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The purpose of the work is to study the features of the body mass index (BMI) in schizophrenia patients (SP) who live in Chuvashia. Material and methods. 607 SP were examined (307 men and 300 women) aged 18 to 82 (average - 44.51 ± 12.3 years). The diagnosis of schizophrenia met the criteria for ICD-10 (F20-29); disease duration ranged from 0 to 52 years (mean - 18.9 ± 10.7 years). BMI was taken into account according to the Ketle index. For each SP, a survey card with clinical, therapeutic, and socio-demographic indices was filled out. The comparison group included a sample of 3417 residents of Chuvashia. Mathematical and statistical processing was carried out using descriptive statistics and χ2 distribution. Results. 9.2% of SP had underweight, 54.2% - normal body weight, 36.6% - excess body weight and obesity. Among women there were significantly more persons with increased BMI and obesity, among men - with normal BMI. In SP, BMI did not depend on the group of taken antipsychotics (typical, atypical, mixed-use) and the disease’s duration. With patients’ age, BMI increased to excess BMI (25-29.9 kg/m2). Among SP, persons with underweight were much more common (among healthy people, 2% vs 9.2% in SP). From 40 years of age and older, among the healthy population, persons with an increased BMI and obesity begin to predominate significantly compared with the SP group. Observations of BMI during inpatient treatment from 1.5 to 22 months showed multidirectional dynamics, including increased body weight in 42.2% of SP, a decrease in 30.1%, without changes in BMI in 27.7%; it was not possible to retrospectively identify any patterns of BMI fluctuations. Conclusion. The revealed paradoxes of BMI for SP in Chuvashia, especially a high proportion of SP with underweight, require refinement considering ethnic, genetic, sex and age, hormon and metabolic factors.

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Introduction. The relevance of the problem under study is due to the fact that the medical services market, like any market structure, is regulated on the basis of competition among the involved medical organizations, the interaction of supply and demand, free pricing for various nosologies in the process of selling services. The medical services market has a unique specificity: high dynamism of all processes, relatively fast capital turnover, susceptibility to changes in market conditions, a high level of differentiation of services, and unclear outcomes. In addition, in the conditions of external sanctions pressure, the priority direction of the domestic economy is the development of non-commodity exports, in particular, the export of services, which includes the export of medical services. Since 2022, the Russian Government has been paying special attention to this area. The purpose of the study: to analyze the activities of eight federal districts in the pre-crisis period, contributing to the development of the export of medical services and to identify the leading federal districts that make the greatest contribution to the development of the export of medical services. Results and conclusion. The results of the study of eight federal districts of the Russian Federation in the doskovid period showed the process of formation of exports of medical services, the number of treated foreign citizens in these districts, earned income in millions of US dollars. The Central, Ural, and Northwestern Federal Districts are leading in this process, which is the current model for the rest of the federal districts. The study demonstrates the work of federal districts – in numbers, percentages, monetary terms in conventional units. Also presented are indicators indicating an increase in the volume of exports of medical services by at least 4 times compared to 2017, which amounted to an income of 128.38 million US dollars for 2019. For citation: Petrova GD, Implementation of the federal project "Development of export of medical services" in the pre-COVID period. City Healthсare. 2022;3(4): 107–113 doi:10.47619/2713-2617.zm.2022.v.3i4;107–113

The relevance of the problem under study is due to the fact that medicine has a special place in the cultural system, and its main task is to preserve people's life and health. The high-quality implementation of the national project "Healthcare", which across the country covers 70 subjects and hundreds of medical organizations of various forms of ownership, calls for the presence in medical organizations of a qualified specialist who meets all modern requirements – a coordinator for working with foreign patients as a link between a team of like-minded people on work with foreign citizens and patients themselves. Today, this knowledge is especially relevant due to the development of international cooperation and establishing contacts in the professional field, the exchange of scientific and practical achievements, strengthening the international reputation of Russian healthcare and the practical application of the principles of humanitarian diplomacy. Therefore, effective communication in the provision of medical services is impossible without knowledge of the cultural characteristics of peoples, which is especially important for medical professionals who must be extremely careful in communicating and providing medical care to foreign patients. Ultimately, the positive experience of a foreign patient has a direct impact on the volume of attracted extrabudgetary financing for the development of exports of medical services. For citation: Petrova GD, Aksenova EI. Socio-cultural competencies of the coordinator for work with foreign patients. City Healthсare. 2022;3(4): 84–91 doi:10.47619/2713-2617.zm.2022.v.3i4;84–91