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莫斯科的医疗保健。

Health care in Moscow.

作者信息

Ryan M

机构信息

Centre of Russian and East European Studies, University College of Swansea.

出版信息

BMJ. 1993 Sep 25;307(6907):782-4. doi: 10.1136/bmj.307.6907.782.

Abstract

In the Russian Federation privatisation is affecting the health care sector as much as it is industry and commerce. That the general public support the transfer of state clinics to the private sector is a mark of their dissatisfaction with the old state run system. Doctors too see better opportunities to practise good medicine and be paid better for doing so. In Moscow the health department has set up a commission to license all clinics providing treatment, which should ensure standards of safety, training, and equipment. The Russian Federation is also trying to establish a medical insurance system to cover its citizens for health care, but in Moscow and elsewhere its implementation has been delayed by arguments and bureaucracy. In the meantime the health of Muscovites remains poor, with a high incidence of birth defects, and illnesses among the young.

摘要

在俄罗斯联邦,私有化对医疗保健部门的影响与对工商业的影响一样大。公众支持将国有诊所转至私营部门,这表明他们对旧的国营体系不满。医生们也认为在私营部门有更好的机会来践行优质医疗并因此获得更高报酬。在莫斯科,卫生部门已设立一个委员会,为所有提供治疗的诊所发放执照,这应能确保安全、培训和设备方面的标准。俄罗斯联邦还在努力建立一个医疗保险体系,为其公民提供医疗保健覆盖,但在莫斯科和其他地方,其实施因争论和官僚作风而延迟。与此同时,莫斯科人的健康状况仍然很差,出生缺陷和年轻人患病的发生率很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a0c/1696430/47fa45d64c0a/bmj00040-0043-a.jpg

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