Grant Susan
Susan Grant is with the School of Humanities and Social Science, Liverpool John Moores University, Liverpool, UK.
Am J Public Health. 2017 Nov;107(11):1725-1730. doi: 10.2105/AJPH.2017.304078. Epub 2017 Sep 21.
The centenary of the October Revolution in 1917 provides a timely opportunity to assess the legacies of that event. I examine the role of the revolution in public health with a focus on nursing, assessing the Imperial Russian health care system, the development of Soviet nursing, and current plans for nursing and public health care in Putin's Russia. Analyzing nursing shows that there was a great deal of continuity in terms of medical personnel and ideas on how public health care service in Russia should operate. Nursing illuminates some of the complexities of Soviet health care and ideology, particularly the state's desire to create a socialist form of nursing in theory, despite the strong links with the prerevolutionary past in the form of personnel. This situation changed after the collapse of the Soviet Union, when the new Russian state attempted to sever connections with the past, this time with the Soviet past. But as I show, making a clean break with the past is a difficult and often fraught process.
1917年十月革命一百周年为评估该事件的遗产提供了一个适时的契机。我将审视这场革命在公共卫生领域的作用,重点关注护理,评估沙俄帝国的医疗保健系统、苏联护理的发展,以及普京领导下的俄罗斯当前的护理和公共医疗保健计划。对护理的分析表明,在医疗人员以及关于俄罗斯公共医疗保健服务应如何运作的理念方面存在大量延续性。护理揭示了苏联医疗保健和意识形态的一些复杂性,特别是国家在理论上渴望创建一种社会主义形式的护理,尽管在人员构成上与革命前有着紧密联系。苏联解体后这种情况发生了变化,新的俄罗斯国家试图切断与过去的联系,这次是与苏联的过去。但正如我所展示的,与过去彻底决裂是一个艰难且往往充满问题的过程。