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

Danichevski, K.; McKee, Martin; Balabanova, Dina

doi:10.1016/j.healthpol.2007.08.001

Cited by 23 publications

(16 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Much clinical practice is still in need of an overhaul. Our findings resonate with previous research in areas such as obstetrics, where expectant mothers with normal pregnancies are often admitted for several weeks and infused with vitamins, minerals, and other substances devoid of therapeutic value 41,42 ; and hypertension, where some treatment is still based on the idea that the problem is blood viscosity, that can be treated with coloured lights or magnetism. 43…”

Section: Discussionsupporting

confidence: 89%

The Soviet legacy in diagnosis and treatment: Implications for population health

Rechel

Kennedy

McKee

et al. 2011

J Public Health Pol

Self Cite

View full text Add to dashboard Cite

This article reviews diagnosis and treatment in the Commonwealth of Independent States in three clinical areas: tuberculosis, substance misuse, and neurological disorders in children. While the specific problems in each of these areas differ greatly, commonalities emerge, pointing to the continued influence of the Soviet past. Although progress in developing evidence-based medicine is being made, the isolation of Soviet science from Western developments has resulted in the widespread use of outdated diagnostic procedures and treatment protocols, while finance mechanisms still encourage unnecessary hospitalizations and treatments. A hierarchical medical system, as well as underdeveloped patient rights and medical ethics, mean that patients have little information and ability to participate in decision-making. The continued use of outdated approaches to diagnosis and treatment contributes to poor population health outcomes in the region.

show abstract

Section: Discussionsupporting

confidence: 89%

The Soviet legacy in diagnosis and treatment: Implications for population health

Rechel

Kennedy

McKee

et al. 2011

J Public Health Pol

Self Cite

View full text Add to dashboard Cite

show abstract

“…Second, as we were unable to measure blood pressure in these surveys, we can say nothing about those who have high blood pressure but are unaware of it, so our figures will inevitably underestimate the scale of the problem. Third, we were unable to ascertain whether the drugs prescribed to our subjects are actually effective in the treatment of hypertension (our earlier research on prescribing in obstetric care in Russia revealed widespread use of many ineffective treatments, a subject we return to below)21 or would be free of significant side effects. Fourth, as subjects were not asked about the type of treatment and how many times they should take the medicine prescribed, irregular treatment could have been as a result of either their own decisions or inadequate or incorrect advice from the doctor or other health professional.…”

Section: Discussionmentioning

confidence: 99%

Irregular treatment of hypertension in the former Soviet Union

Roberts

Stickley²

2010

J Epidemiol Community Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…The poor quality of local epidemiological research and lack of access to English-language scientific literature has meant that medical practice has not kept up with the emergence of evidence-based medicine in the West (Tillinghast, 1998). Recent research suggests that variations in clinical practice persist in Central and Eastern Europe and that there is a divergence from international evidence-based practice in paediatrics and obstetrics (Duke et al, 2006;Danichevski et al, 2008). Development and adherence to clinical guidelines, based on the best available evidence, are clearly necessary to ensure that patients in Bulgaria and elsewhere in the region are receiving high quality care.…”

Section: Discussionmentioning

confidence: 99%