Abstract: This article examines the state of zemstvo medicine in Samara uezd in 1886–1913. An important aspect of this analysis is the study of healthcare seeking, which serves both as a statistical parameter of the frequency of medical care seeking and an indicator of very complex sociocultural dynamics within certain society. One’s decision to visit a hospital, and in general one’s perception of his or her own physical body and its deviations and abnormalities in medical terms are influenced by multiple factors that are not limited to the characteristics of the healthcare systems. Similar issues are studied in detail within the framework of medicalization, as well as the methodology of health seeking behavior, which examines the factors behind people’s decisions to follow healthy lifestyles, including visiting hospitals. This research is based on medical and statistical reports of the Samara uezd physicians in the late 19th – early 20th centuries and examines the temporal and spatial dynamics of the healthcare seeking; the main purpose of this study is to measure disparity levels of healthcare seeking practices in different parts of Samara uezd. Firstly, the study reveals that in the infrastructural aspect, healthcare in the Samara uezd was in an active development stage, which reflected in an increase in both the number of medical stations and hospitals, and physicians and paramedics. Secondly, the healthcare seeking rates was also evolved in a positive direction, which is reflected in an increase in both the number of medical services delivered to population. Furthermore, it shows the decrease of heterogeneity level of healthcare seeking rates between medical stations in uezd from 1898 to 1913; however, this level between the volosts remains high even after 15 years.