The article examines specific features of the medical service in Dagestan during the Great Patriotic War based on a wide range of published and newly introduced documents. The health care system in Dagestan suffered from serious changes during the significant events in the Soviet history, which had an essential impact on the state of the medical service in the region. The authors examine the specifics of the transformations in the field of managing care to the military and civilian population. Dagestan was a deep rear area at the beginning of the war, so evacuation hospitals were established here, its workload increased as the front line approached, and as a result, the work of hospitals consisted of serving the seriously wounded combatants moving from sanitary trains from the front and from other hospitals which were in the frontline or in enemy-occupied territory. According to mobilization in this period, Dagestan suffered from an acute shortage of qualified medical personnel, diagnostic equipment, care products, instruments and medications. For this reason, the medical service extra suffered in rural areas, and the system of emergency and urgent care to the civilian population was almost destroyed throughout the region. The article pays specific attention to the scientific work conducted by medical workers during the war. The authors conclude that Dagestan was characterized by trends in the transformation of the health care system of the entire country, and the imbalance in providing medical care exclusively to wounded combatants led to a deterioration in the quality of medical care for the civilian population.

Contribution of the authors. All co-authors made an equal contribution to the research and preparation of the article for publication.