The purpose of this study is to conduct a comparative analysis of the impact of the accessibility and quality of medical care provided to patients with chronic noncommunicable diseases (CNCDs) during COVID-19 pandemic on the course and outcome of COVID-19 infection. The study included 132 patients hospitalized with a diagnosis of COVID-19 and having one or more concomitant CNCDs. The patients were divided into two groups based on the quality of the initial CNCD therapy they received. Group 1 involved 58 patients (42%) who received treatment according to clinical guidelines and had a compensated CNCD. Group 2 consisted of 76 patients (58%) who received treatment that was not in line with modern clinical guidelines and/or had a decompensated CNCD. All ‘red zone’ hospitalized patients were surveyed. In particular, they were asked questions related to the quality and accessibility of medical care during COVID-19 pandemic and their satisfaction with the medical care received during the pandemic. Reduced access to medical care (the failure to have the therapy received timely evaluated and adjusted) during COVID-19 pandemic affects the quality of the therapy received by patients with CNCDs. Generally, an unfavorable course and outcome of COVID-19 infection are typical for patients receiving a non-optimal CNCD therapy as compared to patients receiving a therapy that meets current clinical guidelines.

The pandemic of the new coronavirus infection, determined, the need for accelerated transformations in the fi of national health, as well as a change in the usual principles and approaches in the system of higher medical education. The article, using the example of the Sechenov University case as the flagship of higher medical education in the country, analyzes the experience of operational restructuring of the organization of the university’s activities and highlights the key vectors of the educational process reorganization and training of medical personnel in the context of the spread of COVID-19.Sechenov University, based on the existing digital content modified the lecture materials into a digital format, adapted individual distance learning algorithms to the educational process of a medical university. The result is the preservation of the quality of education, the adaptation of educational programs, taking into account new formats and technologies for the delivery of knowledge, a flexible response to the demands of consumers of educational services of the University.

The coronavirus pandemic has raised serious questions about the need to properly inform residents of large cities about the rules of hygiene, behavior in self-isolation, and maintaining health. This study aimed to identify in more detail the sources of information and to assess the levels of awareness and knowledge of the inhabitants of a typical metropolis about coronavirus infection to further search for ways to improve health information during pandemics. This research has a questionnaire survey design. Data from 478 adult Muscovites were collected on 20–25 March 2020 by the Institute of Social Sciences of Sechenov University. The aim of this study was to study the level of awareness in preventing the spread of infection and peculiarities in the perceptions of residents of the city of Moscow toward the large-scale social changes associated with the COVID-19 pandemic as well as their impact on the way of life, social relations, lifestyle, and ideas about the future of the population. This article presents the results of a medical and sociological survey of residents of Moscow implemented at the beginning of the spread of coronavirus infection in the country, which showed the awareness of residents of Moscow regarding the problem of the spread of coronavirus and the prevention of infection as well as a high level of anxiety and the pessimistic expectations of respondents regarding the consequences of the COVID-19 pandemic for the state, society, and people. At the same time, the fears of the survey participants involved both immediate risks of the disease and a wide range of socioeconomic problems from near and distant perspectives.

В статье рассматривается феномен социальной трансформации профессиональной роли участкового врача-терапевта в современных общественно-исторических условиях. Авторы на основе изучения особенностей взаимоотношений врача-терапевта и пациента выделяют главный спектр социальных ожиданий в отношении медицинской профессии. Одновременно на фоне преобразований организационных условий профессиональной деятельности, затрагивающих практику работы медицинских специалистов, наблюдается изменение требований к выполняемым представителями врачебных профессий функциям и ролевым задачам. Не менее важным фактором изменений профессиональной роли врача-терапевта выступают революционно трансформирующиеся социально-культурные установки современного общества. Указанные обстоятельства обусловливают формирование ряда ролевых конфликтов при выполнении врачом-терапевтом профессиональных обязанностей и влияют на специфику конструирования его профессиональной идентичности (самоопределения), вследствие чего трансформируются и составляющие профессиональной роли. Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Sport is an integral part of a healthy lifestyle and has a direct and indirect impact on the quality of life of the population. The authors, within the framework of a sociological survey, consider the features of the ideas and motivational attitudes of students of eight Russian medical universities that determine their commitment to sports and identify a number of factors that affect the involvement of respondents in sports life at the stage of higher education. According to the survey results, respondents changed the structure of their sports activity downward after entering a medical university, which is primarily due to a high level of academic load, lack of finances and a decrease in motivation to play sports. There is a contradiction: medical students have knowledge about the role of sports in preserving health however, they record a low level of their personal involvement in sports. However, the saving of time due to the reduction / refusal of respondents from sports and the priority of the vector of efforts formed in the study group to obtain professional knowledge, skills and abilities to provide highly qualified assistance to the population (even taking into account the risks to their own health), in the opinion of the authors, indirectly confirms the preservation of the altruistic component of medical activity and the readiness of medical university students to the special requirements and risks of the chosen profession.