A.I. BURNASYAN FMBC CLINICAL BULLETIN

ISSN 2782-6430 (print)

State Research Center −Burnasyan Federal Medical Biophysical
Center of Federal Medical Biological Agency

The journal is published in Russian.
Format – A4.
The periodicity of the journal is 4 times a year.

Issue №1, 2026

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A.I. Burnasyan  FMBC clinical bulletin. 2026 № 1

A.A. Ilyin, A.A. Smetannikova, M.A. Mikhailova, T.M. Bogdanova, M.S. Sinkeev

The Doctor-Patient Relationship in the Realities of the XXI Century

Internal Diseases Saratov State Medical University Named after Razumovsky, Saratov, Russiа

Contact person: Ilyin Alexey Anatolyevich: iljin2006@yandex.ru

 

Abstract
The article examines the communicative phenomenon of doctor-patient interaction as the cornerstone of effective medical care. The typology of doctors based on communication style and professional orientation (communicator, somatocentric, instrumental-analytical type) is analyzed, and communication models (engineering, paternalistic, collegial, contractual, etc.) are systematized. Special attention is paid to the relationship between the physician’s personality type and the communication style formed with the patient, along with examples of situational dialogues between patient and doctor. The psychological aspects of the internal picture of illness and types of patient attitudes toward the disease are considered.
Practical recommendations for building effective communication with various patient types are presented. It is concluded that communicative competence is a key professional quality of a physician, determining the effectiveness of medical care.

Keywords: medical communication, physician typology, semiotics of medical consultation, internal picture of disease, therapeutic alliance, patient-centered

For citation: Ilyin AA, Smetannikova AA, Mikhailova M.A, Bogdanova TM, Sinkeev MS. The Doctor-Patient Relationship in the Realities of the XXI Century . A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2026.1:95-101. (In Russian) DOI: 10.33266/2782-6430-2026-1-95-101

 

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Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 18.12.2025. Accepted for publication: 20.01.2026

© 2026 Scientific journal - "Clinical Bulletin of the FMBС im. A.I. Burnasyan"
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