Ryan M
Centre of Russian and East European Studies, University College of Swansea.
BMJ. 1993 Apr 3;306(6882):909-11. doi: 10.1136/bmj.306.6882.909.
Recent changes in the Russian government introduced by Boris Yeltsin include the appointment of Eduard Nechaev as health minister at the beginning of this year. The appointment received little publicity in the West, although his predecessor was sacked after only one year for failing to make any effort to improve health care. The challenges facing the new minister are enormous. Not only does he have to introduce a new medical insurance system but he has to tackle the problems of falling population, rising childhood illness linked to poor diet, and the spread of polio and diphtheria. It remains to be seen whether his experience in the military medical service has equipped him for the job.
鲍里斯·叶利钦近期对俄罗斯政府做出的变动包括今年年初任命叶夫根尼·涅恰耶夫为卫生部长。尽管他的前任因未采取任何措施改善医疗保健仅任职一年就被解雇，但这一任命在西方几乎没有引起关注。这位新部长面临着巨大的挑战。他不仅要引入新的医疗保险制度，还要应对人口下降、因饮食不良导致儿童疾病增加以及小儿麻痹症和白喉蔓延等问题。他在军队医疗服务方面的经验能否使他胜任这份工作还有待观察。
