u0430\u043b\u0435\u0433\u0456\u0434\u044c \u0437\u043d\u0430\u0442\u0438, \u0447\u043e\u0433\u043e \u0432\u0456\u0434 \u043d\u0438\u0445 \u043e\u0447\u0456\u043a\u0443\u044e\u0442\u044c \u043f\u0440\u0438 \u043f\u0440\u0438\u0439\u043d\u044f\u0442\u0442\u0456 \u0441\u043f\u0456\u043b\u044c\u043d\u0438\u0445 \u0440\u0456\u0448\u0435\u043d\u044c.<\/li>\n<\/ul>\n<p><em>\u041f\u0435\u0440\u0435\u043a\u043b\u0430\u0434\u0435\u043d\u043e \u041e\u043b\u0435\u043d\u043e\u044e \u041b\u0443\u0446\u0435\u043d\u043a\u043e<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Anne Marie Plass, University Medical Center of G\u00f6ttingen, Germany Sometime ago a dermatologist who works as a psoriasis (a chronic skin disorder) -specialist in a university hospital, complained to me about many patients who do not adhere to the 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