Family Medicine in the Russian Far East

Charles E. Christianson; Vladimir F. Bistrovsky; B.M. Kogut

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Family Medicine in the Russian Far East

机译：俄罗斯远东地区的家庭医学

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BACKGROUND AND OBJECTIVES: Over the last decade, Russia and other former Soviet states have attemptedto move from a fragmented health care system dominated by specialty and hospital careto one emphasizing primary care and prevention through the introduction of family medicine. Thisreport describes the development of family medicine in Russia's Far East region. METHODS: The FarEast was one of the first places in Russia to develop family medicine education. Early interactionwith the United States and adoption of an American training model allowed rapid development ofthe training program. The Russian Ministry of Health issued a health order in 1992 to transition theorganization of primary care in Russia to a family medicine model. RESULTS: There are now 15 familymedicine training programs in Russia, with several now established in the Far East. Introducingfamily medicine effectively into an "entrenched" medical system that does not reward preventionhas proven difficult for reasons including lack of funding and training that does not fully preparephysicians for practice in their geographic area. CONCLUSIONS: Family medicine training has beendeveloped in the Russian Far East with some success, but a number of challenges still remain.

机译：背景和目标：在过去的十年中，俄罗斯和其他前苏联国家试图从以专科和医院护理为主的支离破碎的医疗体系转变为通过引入家庭医学来强调初级保健和预防的体系。该报告描述了俄罗斯远东地区家庭医学的发展。方法：远东是俄罗斯最早开展家庭医学教育的地方之一。与美国的早期互动和采用美国培训模式使培训计划得以快速发展。俄罗斯卫生部于1992年发布了一项卫生命令，旨在将俄罗斯的初级保健组织转变为家庭医学模式。结果：俄罗斯目前有15个家庭医学培训计划，其中几个在远东建立。事实证明，将家庭医学有效地引入到不鼓励预防的“根深蒂固”的医疗体系中，由于缺乏资金和培训等原因，使医学工作者无法在其地理区域内进行充分的培训，这被证明是困难的。结论：俄罗斯远东地区已经开展了家庭医学培训，并取得了一些成功，但仍然存在许多挑战。

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《Family medicine》 |2007年第10期|共4页
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Charles E. Christianson; Vladimir F. Bistrovsky; B.M. Kogut;
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Family Medicine in the Russian Far East

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