Covid-19 Vs Challenge to a New Health Care Reform

E. Snarskaya, Ekaterina Yurievna Shammazova, L. Mukharyamova, A. R. Zalyaev
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Abstract

The absence of signs of legitimacy of power structures, and disagreement with the health policy lead to dissatisfaction, condemnation and protest moods among the population. This disagreement is manifested both at the level of consumers of services - ordinary citizens, and at the level of producers of services - the medical (professional) community. If until recently episodes with a low degree of public satisfaction with the quality of medical services were widely discussed in the media, recent years would have indicated protest moods in the professional group, portending the failure of health care reform. Today, one can hear the conventional wisdom everywhere that it is the medical community that must take full responsibility for solving the pandemic problem fully. However, the analysis of the transitional state of the modern public health system presented in the article, including in the context of the COVID-19 pandemic, shows the ability of this “state” to such challenges as political destabilization, public outcry, professional protests and much more. In fact, today we are witnessing a process of expanding the functions of the health care system from traditional, in particular, the provision of medical care to citizens, pharmaceutical activities, the development of state policy in the field of health care and social development, etc., to the area of non-specific and until recently marginal - we mean the ideological component, accumulating in wide layers of society, turns out to be capable of direct political action.
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Covid-19 Vs新医疗改革的挑战
权力结构缺乏合法性的迹象,以及对卫生政策的分歧导致民众的不满、谴责和抗议情绪。这种分歧既表现在服务的消费者——普通公民,也表现在服务的生产者——医疗(专业)界。如果说直到最近公众对医疗服务质量的低满意度事件还在媒体上广泛讨论的话,那么最近几年应该表明了专业群体的抗议情绪,预示着医疗改革的失败。今天,人们在任何地方都可以听到这样的传统智慧,即医学界必须为充分解决这一流行病问题承担全部责任。然而,本文对现代公共卫生系统的过渡状态进行了分析,包括在2019冠状病毒病大流行的背景下,表明这种“状态”能够应对政治不稳定、公众抗议、专业抗议等挑战。事实上,今天我们正在目睹一个扩大卫生保健系统功能的过程,从传统的,特别是向公民提供医疗保健,制药活动,在卫生保健和社会发展领域制定国家政策等,到非特定领域,直到最近才被边缘化-我们的意思是意识形态成分,在社会各阶层积累,结果是能够直接采取政治行动。
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