ZEMSTVO MEDICINE AND HEALTH CARE SEEKING IN THE LATE 19TH CENTURY
Keywords:
zemstvo, health care seeking, zemstvo medicine, healthcare, Russian Empire, uezd, countyAbstract
The paper deals with the development of zemstvo medicine in the late 19th and early 20th centuries, focusing on health care seeking. Within a broader research optics, this phenomenon is a key element in the formation of human capital and standard of living. In this paper, it is considered as the indicator of interaction between medical institutions and the population. The study reveals significant disparities in health care seeking behavior among counties in general and among counties within one province. The division of health care seeking into inpatient and outpatient sectors demonstrates distinct patterns of distribution for these types of medical care. Regression analysis demonstrates that infrastructural conditions and organizational factors of healthcare largely explain the distribution of inpatient services. However, a similar trend is not observed in the outpatient sector, indicating the likely influence of factors of a different nature, such as sociocultural and socioeconomic factors. Furthermore, the study shows the insignificant influence of the factors of payment for medical care and the area of medical offices on the intensity of health care seeking in both the inpatient and outpatient sectors. These findings highlight the need for a more detailed study.References
Арутюнов Ю.М. Земская медицина в Московской губернии во второй половине XIX – начале XX вв.: дис. … канд. ист. наук. М., 2000. 221 с.
Булгакова Л.А. Мистика земского врача // Наука, технология и общество во время Первой миро-вой войны: медицина. СПб.: Нестор-История, 2011. С. 275−292.
Веселовский Н.И. История земства за сорок лет. СПб.: Изд-во О.Н. Поповой, 1909. Т. I. 741 с.
Голубев П.А. Земская медицина // Краткий обзор деятельности Вятского губернского земства за 35 лет (1867–1902 гг.). Вятка: Губернская типография, 1906. Вып. 1. С. 149–174.
Данилов Е.В. Динамика и факторы обращаемости населения за медицинской помощью в Европейской России начала ХХ века [Электронный ресурс] // Историческая информатика. 2022. № 4.
С. 65–83. URL: https://nbpublish.com/library_read_article.php?id=39251 (дата обращения: 23.06.2023).
История здравоохранения дореволюционной России (конец XVI – начало XX в.) / М.В. Поддуб-ный, И.В. Егорышева, Е.В. Шерстнева, Н.И. Блохина; под. ред. Р.У. Хабриева. М.: ГЭОТАР-Медиа, 2014. 238 с.
Краснобородько К.А. Становление и развитие земской медицины в Курской губернии в середине 60-х гг. XIX − начале XX вв.: дис. … канд. ист. наук. Курск, 2010. 239 с.
Лядова В.В., Невоструев Н.А. Земские врачи Пермской губернии: забытые имена (вторая поло-вина XIX − начало XX века) // Вестник Пермского университета. История. 2023. № 1(60). С. 195–208.
Назаров В.В. Деятельность земских учреждений в области здравоохранения в 60-е гг. ХIХ – начале ХХ вв.: по материалам Саратовской губернии: дис. … канд. ист. наук. Саратов, 2003. 219 с.
Никитина А.В. Становление и развитие земской медицины в Уфимской губернии в последней четверти XIX − начале XX вв.: дис. … канд. ист. наук. Уфа, 2009. 207 с.
Сосновская И.А. Развитие системы здравоохранения в Орловской губернии во второй половине XIX – начале XX вв.: дис. … канд. ист. наук. Орел, 2013. 327 с.
Тезяков Н.И. Материалы для истории Земской медицины в Александрийском уезде Херсонской губернии с 1865–1890 гг. Александрия: Александрийская уездная земская управа, 1890. 148 с.
Черноухов Д.Э. Земская медицина Пермской губернии в последней трети XIX – начале XX вв.: дис. … канд. ист. наук. Екатеринбург, 2020. 254 с.
Frieden N.M. Russian Physicians in an Era of Reform and Revolution, 1856–1905. Princeton, New Jersey: Princeton University Press, 1981. 398 p.
Kosasih D.M., Adam S., Uchida M., Yamazaki C., Koyama H., Hamazaki K. Determinant Factors Behind Changes in Health-Seeking Behaviour before and after Implementation of Universal Health Coverage in Indonesia // BMC Public Health. 2022. Vol. 22. URL: https://bmcpublichealth.biomedcentral.
com/articles/10.1186/s12889-022-13142-8 (accessed: 25.07.2023).
MacKian S. A Review of Health Seeking Behaviour: Problems and Prospects. Internal Concept Paper Health Systems Development Program. London: London School of Hygiene and Tropical Medicine, 2003. 27 p.
Predicting Health Behaviour: Research and Practice with Social Cognition Models / ed. by M. Conner, P. Norman. Open University Press, 2005. 402 p.
Smith C.M., Shallcross L.J., Dutey-Magni P. [et al.]. Incidence, Healthcare-Seeking Behaviours, Antibiotic Use and Natural History of Common Infection Syndromes in England: Results from the Bug Watch Community Cohort Study // BMC Infectious Diseases. 2021. Vol. 21, no. 1. URL: https://link.springer.com/article/10.1186/s12879-021-05811-7 (accessed: 20.07.2023).
References
Arutyunov, Yu.M. (2000), Zemskaya meditsina v Moskovskoy gubernii vo vtoroy polovine XIX – nachale XX vv. [Zemstvo medicine in Moscow governorate in the 2nd half of the 19th and early 20th centuries], PhD dissertation, MADI, Moscow, Russia, 229 p.
Bulgakova, L.A (2011), “Mystery of zemstvo physician”, in Nauka, tekhnologiya i obshchestvo vo vremya Pervoy mirovoy voyny: Meditsina [Science, technology and society during WWI: Medicine], Nestor-Istoriya, St. Petersburg, Russia, pp. 275−292.
Chernoukhov, D.E. (2020), Zemskaya meditsina Permskoy gubernii v posledney treti XIX – nachale XX vv. [Zemstvo medicine of the Perm province in the last third of the 19th – early 20th centuries], PhD dissertation, Ural Federal University, Yekaterinburg, Russia, 254 p.
Conner, M. & P. Norman (eds.) (2005), Predicting health behaviour: Research and practice with social cognition models, Open University Press, Maidenhead, UK, 402 p.
Danilov, E.V. (2022), “Dynamics and factors of healthcare seeking in European Russia in the early 20th century”, Istoricheskaya informatika, № 4, pp. 65–83, available at: https://nbpublish.com/library_read_article.php?id=39251 (accessed: 23.06.2023).
Frieden, N.M. (1981), Russian Physicians in an Era of Reform and Revolution, 1856–1905, Princeton University Press, Princeton, New Jersey, UK, 398 p.
Golubev, P.A. (1906), “Zemstvo medicine”, in Kratkiy obzor deyatel'nosti Vyatskogo gubernskogo zemstva za 35 let (1867–1902 gg.) [Short review of Vyatka governorate zemstvo activities for 35 years (1867−1902)], vol. 1, Gubernskaya tipografiya, Vyatka, Russia, pp. 149–174.
Khabriev, R.U. (ed.) (2014), Istoriya zdravookhraneniya dorevolyutsionnoy Rossii (konets XVI – nachalo XX v. [History of healthcare in pre-revolutionary Russia (late 16th – early 20th centuries)], GEOTAR-Media, Moscow, Russia, 238 p.
Kosasih, D.M., Adam, S., Uchida, M., Yamazaki, C., Koyama, H. & K. Hamazaki (2022), “Determinant factors behind changes in health-seeking behaviour before and after implementation of universal health coverage in Indonesia”, BMC Public Health, vol. 22, available at: https://bmcpublichealth.biomedcentral.com/articles/10.1186/ s12889-022-13142-8 (accessed: 25.07.2023).
Krasnoborodko, K.A. (2010), Stanovlenie i razvitie zemskoy meditsiny v Kurskoy gubernii v seredine 60-kh gg. XIX – nachale XX vv. [Formation and development of zemstvo medicine in Kursk governorate in the mid-60s of the 19th – early 20th centuries], PhD dissertation, Kursk State University, Kursk, Russia, 239 p.
Lyadova, V.V. & N.A. Nevostruev (2023), “Zemstvo doctors of the Perm Province: forgotten names (second half of the 19th – early 20th centuries)”, Vestnik Permskogo universiteta. Istoriya, № 1(60), pp. 195–208.
MacKian, S. (2003), A review of health seeking behaviour: Problems and prospects. Internal concept paper Health Systems Development Program, London School of Hygiene and Tropical Medicine, London, UK, 27 p.
Nazarov, V.V. (2003), Deyatel'nost' zemskikh uchrezhdeniy v oblasti zdravookhraneniya v 60-e gg. XIX – nachale XX vv.: Po materialam Saratovskoy gubernii [Zemstvo institutions and health care in the 60s of the 19th – early 20th centuries based on materials from the Saratov province], PhD dissertation, Saratov State University, Saratov, Russia, 219 p.
Nikitina, A.V. (2009), Stanovlenie i razvitie zemskoy meditsiny v Ufimskoy gubernii v posledney chetverti XIX - nachale XX vv. [The formation and development of zemstvo medicine in the Ufa province in the last quarter of the 19th – early 20th centuries], PhD dissertation, Sterlitamak State Pedagogical Academy, Ufa, Russia, 207 p.
Smith, C.M., Shallcross, L.J., Dutey-Magni, P. et al. (2021), “Incidence, healthcare-seeking behaviours, antibiotic use and natural history of common infection syndromes in England: results from the Bug Watch community cohort study”, BMC Infectious Diseases, vol. 21 (1), available at: https://link.springer.com/article/10.1186/ s12879-021-05811-7 (accessed: 20.07.2023)
Sosnovskaya, I.A. (2013), Razvitie sistemy zdravookhraneniya v Orlovskoy gubernii vo vtoroy polovine XIX – nachale XX vv. [Development of the healthcare system in the Oryol province in the second half of the 19th – early 20th centuries], PhD dissertation, Oryol State University, Oryol, Russia, 327 p.
Tezyakov, N. I. (1890), Materialy dlya istorii Zemskoy meditsiny v Aleksandriyskom uezde Khersonskoy gubernii s 1865–1890 gg. [Materials on the history of Zemstvo medicine in the Alexandria district of the Kherson governorate, 1865–1890], Aleksandriyskaya uezdnaya zemskaya uprava, Aleksandriya, Russia, 148 p.
Veselovskiy, N.I. (1909), Istoriya zemstva za sorok let [History of zemstvo for 40 years], vol. 1, Izdatel'stvo O.N. Popovoy, St. Petersburg, Russia, 741 p.
