Background The aim of the study was to obtain feedback from medical students in Russia regarding their e-learning experience during COVID-19 Pandemic. Methods 13 040 students from 46 Medical Schools in Russia completed an original evaluation form validated by 6 experts. Criterion and construct validity were determined in a pilot study (n = 46). The study design was based on the use of Google forms. Participants used the Visual Analog Scale from 1 to 10 to assess the level of knowledge acquired. Results 95.31% of medical schools in Russia switched to e-learning during the Pandemic. 39.8% of the students stated that the time to prepare for the class has doubled. For 19.9% of them, it increased by one third, while 26.6% did not report any changes. 38,4% of the participants are satisfied with particular elements of e-learning, 27.5% like such a format, 22.9% do not like it, and 11.2% could not answer the question. The average scores for the knowledge assessment were 5.9 for the humanities, 6.1 for fundamental science, and 6.0 for clinical training. Conclusions Remote learning was described by medical undergraduates in Russia as the increase in self-instruction time and the decrease in the level of knowledge gained. Only particular components of the “new normal” can be considered for use beyond the pandemic.

Казанский медицинский журнал, 2017 г., том 98, №4Адрес для переписки: gedier@mail.ru С конца ХХ века в мире начался процесс закрепления открытости и обеспечения инфор-мационной доступности для граждан государ-ственных органов и корпораций. Этот процесс коснулся и сферы здравоохранения, сделав нормой публичные отчёты медицинских орга-низаций. Здравоохранение представляет собой рынок доверительных благ, в котором инфор-мацией владеют производители услуг, а потре-бители знают о них меньше, поэтому информа-ционная открытость, как считают специалисты, даёт людям новые возможности влияния на Поступила 27.02.2017; принята в печать 20.04.2017. Р е ф е р а т DOI: 10.17750/KMJ2017-613 Цель. Зафиксировать диапазон оценок и выявить спектр проблем, связанных с информационной доступнос-тью медицинских услуг и дистанционной записи на приём среди населения и экспертов.Методы. Методы включали полуструктурированные интервью и фокус-группы с населением и эксперта-ми. Было проведено 17 индивидуальных и групповых интервью с экспертами в Республике Татарстан и 12 в Рес-публике Марий Эл (всего 59 человек); 28 индивидуальных интервью и фокус-групп с населением в Татарстане и 13 в Республике Марий Эл (всего 131 человек).Результаты. Новые информационные технологии при безусловном позитивном влиянии на открытость и доступность здравоохранения имеют ряд серьёзных проблем при реализации, связанных с факторами орга-низационного, инфраструктурного, экономического, социокультурного и психологического порядка: (1) недо-статочное информирование населения о программе государственных гарантий медицинского обслуживания; (2) недоступность поддержки интернет-сайта для ряда лечебно-профилактических учреждений; (3) возрастное неравенство как в отношении доступа к информации об услугах, так и в плане записи на приём.Вывод. Необходима целенаправленная политика по выравниванию информационной доступности для раз-личных групп населения, а также создание единых условий для развития и поддержания информационной среды в лечебно-профилактических учреждениях.Ключевые слова: доступность здравоохранения, медицинские услуги, информированность пациентов, со-циальная справедливость, информационные услуги. ThE accEssIBIlITy Of InfOrMaTIOn aBOuT MEDIcal sErvIcEs In ThE cOnTEXT Of ThE sOcIal JusTIcE Of hEalTh carEZh.V. To reveal the spectrum of opinions and issues regarding accessibility of information about medical services and on-line booking of doctor's appointments among population and experts.Methods. The methods included semi-structured interviews and focus groups with population and experts. Total of 17 individual and group interviews with experts were conducted in the Republic of Tatarstan and 12 in the Republic of Mari-El (n=59 people); 28 individual interviews and focus groups with the population were conducted in Tatarstan and 13 in Mari-El (n=113 people).results. New informational technologies with a positive impact on openness and accessibility of health care system have nevertheless some serious issues in realization connected with organizational, infrast...

The absence of signs of legitimacy of power structures, and disagreement with the health policy lead to dissatisfaction, condemnation and protest moods among the population. This disagreement is manifested both at the level of consumers of services -ordinary citizens, and at the level of producers of services -the medical (professional) community. If until recently episodes with a low degree of public satisfaction with the quality of medical services were widely discussed in the media, recent years would have indicated protest moods in the professional group, portending the failure of health care reform. Today, one can hear the conventional wisdom everywhere that it is the medical community that must take full responsibility for solving the pandemic problem fully. However, the analysis of the transitional state of the modern public health system presented in the article, including in the context of the COVID-19 pandemic, shows the ability of this "state" to such challenges as political destabilization, public outcry, professional protests and much more. In fact, today we are witnessing a process of expanding the functions of the health care system from traditional, in particular, the provision of medical care to citizens, pharmaceutical activities, the development of state policy in the field of health care and social development, etc., to the area of non-specific and until recently marginal -we mean the ideological component, accumulating in wide layers of society, turns out to be capable of direct political action.

An analysis of law and enactments, mass-media publications, statistics and healthcare institutions documents, interviews with experts and diasporas leaders was performed to assess the contemporary international and Russian approaches to migrants health and to reveal the features of healthcare services provided for migrants in the Republic of Tatarstan. A social risk connected to migrants health is associated with increase of number of migrant workers with ailments, returning to their communities for treatment and rehabilitation. In societies receiving migrant workers there is an increase of socially dangerous diseases spreading risk due to low immunity, poor nutrition and sanitary life conditions, cultural distress and social isolation. The governmental policy of healthcare and medical services provided for migrants diverges in different countries between a right for free medical care and curtail of such right. «One window» medical examination method provided for migrants in the Republic of Tatarstan shows its effectiveness in decreasing risk and improving the sanitary and epidemiologic situation among this particular community and the whole society. It is concluded that continuous interaction with public, consideration of migrants’ health status and needs, embedding the problem on regional and federal levels should be an important aspects of providing accessible health care for migrants.