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The article dwells on study of adaptation mechanisms implemented by medical workers in online and offline spaces in a situation of ongoing changes in institutional healthcare environment. An analysis of the discourse, elements of its rhetoric is carried out. It allows to suggest the reasons for persistence of the protest moods in professional community over the past decades. At the first stage of the study content analysis of the medical Internet portal was carried out. There were analyzed the materials of the “Profession” section for the period from 2011 to 2015. The target audience of it is medical workers. News reports about protest actions carried out by the labor collectives of Russian healthcare facilities during the period of the healthcare system reform (N=51) were studied. At the second stage, from the comments (N=2104) of the members of the forum (direct speech), a base of linguistic elements (N=35 183) was formed; a frequency analysis of the text corpus was carried out; elements of the protest discourse rhetoric were identified. In the course of the analysis, it was revealed that the protest activity of the professional community is supported by status deprivation, ignoring the needs and interests of medical workers by representatives of the dominant groups — officials and employers — and their legal insecurity. In the offline space these problems become a motive for integrating the community to overcome bureaucratic barriers and carry out collective action — holding protests. In the on-line space, in the discussion of the objective situation, the adaptive mechanism of emotionally focused coping is implemented; emotions of resentment type find expression. In general, the transformation of the institutional foundations of health care system is perceived by physicians as traumatic, threatening the stability of the professional community’s social well-being and the socio-cultural foundations of medical practice.

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The paper dwells on the results obtained via examining dependence between HIV-infection spread and factors related to social environmental and social structure of population in RF regions. These factors are considered to be potential health risk ones. The authors tested a hypothesis about influence exerted by demographic, economic, cultural and behavioral de- terminants and public healthcare availability on differences in territorial spread of the disease within social-epidemiologic approach. To solve the set task, data that characterized 85 RF regions were taken from official statistical reports. Descriptive statistic analysis was performed and regression models were built up; it allowed testing whether the analyzed factors had their influence in RF regions and selecting the most significant ones to be included into the overall regression model. The research revealed significant contextual differences in HIV-infection spread. Regression analysis showed that 22.0 % differences in a number of HIV-infected people detected in RF regions occurred due to differences in urban popu- lation numbers, provision with ambulatories and polyclinics, and unemployment rate. Moreover, a number of registered crimes committed by minors determined 32.5 % difference in a number of patients with the first diagnosed HIV-infection between the examined regions. These results allow assuming that the greatest influence on spread of the disease in RF regions is exerted by conse- quences of urbanization; this process is usually accompanied with a growth in a share of urban population in a given region, instability on the labor market there as well as related migration processes within the country and wider opportunities to pursue individual behavioral strategies including those that involve law violations and/or are destructive for people’s health.