Vestnik of Orenburg State Pedagogical University. Electronic Scientific Journal. 2019. № 2 (30). P. 217—227
07.00.00 HISTORICAL SCIENCES AND ARCHEOLOGY
UDC 94(470.53)“1870/1914”:614
Chernouhov Dmitry Eduardovich, Postgraduate Student
Ural Federal University
THE PROBLEM OF PARTIALLY PAYABLE ZEMSTVO MEDICAL CARE IN THE PERM PROVINCE
Abstract
The article analyzes the problems of the implementation of one of the basic principles of zemstvo health care — free of charge for the entire local population. For almost half a century of its activity, zemstvo failed to achieve this implementation both at the provincial or county level. The author examines the validity of the preservation of partially payable zemstvo medical care in the region in 1870—1914. Attempts to abolish inherited payment for certain services (hospital treatment, medications) alternated with its restoration. A new challenge for zemstvos at the turn of the XIX — XX centuries was the need to provide the population with specialized medical care, requiring a very costly material and technical base. The logical answer was the expansion of paid services scale. Most constantly this new trend developed in the Yekaterinburg zemstvo. The appearance of this trend caused a heated debate at the county meetings that failed to reach any consensus between doctors and the public majority.
Key words
Zemstvo medicine, free of charge, general availability of medical care, Perm province.
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Bibliography link to this article:
Chernoukhov D. E. The problem of partially payable zemstvo medical care in the Perm province. Vestnik of Orenburg State Pedagogical University. Electronic Scientific Journal, 2019, no. 2 (30), pp. 217—227. DOI: https://doi.org/10.32516/2303-9922.2019.30.13.