Medical Ethics

ISSN Print 2713-0894 ISSN Online 2713-0908

BIOMEDICAL JOURNAL OF ERMC EASTERN EUROPEAN

Log In Registration RU

Sokolova OV, Zheltkevich OV, Kalabekova SV

The paper analyzes information security issues in Russian healthcare in the context of digital transformation. Digitalization of the healthcare sector, including integration of information systems of medical and pharmaceutical organizations with the Uniform State Health Information System (EGISZ), improves the quality of medicines and healthcare provided to the population. Meanwhile, the risk of patient personal data leakage and computer attacks on healthcare organizational information systems is increasing. The purpose of the study is to develop an integrated approach to information security in medical and pharmaceutical organizations. The research uses content analysis, logical and structural analysis of scientific papers and regulatory legal acts in the field of information technology in healthcare. The authors identify the stages of information security regulation from protecting medical secrets to categorizing critical information infrastructure and using domestic software. The classification of security threats to digital systems is provided based on the location of the threat source depending on whether they originate outside or inside the organization’s network perimeter. The directions and evaluation criteria for improving information security are provided based on modern methods and technologies of information protection, including technical means of protection, legal mechanisms, as well as organizational and managerial methods.

Received: 2026-04-10

Published online: 2026-04-27

DOI: 10.24075/medet.2026.009

Comments 0

VIEWS 73

Bozhkova AG, Melkumyan AR, Spivak MV

Biobanking of patient- isolated microbial strains is a critically important tool for modern biomedical research, though it is associated with a complex of unresolved ethical and legal issues. The goal of this paper is to analyze the issues based on biobanking case studies at the National Medical Research Center of Coloproctology named after Ryzhykh AN. The focus is on the contradictions between the need for scientific progress and respect for the rights of donors, including obtaining informed consent and ensuring data confidentiality. The study material included legal documents and internal regulations describing how to work with microbial collections. During the analysis, isolated Russian legislation, lack of a clear legal status for biological samples and dependence of ethical aspects of work on local protocols and internal policy of the institution have been found out. The key conclusion is the urgent need to develop a specialized regulatory system that harmonizes the principles of bioethics with the practical tasks of biobanking, establishing clear rules for handling a patient’s microbiota and consent management mechanisms.

Received: 2026-02-28

Published online: 2026-03-31

DOI: 10.24075/medet.2026.008

Comments 0

VIEWS 160

Eregina NT, Yeregin SY

The article analyzes the historical and medical literature devoted to the life and work of Matvey Yakovlevich Mudrov (1776–1831). The first stage in the historiography of this issue was the pre-revolutionary interpretation of Mudrov’s personality and his contribution to the development of clinical medicine. The main attention was paid to biographical facts, assessments of Mudrov’s professional activity by the medical community, and a general description of his role in Russian medicine. In the middle of the 20th century, a canon emerged that consistently described the main milestones of his biography. This narrative formed the basis of educational, reference, and popular science publications. Since the mid-1990s, the interest of practitioners in Mudrov’s legacy has come to the fore launching reassessment of his personality. In recent decades, the research has shifted to examining his impact as a reformer of medical education, organizer of clinical teaching, and creator of ethical medical standards. The implementation of research tasks contributed to the introduction of new archival data into scientific circulation, clarifying previously existing estimates and conclusions. The conducted historiographical review comprehensively covers the multifaceted activities of Mudrov MY and outlines possible prospects for further study.

Received: 2026-02-23

Published online: 2026-03-30

DOI: 10.24075/medet.2026.007

Comments 0

VIEWS 183

Filatova YS

The professional activity of a doctor focuses on the intersection of clinical knowledge and ethical principles. Meanwhile, medical ethics establishes the value and ideological foundations of the profession, whereas deontology serves as a tool that implements the principles within particular standards and rules of behavior. The contradiction between the importance of ethical and deontological regulators and the lack of empirical data on their relationship to the psychological characteristics of the doctor’s personality makes the study relevant. The aim of the paper is to study the relationship between deontological competence of a doctor and communicative competence, metacognitive characteristics and socio-psychological attitudes. 72 internists participated in the study (the average age was 48.5 years; the average proven record was 21.6 years). The methods of diagnosis of communicative competence, metacognitive knowledge and activity, social and psychological attitudes, as well as the author’s methodology for assessing deontological competence were used. Statistical processing included correlation analysis using the r-Spearman coefficient. Significant positive links of deontological competence with communicative ideals, metacognitive knowledge, metacognitive activity, concentration, choice of main ideas, time management, focus on altruism, as well as negative links with focus on selfishness and material values have been established. Deontological competence is an integrative education that combines value-semantic, reflexive-regulatory and motivational components, which allows it to be considered as a key mechanism for the implementation of ethical principles in clinical practice.

Received: 2026-02-18

Published online: 2026-03-29

DOI: 10.24075/medet.2026.006

Comments 0

VIEWS 183

Startseva ON

The article shows how gerontological ageism can be prevented by embedding professional ethics in training of social workers. The ageism is often manifested through emotional alienation of young people and discriminatory practices towards the elderly. Survey data on social work students from the Yaroslavl State Medical University (YSMU) confirm the need for the training. During the survey, the KPAINS Freedom from Age questionnaire, which is a widespread gerontology tool, was used for early assessment of attitudes to aging. Young people’s psychological trends have confirmed that deeper ethical study is essential for those professionals who work with older adults. Students learn to apply the basic ethical principles of autonomy, dignity and justice while exercising complex interaction with older adults through analysis of practical cases. It confirms that training competent social professionals is ethically relevant.

Received: 2026-01-28

Published online: 2026-03-26

DOI: 10.24075/medet.2026.005

Comments 0

VIEWS 225

Kulikova OA, Lavrenteva LI

The paper explores the role of professional ethics in establishing moral, value-based foundations, and modern pharmacy guidelines. The topic is relevant because compliance with ethical and deontological principles is an essential component of the pharmacy profession that ensures provision of high-quality pharmaceutical care as the primary task. Taking into account the requirements of regulatory documents and professional standards, the objective necessity of including a specialized discipline in 33.02.01 Pharmacy education has been reviewed. This discipline introduces students to the specifics of pharmaceutical ethics and deontology. The experience of developing and implementing the discipline of Ethics and Deontology of a Pharmacist at Yaroslavl State Medical University is described, its purpose and objectives are formulated, the topics of training sessions and approaches to their implementation are shown. The necessity of applying a practice-based approach to teaching the discipline is emphasized in order to train highly moral and socially responsible specialists who are deeply aware of their professional role in society.

Received: 2026-02-26

Published online: 2026-03-17

DOI: 10.24075/medet.2026.004

Comments 0

VIEWS 257

Speshilova SA, Lileeva EG, Sinitsina OA

Real-life clinical practice requires to confirm bioequivalence of medicinal products in everyday settings resulting in adequately assessed effectiveness and tolerability of drugs in diverse patient groups. When the studies are lacking, it cannot be warranted that therapeutic effects or safety profiles of the reproduced drug will be identical to those of original brand medicines, which may decrease the trust of doctors and patients in generics and, as a consequence, limit treatment affordability. Assessment of bioequivalence (or pharmacokinetic equivalence) of medicinal products (drugs) is currently considered one of the main types of biomedical quality control of reproduced (generic) medicines. The Russian pharmaceutical market is heavily dominated by generic drugs, which significantly outnumber original products. Thus, bioequivalence studies are of a huge economic and clinical value.

Received: 2025-12-11

Published online: 2026-02-26

DOI: 10.24075/medet.2026.003

Comments 0

VIEWS 321

Kalabekova SV, Fidarova KK, Sokolova OV, Smirnova AV

This article provides an ethical review of inclusive education based on the four pillars of bioethics such as autonomy, beneficence, non-maleficence, and justice. The authors are convinced that the inclusive educational paradigm is not just a pedagogical technology, but a moral imperative that directly results from modern bioethical approaches and a social model of understanding disability. Moral and ethical challenges at the intersection of medical diagnosis and pedagogical process are carefully analyzed. The new and collaborative role of medicine in inclusive practice is substantiated. The article considers the paradigm shift from the medical to the socio-ethical model of disability, analyzes the main ethical dilemmas of inclusion (resource dilemma, reasonable accommodation, professional boundaries) and substantiates the role of the medical community as a defender of rights and a partner in building an inclusive environment. It is concluded that principles of bioethics provide a reliable conceptual foundation for overcoming practical and ideological barriers to inclusive education for students with special educational needs (SEN).

Received: 2026-01-25

Published online: 2026-02-19

DOI: 10.24075/medet.2026.002

Comments 0

VIEWS 328