ABSTRACT
The COVID-19 pandemic has created threats and risks not only for the physical but also for people's mental health. To date, there is not enough scientific data on anxiety, depressive states of medical workers who do not directly interact with infected people but who work under conditions of new coronavirus infection. Aim of the study is to evaluate anxiety experiences in healthcare workers who do not interact directly with COVID-19 patients and those working in other fields during the coronavirus pandemic. Material and methods. As part of the study, authors carried out online monitoring of anxiety experiences in medical workers who are not working on the front line with COVID-19 patients and other population groups in the context of the coronavirus pandemic (102 participants, including 32 men, 70 women). The average age of the subjects was 38.9 [24.5;64.7]. Results. A survey of two groups: Medical workers who do not interact directly with COVID-19 patients (group I, n = 55) and who work in other fields (group II, n = 47), revealed the highest level of reactive and personal anxiety in the medical group workers (the results are statistically significant, the level of significance is p ≤ 0.05). Discussion. Our results on medical workers f high anxiety make it possible to classify medical workers who directly work with the sick as a risk group and medical workers who do not interact directly with them. Conclusions. A comparative analysis of anxiety indices in the surveyed groups showed medical workers who do not interact directly with the sick cases but work in a pandemic to be especially susceptible to psychological stress during the COVID-19 pandemic, confirming the need to correct distressing fears in this population group and provide targeted clinical-psychological assistance. © 2020 Izdatel'stvo Meditsina. All rights reserved.
ABSTRACT
Since January 1, 2019, the Russian Federation has entered the global medical tourism market thanks to the approved federal project "Development of the export of medical services". The level of attractiveness of a country as a global destination for medical tourists is determined by a number of factors: the level of medical technology, transport accessibility, proximity to donor countries of foreign patients; the level of realization of export potential, international reputation, medical marketing; the level of healthcare organization, international staff training, etc. Among the factors determining the success of the country as the destination of medical tourism, a special place is held by the recreational complex, spa treatment. The level of development of the recreational complex within the framework of medical tourism performs several tasks at once: it provides a full cycle of medical assistance to foreign medical tourists - from outpatient admissions and in-patient treatment to rehabilitation and recovery; sanatorium-resort treatment and rehabilitation are considered not only as an integral part of the complex of medical services, but also as an independent promising direction for the export of medical services by domestic health resorts. Also, the fight against the consequences of COVID-19, when hundreds of thousands of neighboring states citizens need qualified rehabilitation, can become a driver for the development of the sanatorium-resort complex of Russia. The purpose of the study is to identify bottlenecks in the development strategy of the recreational potential of the regions of the Russian Federation and make suggestions for its improvement. The number of foreign patients who received medical care from January to May 2020 in the federal districts is 729,000. This indicator was achieved during the pandemic, and therefore does not reflect the true potential of rehabilitation as an element of the full cycle of medical care for foreign patients. The target audience for rehabilitation programs is up to 100,000 foreign patients.