Changes in the availability of medical care to patients with chronic non- infectious diseases during the COVID-19 pandemic. Literature review.

Materials and methods: A literary review of articles (reviews, original research, interview data and telephone surveys) published from March 2020 to March 2022 on the impact of the COVID-19 pandemic on the availability of medical care for somatic patients in the Russian Federation and a number of foreign countries was conducted. The methods of bibliographic, informational and semantic search of sources in Google Scholar, PubMed and Scopus databases were used. A system analysis of sources was performed.

Annotation:

The coronavirus pandemic has made its own adjustments to the organization of medical care for the population around the world. The reorganization of medical institutions to provide emergency, outpatient and inpatient medical care to infected patients required huge financial and personnel costs, and caused a kind of bias towards reducing the medical services provided to patients with CNID (chronic non- infectious diseases), which in turn determine the main level of morbidity, premature mortality and disability of the population. It is quite obvious that the availability of medical care to patients with CNID has decreased in all countries that COVID-19 caught by surprise. This situation has not gone unnoticed by the medical community and, as a result, various ways to overcome this problem have been proposed. The proposed article presents an analytical review of various types of Russian and foreign medical sources: articles, orders, statements, interviews, surveys, etc., devoted to the problem of changing the availability of various types of medical care. The review is presented in accordance with the most obvious and widespread problems in public health during the pandemic. It also analyzes the methods used in various countries and in Russia to overcome the decline in the availability of medical care. The described wide range of problems that arose in domestic and foreign healthcare during the COVID-19 pandemic, and the same variety of ways to solve them, allow us to conclude that this study is relevant.