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https://doi.org/10.14300/mnnc.2019.14179

Health care reform in the russian empire, the attempts of conversion of management of the medical and sanitary sector (1886–1916)

[History of medicine]
Irina Valentinovna Egorysheva; Alexey Vyacheslavovich Morozov;

The article describes the attempts of the government in the late XIX – early XX centuries to implement health care reform in Russia. The government commissions established under the Ministry of Interior based the draft laws on the establishment of an independent Central health management body, tighter control over the medical and sanitary activities of local selfgovernment health authorities and departmental medicine, and streamlining of medical legislation. The medical community, fearing the bureaucratization of medical and sanitary assistance to the population, did not support the projects of the commissions. The Commission headed by academician G. E. Rein worked most effectively, as a result of which in 1916 the Main Department of public health was created – the world’s first Ministry of health.

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References:
1. Zhurnaly uchrezhdennoj pri Medicinskom sovete komissii po voprosu ob uluchshenii sanitarnyh uslovij i umen’sheniyu smertnosti v Rossii. – Magazines of the Commission established at Medical Council on improvement of sanitary conditions and reduction of mortality in Russia. Spb., 1886. (In Russ.).
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Keywords: health care management in pre-revolutionary Russia, health care reforms, medical and sanitary legislation, consolidated by the Imperial Court interdepartmental Commission for the revision of medical and sanitary legislation (G. E. Rein Commission)