Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ: = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity
Геомедицина и политика здравоохранения в Байкальском регионе: история и современность
Gespeichert in:
| Weitere Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | Russian |
| Veröffentlicht: |
Irkutsk
Ottisk
2016
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Inhaltsverzeichnis Abstract |
| Beschreibung: | 306 Seiten |
| ISBN: | 9785990934504 |
Internformat
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| 246 | 1 | 1 | |a Geomedicine and healthcare policy in the Baikal region: history and contemporaneity |
| 264 | 1 | |6 880-04 |a Irkutsk |b Ottisk |c 2016 | |
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| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 546 | |a Text russisch. - Zusammenfassung auch in englischer Sprache | ||
| 546 | |b Kyrillische Schrift | ||
| 648 | 7 | |a Geschichte 1900-2015 |2 gnd |9 rswk-swf | |
| 650 | 0 | 7 | |a Geomedizin |0 (DE-588)4020235-5 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Volksmedizin |0 (DE-588)4078940-8 |2 gnd |9 rswk-swf |
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| 689 | 0 | 2 | |a Gesundheitspolitik |0 (DE-588)4113743-7 |D s |
| 689 | 0 | 3 | |a Volksmedizin |0 (DE-588)4078940-8 |D s |
| 689 | 0 | 4 | |a Geschichte 1900-2015 |A z |
| 689 | 0 | |5 DE-604 | |
| 700 | 1 | |6 880-01 |a Baškuev, Vsevolod Jurʹevič |d 1974- |0 (DE-588)1024859746 |4 edt | |
| 710 | 2 | |6 880-02 |a Institut mongolovedenija, buddologii i tibetologii |0 (DE-588)6014310-1 |4 isb | |
| 856 | 4 | 2 | |m Digitalisierung BSB Muenchen 19 - ADAM Catalogue Enrichment |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029940854&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
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| 880 | 1 | |6 700-01/(N |a Башкуев, Всеволод Юрьевич |4 edt | |
| 880 | 2 | |6 710-02/(N |a Институт монголоведения, буддологии и тибетологии |4 4isb | |
| 880 | 1 | 0 | |6 245-03/(N |a Геомедицина и политика здравоохранения в Байкальском регионе: история и современность |c ответственный редактор к.и.н. В.Ю. Башкуев |
| 880 | 1 | |6 264-04/(N |a Иркутск |b Оттиск |c 2016 | |
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Datensatz im Suchindex
| _version_ | 1817975396311760896 |
|---|---|
| adam_text |
OmaBjieHHe
npeaHCflOBHe.9
Diasa I: TeoMeaHUHHa, reonojiHTHKa h rocyaapcTBeHHaa nojiHTHKa
3apaBooxpaHeHRa b EaiiKajibCKOM perHOHe (Bropaa îiojiobhhe
XIX — Hanajio XXI b.): HcropHHecKHH kohtckct
B3aHMO^eHCTBHÄ.18
1.1. FeoMe^HUHHCKaa cHTyauna b EaHKajibCKOM perHOHe
b ÆopeBOJiiouHOHHfciH nepHOA: 3naaeMHH Kax J aKxop
reonojiHTHHecKoro pMCKa. 18
1.2. üpoÖJieMbi oxpaHhi 3^opOBb« aBTOXTOHHoro HaceneHHÄ
peraoHa bo BxopoH iiojiobhhc XIX — Hanajie XX b.55
1. 3. reonojiHTHHecKHe no^TeKCXbi 6opb6bi 3a 03,aopoafieHMe
ôypsrr b 1920-e rr.69
1.4. reonojiHTHKa h MezuniHHa b npocTpaHCTBe BHyrpeHHeH h
IJ,eHTpajibHOH A3hh: nojiHTHKa 3^paßooxpaHeHHfl h 3Kcnopr
coßeTCKOH MeaHUHHbi b 1920-x—1940-x rr.88
1.5. ro cyaapCTBeHHaü nojiHTHKa 3,apaBooxpaHeHHH b
EaHKaiibCKOM pernoHe Ha npHMepe pa3BHTM MymiUHnaJibHoro
3^paBOoxpaHeHHa yjiaH-ya3 (1920-e rr. — Hanajio XXI b.) . . 102
Diaßa II: flpHpo^a 3a6ojieBaHHÍí b xpaOHUHOHHbix npeacrraBJieHHHX
MOHTOJIbCKHX HapOAOB H ilpaKTHKH HapOAHO-ÖblTOBOH
MeannHHbi. . .118
2. 1. ripHHHHbi 3a6ojieaaHHH.124
2. 2. MarnnecKHe npHeMti jieneHHa.127
2. 3. Tpa^HUHOHHoe BOcnpmiTHe npHpo,zu»i oiumeMHHecKHx
3a6ojießaHHH.134
2. 4. TpaOHUHH |)HTOJieHeHHH.152
2. 5. CpezicTBa xcHBOTHoro npoHcxoHczieHHK. 166
2. 6. JleKapcTBeHHbie cpe/jCTsa MHHepajibHoro npoHcxo K^eHH« . 190
2. 7. HapoAHaa rHHeKOJiormi mohtojibckhx Hapo^OB: nepHHaTajibHWH
nepnoA, po/u i h JieneHHe OeciuiOAHß.191
2. 8. ÆercKHe 3a6ojieBaHHa.218
Diaßa III. AHaJiH3 perwoHajibHux acneicroB MOjiepHH3auHH h KanecTBa
(JiyHKUHOHHpOBaHHJI CHCTCMbl 3¿ipaBooxpaHeHHJi PecnyÖJIHKH
EypaTHÄ.231
3. 1. FocyaapcTBeHHoe ynpaBJieHne chctcmoh 3,apaBOoxpaHeHHH
PecnyÖJiHKH EypaTHß.240
5
3. 2. OcoôeHHOCTH cTpaTerHHecKoro ruiamfpoBaHK» chctcmw
3^paBooxpaHeHHa PecnyÔJiHKH Bypjrrmi.242
3.3. OpramoauHH mcakuhhckoh noMomn b ycjiOBHax
MO^epHM3aUHH H HH3K0H IUIOTHOCTH HaceJieHHM.250
3. 4. MaTCpHajibHO-TexHHHecKaa 6a3a CHCTeMU aupaBOOxpaHeHHa
PecnyôjïHKü EypKTWi.257
3. 5. Me¿uiKO“,aeMorpa4mHecKafl cmyaiuw b PecnyöJiHKe
EypHTHfl.260
3. 6. Bonpocfci oxpaHu 3AopoBi fl y^amenefl MOJioAeacn.265
3. 7. Ka^poBoe oóecneneHHe 3ApaBooxpaHeHH3 PecnyCxnMKH
Eyparaa . 272
3. 8. KanecTBO mcahuhhckoh noMoum.279
3.9. npoöJieMbJ cejibCKoro 3ApaBOoxpaHeHHa PecnyÖJiHKH Byp^xua
(no MaTepnajiaM 3KcneAHunoHHoro oócJieAOBaHHa 3awrpaeBCKoro
pawoHa).284
3aKiiiOHeHHe.293
Summary.303
6
Table of contents
Foreword.9
Chapter 1: Geomedicine, geopolitics and state healthcare policy in
die Baikal region (second half of the 19th — first half of the 20th
centuries): historical context of interaction.18
1.1. Geomedical situation in the Baikal region in the
pre-revolutionary period: epidemics as a geopolitical
risk factor.18
1.2. Problems of health protection of the autochthonous population
of the region in the second half of the 19th -
early 20th centuries.55
1.3. Geopolitical implications of a struggle for the improvement
of health of Buryats in the 1920s.69
1.4. Geopolitics and medicine in Inner and Central Asia:
healthcare policy and export of Soviet medicine in the
1920s-1940s.88
1.5. State healthcare policy in the Baikal region: a case study
of municipal healthcare in Ulan-Ude (1920s —
early 21 st century).102
Chapter II: Nature of diseases in the traditional views of the
Mongolian peoples and folk medicine practices.118
2.1. Causes of diseases.124
2.2. Magical healing methods.127
2.3. Traditional perception of the nature of epidemic diseases . . 134
2.4. Phytotherapy traditions.152
2.5. Medicines of animal origin .166
2.6. Medicines of mineral origin.190
2.7. Folk gynecology of the Mongolian peoples: pre-natal period,
birth and infertility treatment.191
2.8. Childhood diseases.218
Chapter III: Analysis of regional aspects of modernization and quality
of healthcare system of the Republic of Buryatia.231
3.1. State healthcare management in the Republic of Buryatia . . 240
3.2. Specific features of strategic planning for healthcare system
of the Republic of Buryatia.242
3.3. Organization of medical services under the conditions of
modernization and low population density.250
7
3.4. Material and technical facilities of healthcare system
of the Republic of Buryatia.257
3.5. Medical and demographic situation in the Republic
of Buiyatia.260
3.6. Issues of health protection of students.265
3.7. Staffing of healthcare of the Republic of Buryatia.272
3.8. Quality of medical services.279
3.9. Problem of rural healthcare in the Republic of Buryatia (a case
study of Zaigraevsky district) .284
Conclusion.293
Summary.303
8
Summary
This study contains analysis of several aspects of geomedical situ-
ation in the Baikal region. Under geomedical situation we mean an ag-
gregate of environmental factors, such as climate, ecology or epidemic
background, historically formed specific features of social development
(sociocultural characteristics, social institutions, economic models) and
complex relationships of a society and its social institutions, such as do-
mestic policy, state management, security issues, foreign policy), which
determines patterns of emergence and spread of human diseases and,
simultaneously, traditional and institutionalized health protection prac-
tices.
Our research team concentrated attention on three main research seg-
ments: 1) historical context of emergence of geomedical problems in the
Baikal region and their interconnections with geopolitical imperatives of
Russia / USSR in Inner and Central Asia in the period from the 1880s
throughout the first half of the 20th century; 2) perception of diseases in
the traditional nomadic society, the mainstay of the ethnocultural space of
the region, and on this basis, the making and fvmctioning of folk medicine
of the Mongolian peoples; 3) contemporary challenges and prospects of
development of regional medicine using a case study of the Republic
of Buryatia. The example of the Republic of Buryatia may be used as a
certain matrix of healthcare problems of the entire region as it aggregates
most characteristic problem factors of the entire Baikal region, such as
subsidized economy, inefficient state management and dispersed popula-
tion.
The in-depth study of these aspects of geomedical situation in the
Baikal region enabled us to draw several conclusions. First, as far as
history is concerned, the geomedical situation in the Baikal region was
shaped by a number of endogenous and exogenous factors. Among the
former were epidemic diseases common to humans and animals, such as
anthrax, bubonic plague, rabies and foot and mouth disease. There were
also endemic diseases, such as plague, whose epidemic focus lies within
the region’s borders (Transbaikalia and East Mongolia). One of the en-
dogenous geomedical factors was also prevalence of shamans and lamas
among the practitioners of folk and traditional medicine in the region that
303
affected the health of Buryats, Mongols and other indigenous peoples of
the region and partially explained low trust to European medicine in the
region in the period prior to the October revolution of 1917.
Second, the historical context of geomedical problems in the region
demonstrates an obvious interconnection with the aspects of impe-
rial Russian and Soviet geopolitics in East, Inner and Central Asia and
geomedical factors. For example, for a long time Buiyats were exempt
from the state healthcare policy in the region and basically left to their
own devices, such as shamans and Buddhist lama healers for an obvi-
ous geopolitical reason. The imperial government attached special im-
portance to a possible role of Buiyats and frontier guards in the contested
Russian-Qing borderland in Transbaikalia and, as a recognition of their
geopolitical significance granted them a rather broad self-administration.
Any interference of Russian state bureaucrats into the internal affairs of
Buryats was legally limited by the Statute of 1822. Since physicians were
obviously state employees and manifested imperial power where things
concerned health issues, they also were restricted to interfere. Therefore,
Buryats helped themselves with most healthcare issues up to the time the
Buryat ASSR was proclaimed in 1923.
The early Soviet years once again brought forth the geopolitical agen-
da. This time it was disguised as die Comintern policy in Asia. Alongside
with solving health problems, such as prevalence of syphilis in Buryat
population, the Bolsheviks invested Buryats with a peculiar geopoliti-
cal mission. They were an example of socialist transformations for the
Mongolian peoples of Inner Asia. At the same time, the Buryats were
supposed to facilitate export of Communist ideology in the Mongolian
and Buddhist world.
Geopolitical agenda and geomedical issue got entwined into a com-
plex knot when the USSR started to render medical and sanitary assist-
ance to the neighboring Asian states, such as Mongolia, Tuva, Afghani-
stan, Chinese province of Xingjian, Iran and so on. The Soviets used
medicine as a channel to transmit their ideology into mostly nomadic
traditional societies of Inner and Central Asia. At the same time, Soviet
medicine served as a “soft power” lever, creating strong competition with
other foreign medical missions in places like Urumqi in Xingjian and
gaining high esteem in the local population.
The traditional views of the Mongolian peoples on the origins and
nature of diseases reflected their relationships with the nature, spiritu-
304
al foundations of nomadic life, rational construction of life-sustaining
space around them. Shamanism played a key role in virtually all healing
practices. The origin of infectious, epidemic and mental diseases could
not be perceived by nomads beyond the supernatural realm. Therefore,
shamans, naturally invested with supernatural powers to communicate
with spirits, were the most authoritative healers in nomadic communi-
ties. Pragmatic Bolsheviks skillfully used this blind belief in miracles to
win over the population by using modem medicines to cure the seem-
ingly hopeless patients. To the Mongolian nomads such miraculous cure
became increasingly more convincing than mystic practices of shamans
and lama doctors.
However, mercilessly discarding everything associated with tra-
ditional healing practices, Soviet physicians refused to understand the
intricate social mechanisms behind various pathological processes in
Mongolian communities. At the same time they also irretrievably lost
precious empirical knowledge of healing properties of herbs, animal and
plant produce, minerals, which the nomads had accumulated over the
millennia of painstaking observation of fauna and flora.
Modem healthcare system of the Republic of Buryatia encounters
various challenges in the spheres of management, quality control, organi-
zation of an efficient and optimal network of medical institutions, preven-
tion of diseases and propaganda of healthy lifestyle. Its management is
bulky and bureaucratic. Development programs are mostly centralized.
Not a single hospital or outpatient hospital in Buryatia has a development
program specially tailored to its needs and problems.
Healthcare system of the Republic of Buryatia is currently in bad need
of a new model of quality control management and protection of patients’
rights. Based on the results of a sociological research, our sociology seg-
ment proposes creation of an inter-departmental medical expert commis-
sion that would be capable of coordination interaction of all stakeholders
in the process of improving the quality of medical services in Buryatia.
The analysis of the contemporary condition of healthcare shows that
the system in the region still rests on the Soviet-era foundations. It is a
complex milieu largely inept to reforming. Painstaking work is required
to bring it up to international standards by increasing its quality and ef-
ficiency.
305 |
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| geographic | Baikalsee-Gebiet (DE-588)4323269-3 gnd |
| geographic_facet | Baikalsee-Gebiet |
| id | DE-604.BV044541776 |
| illustrated | Not Illustrated |
| indexdate | 2024-12-09T15:00:43Z |
| institution | BVB |
| institution_GND | (DE-588)6014310-1 |
| isbn | 9785990934504 |
| language | Russian |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-029940854 |
| oclc_num | 1032697601 |
| open_access_boolean | |
| owner | DE-12 |
| owner_facet | DE-12 |
| physical | 306 Seiten |
| publishDate | 2016 |
| publishDateSearch | 2016 |
| publishDateSort | 2016 |
| publisher | Ottisk |
| record_format | marc |
| spelling | 880-03 Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity otvetstvennyj redaktor k.i.n. V.Ju. Baškuev Geomedicine and healthcare policy in the Baikal region: history and contemporaneity 880-04 Irkutsk Ottisk 2016 306 Seiten txt rdacontent n rdamedia nc rdacarrier Text russisch. - Zusammenfassung auch in englischer Sprache Kyrillische Schrift Geschichte 1900-2015 gnd rswk-swf Geomedizin (DE-588)4020235-5 gnd rswk-swf Volksmedizin (DE-588)4078940-8 gnd rswk-swf Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Baikalsee-Gebiet (DE-588)4323269-3 gnd rswk-swf Baikalsee-Gebiet (DE-588)4323269-3 g Geomedizin (DE-588)4020235-5 s Gesundheitspolitik (DE-588)4113743-7 s Volksmedizin (DE-588)4078940-8 s Geschichte 1900-2015 z DE-604 880-01 Baškuev, Vsevolod Jurʹevič 1974- (DE-588)1024859746 edt 880-02 Institut mongolovedenija, buddologii i tibetologii (DE-588)6014310-1 isb Digitalisierung BSB Muenchen 19 - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029940854&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung BSB Muenchen 19 - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029940854&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung BSB Muenchen 19 - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029940854&sequence=000003&line_number=0003&func_code=DB_RECORDS&service_type=MEDIA Abstract 700-01/(N Башкуев, Всеволод Юрьевич edt 710-02/(N Институт монголоведения, буддологии и тибетологии 4isb 245-03/(N Геомедицина и политика здравоохранения в Байкальском регионе: история и современность ответственный редактор к.и.н. В.Ю. Башкуев 264-04/(N Иркутск Оттиск 2016 |
| spellingShingle | Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity Geomedizin (DE-588)4020235-5 gnd Volksmedizin (DE-588)4078940-8 gnd Gesundheitspolitik (DE-588)4113743-7 gnd |
| subject_GND | (DE-588)4020235-5 (DE-588)4078940-8 (DE-588)4113743-7 (DE-588)4323269-3 |
| title | Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity |
| title_alt | Geomedicine and healthcare policy in the Baikal region: history and contemporaneity |
| title_auth | Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity |
| title_exact_search | Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity |
| title_full | Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity otvetstvennyj redaktor k.i.n. V.Ju. Baškuev |
| title_fullStr | Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity otvetstvennyj redaktor k.i.n. V.Ju. Baškuev |
| title_full_unstemmed | Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity otvetstvennyj redaktor k.i.n. V.Ju. Baškuev |
| title_short | Geomedicina i politika zdravoochranenija v Bajkalʹskom regione: istorija i sovremennostʹ |
| title_sort | geomedicina i politika zdravoochranenija v bajkalʹskom regione istorija i sovremennostʹ geomedicine and healthcare policy in the baikal region history and contemporaneity |
| title_sub | = Geomedicine and healthcare policy in the Baikal region: history and contemporaneity |
| topic | Geomedizin (DE-588)4020235-5 gnd Volksmedizin (DE-588)4078940-8 gnd Gesundheitspolitik (DE-588)4113743-7 gnd |
| topic_facet | Geomedizin Volksmedizin Gesundheitspolitik Baikalsee-Gebiet |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029940854&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029940854&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029940854&sequence=000003&line_number=0003&func_code=DB_RECORDS&service_type=MEDIA |
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