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Abstract

The main studies of the availability of medical care in the Russian Federation base on statistical data and a survey of patients. There is a lack of data in the Far Eastern Federal District. Purpose of the study: analysis of the dynamics of assessing the availability of medical care by patients in the Far East. Sociological surveys were conducted in the Khabarovsk Territory in 2005 (n = 1098) using paper questionnaires and in 2025 (n = 2888) using Google Forms. Primary data were processed using the Kendall rank correlation coefficient. Most often, in 2005, a doctor's appointment with a non-acute pathology was conducted in 1-2 days, and in 2025, within a week. The situation is somewhat leveled by the redistribution of patients to private clinics in 2025. Over the 20 years studied, there is a redistribution of answers about the time of service in the clinic from 1-2 hours or more, towards answers of 15-30 minutes. The number of prescribed drugs has not changed significantly - most often, the patient receives 3-5 drugs. The own purchase of medical and pharmaceutical goods for the day hospital and hospitalization has significantly decreased. Most often, respondents purchased drugs for hospitalization. Antibacterial drugs remain the most popular group, and ceftriaxone is the most purchased antibiotic for these purposes. The results of the sociological study demonstrate, in general, an increase in the availability of medical care for the population over the study's 20 years, including through the receipt of medical care in private clinics‎.

Keywords: Medical care, Dynamics, Drugs, Antibiotics, Acquisition, Availability

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