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When the Standards Aren't Standard: Evidence-Based Medicine in the Russian Context
Oleh:
Geltzer, Anna
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 68 no. 3 (Feb. 2009)
,
page 526-532.
Topik:
Russia
;
Evidence-Based Medicine
;
Professional Authority
;
Professional Identity
;
Post-Soviet Health Crisis
;
Medical Profession
Ketersediaan
Perpustakaan Pusat (Semanggi)
Nomor Panggil:
SS53
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
This paper examines the uses of evidence-based medicine (EBM) in post-Soviet Russia through the use of semi-structured interviews. It asks what it means to talk about practicing evidence-based medicine in a setting where the context of practice presents considerable barriers to the implementation of EBM principles. Drawing on interviews with Russian physicians, medical students and users of the healthcare system, the paper argues that in post-Soviet Russia EBM serves as a strategic discourse for segments of the medical profession. With the collapse of the U.S.S.R. the healthcare system has been going through a period of crisis, and Russian physicians are finding that they have to redefine their professional identity with respect to the domestic and the international context and have to seek new sources for legitimizing their professional position. The western origins of EBM endow this rhetoric with considerable power in the Russian context and render it a very useful tool in the project of redefinition.
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