Semashko Model
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Semashko Model
The Semashko model is a single-payer healthcare system where healthcare is free for everyone, and is funded from the national budget. It has been extensively modified since its introduction and a number of ex-soviet countries have now abandoned much of it. It was highly centralised and prescriptive in its design and had a very strong focus on specialist medicine so that family medicine and primary care was underdeveloped. The Bolsheviks began to establish universal healthcare as soon as they came to power in late 1917. The system is named after Nikolai Semashko, a Soviet People's Commissar for Healthcare. The model is largely continued in Russia, most other post-Soviet states (exceptions are: Turkmenistan, Kyrgyzstan and the Baltic states), and some other formerly Soviet-aligned states (such as North Korea and Cuba Cuba, officially the Republic of Cuba, is an island country, comprising the island of Cuba (largest island), Isla de la Juventud, and List of islands of Cu ...
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Outpatient
A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health care provider. Etymology The word patient originally meant 'one who suffers'. This English noun comes from the Latin word , the present participle of the deponent verb, , meaning , and akin to the Greek verb ( ) and its cognate noun (). This language has been construed as meaning that the role of patients is to passively accept and tolerate the suffering and treatments prescribed by the healthcare providers, without engaging in shared decision-making about their care. Outpatients and inpatients An outpatient (or out-patient) is a patient who attends an outpatient clinic with no plan to stay beyond the duration of the visit. Even if the patient will not be formally admitted with a note as an outpatient, their attendance is st ...
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Non-communicable Diseases
A non-communicable disease (NCD) is a disease that is not transmissible directly from one person to another. NCDs include Parkinson's disease, autoimmune diseases, strokes, heart diseases, cancers, diabetes, chronic kidney disease, osteoarthritis, osteoporosis, Alzheimer's disease, cataracts, and others. NCDs may be chronic or acute. Most are non- infectious, although there are some non-communicable infectious diseases, such as parasitic diseases in which the parasite's life cycle does not include direct host-to-host transmission. The four main NCDs that are the leading causes of death globally are cardiovascular disease, cancer, chronic respiratory diseases, and diabetes. NCDs account for seven out of the ten leading causes of death worldwide. Figures given for 2019 are 41 million deaths due to NCDs worldwide. Of these 17.9 million were due to cardiovascular disease; 9.3 million due to cancer; 4.1 million to chronic respiratory diseases, and 2.0 million to diabetes. Over 80 ...
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Population Health
Population health has been defined as "the health outcomes of a group of individuals, including the distribution of such outcomes within the group". It is an approach to health that aims to improve the health of an entire human population. It has been described as consisting of three components. These are "health outcomes, patterns of health determinants, and policies and interventions". A priority considered important in achieving the aim of population health is to reduce health inequities or disparities among different population groups due to, among other factors, the social determinants of health (SDOH). The SDOH include all the factors (social, environmental, cultural and physical) that the different populations are born into, grow up, and function with throughout their lifetimes which potentially have a measurable impact on the health of human populations. The population health concept represents a change in the focus from the individual-level, characteristic of most main ...
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Russian Soviet Federative Socialist Republic
The Russian Soviet Federative Socialist Republic (Russian SFSR or RSFSR), previously known as the Russian Socialist Federative Soviet Republic and the Russian Soviet Republic, and unofficially as Soviet Russia,Declaration of Rights of the laboring and exploited people, article I. was a socialist state from 1917 to 1922, and afterwards the largest and most populous Republics of the Soviet Union, constituent republic of the Soviet Union (USSR) from 1922 to 1991, until becoming a Declaration of State Sovereignty of the Russian SFSR, sovereign part of the Soviet Union with priority of Russian laws over Union-level legislation in 1990 and 1991, the last two years of the existence of the USSR.The Free Dictionary Russian Soviet Federated Socialist Republic< ...
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Russian Empire
The Russian Empire was an empire that spanned most of northern Eurasia from its establishment in November 1721 until the proclamation of the Russian Republic in September 1917. At its height in the late 19th century, it covered about , roughly one-sixth of the world's landmass, making it the list of largest empires, third-largest empire in history, behind only the British Empire, British and Mongol Empire, Mongol empires. It also Russian colonization of North America, colonized Alaska between 1799 and 1867. The empire's 1897 census, the only one it conducted, found a population of 125.6 million with considerable ethnic, linguistic, religious, and socioeconomic diversity. From the 10th to 17th centuries, the Russians had been ruled by a noble class known as the boyars, above whom was the tsar, an absolute monarch. The groundwork of the Russian Empire was laid by Ivan III (), who greatly expanded his domain, established a centralized Russian national state, and secured inde ...
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Specialist Care
A hospital is a healthcare institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many beds for intensive care and additional beds for patients who need long-term care. Specialized hospitals include trauma centers, rehabilitation hospitals, children's hospitals, geriatric hospitals, and hospitals for specific medical needs, such as psychiatric hospitals for psychiatric treatment and other disease-specific categories. Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals are classified as general, specialty, or government depending on the sources of income received. A teaching hospital campus c ...
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Primary Care
Primary care is a model of health care that supports first-contact, accessible, continuous, comprehensive, and coordinated person-focused care. It aims to optimise population health and reduce disparities across the groups by ensuring equitable access to services for all subgroups. Primary care is the day-to-day healthcare given by a health care provider. Typically, this provider acts as the first contact and principal point of continuing care for patients within a healthcare system, and coordinates any additional care the patient may require. Patients commonly receive primary care from professionals such as a primary care physician (general practitioner or family physician), a physician assistant, a physical therapist, or a nurse practitioner. In some localities, such a professional may be a registered nurse, a pharmacist, a clinical officer (as in parts of Africa), or an Ayurvedic or other traditional medicine professional (as in parts of Asia). Depending on the natu ...
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National Insurance Act 1911
The National Insurance Act 1911 (1 & 2 Geo. 5. c. 55) created National Insurance, originally a system of health insurance for industrial workers in Great Britain based on contributions from employers, the government, and the workers themselves. It was one of the foundations of the modern welfare state. It also provided unemployment insurance for designated cyclical industries. It formed part of the wider Liberal welfare reforms, social welfare reforms of the Liberal Government 1905–15, Liberal Governments of 1906–1915, led by Henry Campbell-Bannerman and H. H. Asquith. David Lloyd George, the Liberal Chancellor of the Exchequer, was the prime moving force behind its design, negotiations with doctors and other interest groups, and final passage, assisted by Home Secretary Winston Churchill. Background Lloyd George followed the example of Germany, which under Chancellor Otto von Bismarck had provided compulsory national insurance against sickness from 1884. After visiting Ger ...
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United Kingdom Of Great Britain And Ireland
The United Kingdom of Great Britain and Ireland was the union of the Kingdom of Great Britain and the Kingdom of Ireland into one sovereign state, established by the Acts of Union 1800, Acts of Union in 1801. It continued in this form until 1927, when it evolved into the United Kingdom, United Kingdom of Great Britain and Northern Ireland, after the Irish Free State gained a degree of independence in 1922. It was commonly known as Great Britain, Britain or England. Economic history of the United Kingdom, Rapid industrialisation that began in the decades prior to the state's formation continued up until the mid-19th century. The Great Famine (Ireland), Great Irish Famine, exacerbated by government inaction in the mid-19th century, led to Societal collapse, demographic collapse in much of Ireland and increased calls for Land Acts (Ireland), Irish land reform. The 19th century was an era of Industrial Revolution, and growth of trade and finance, in which Britain largely dominate ...
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October Revolution
The October Revolution, also known as the Great October Socialist Revolution (in Historiography in the Soviet Union, Soviet historiography), October coup, Bolshevik coup, or Bolshevik revolution, was the second of Russian Revolution, two revolutions in Russia in 1917. It was led by Vladimir Lenin's Bolsheviks as part of the broader Russian Revolution of 1917–1923. It began through an insurrection in Petrograd (now Saint Petersburg) on . It was the precipitating event of the Russian Civil War. The initial stage of the October Revolution, which involved the assault on Petrograd, occurred largely without any casualties. The October Revolution followed and capitalized on the February Revolution earlier that year, which had led to the abdication of Nicholas II and the creation of the Russian Provisional Government. The provisional government, led by Alexander Kerensky, had taken power after Grand Duke Michael Alexandrovich of Russia, Grand Duke Michael, the younger brother of ...
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Monitoring (medicine)
In medicine, monitoring is the observation of a disease, condition or one or several medical parameters over time. It can be performed by continuously measuring certain parameters by using a medical monitor (for example, by continuously measuring vital signs by a bedside monitor), and/or by repeatedly performing medical tests (such as blood glucose monitoring with a glucose meter in people with diabetes mellitus). Transmitting data from a monitor to a distant monitoring station is known as telemetry or biotelemetry. Classification by target parameter Monitoring can be classified by the target of interest, including: * Cardiac monitoring, which generally refers to continuous electrocardiography with assessment of the patient's condition relative to their cardiac rhythm. A small monitor worn by an ambulatory patient for this purpose is known as a Holter monitor. Cardiac monitoring can also involve cardiac output monitoring via an invasive Swan-Ganz catheter. * Hemodynam ...
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