An assessment of paediatric diabetes care in three centres in Russia and in Southampton, UK

Betts, P R; Logatchov, M.; Волков, И Э; Murphy, Helen; Dombrowskaya, N.; Borzikh, S.; Иванова, И. В.; Twyman, S.; Vartan, J.; Tula,; Tambov,; Southampton,

doi:10.1046/j.1464-5491.1999.00144.x

Cited by 9 publications

(5 citation statements)

References 16 publications

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“…In that study, as in ours, the authors highlighted the role of pharmaceutical representatives in promoting inappropriate prescribing. A comparison of the management of paediatric diabetes in Russia and the United Kingdom reported significantly worse control and higher rates of complications in the former [35].…”

Section: Discussionmentioning

confidence: 99%

Prescribing in maternity care in Russia: The legacy of Soviet medicine

2008

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Section: Discussionmentioning

confidence: 99%

Prescribing in maternity care in Russia: The legacy of Soviet medicine

2008

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“…It inherited an extensive, but basic health care system, with a functioning, albeit fragmented, system for managing chronic diseases. However, as with other Soviet republics, medicine was influenced by particular belief systems, exemplified by the rejection of classical genetics in the 1940s or the persistence of the pre-Pasteur belief in the spontaneous generation of microorganisms in some circles into the 1970s (Betts et al, 1999). This paradigm led to the widespread use of unproven health care interventions.…”

Section: Introductionmentioning

confidence: 99%

The human perspective on health care reform: coping with diabetes in Kyrgyzstan

Hopkinson¹,

Balabanova²,

McKee³

et al. 2004

Health Planning & Management

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Health systems world wide are confronted by the challenge of rising levels of chronic diseases. Yet existing approaches to health system analysis often fail to capture the complexity of the responses required to address this challenge. In this paper we describe the results of a pilot study using a rapid appraisal technique to assess the performance of the health care system in Kyrgyzstan, a former Soviet central Asian republic. The study focuses on diabetes, a condition whose effective management requires a coordinated response involving many components of the health care system. The study sets out a conceptual framework in which the system is seen from the perspectives of users, health professionals and policy-makers. It sees the effective delivery of health care as dependent on appropriate investment in human, physical, intellectual and social resources. The study reveals important weaknesses in all of these areas, although it also notes that current policies, while constrained by the legacy of the past and by limited resources, are beginning to tackle them. This pilot study indicates that rapid appraisal, using a condition such as diabetes, where those affected can be easily identified, offers a means of gaining important insights into a health care system.

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“…Changes in the duration of hospital stay have been reported from other countries over variable periods of time. Factors responsible for these changes are not decisively known (26, 27).…”

Section: Discussionmentioning

confidence: 99%