Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2012 Jan-Feb(1):55-8.
In pre-revolutionary Russia, the issue of medical care accessibility considered concerning the population groups with lower incomes. Later the notion of accessible medical care evolved. It was formulated in a most capacious way by Zemstvo medicine. The zemstvo physicians inputted into this notion not only the availability of curative institutions and medical personnel, but also a territorial and economic accessibility including the provision of population with specialized medical care. The concept proposed by zemstvo public figures was approved by the medical community and public authorities.
在革命前的俄罗斯，医疗服务可及性问题被认为与低收入人群有关。后来，可及医疗服务的概念有所发展。地方自治局医疗体系以最宽泛的方式对其进行了阐述。地方自治局的医生们赋予这一概念的内容不仅包括治疗机构和医务人员的可获得性，还包括地域和经济上的可及性，其中包括为民众提供专科医疗服务。地方自治局公众人物提出的这一概念得到了医学界和公共当局的认可。
