State of Medical Institutions and Public Health Problems during Late Stalinism (on the Materials of the Aktobe Region of the Kazakh SSR

Аlima K. Mukhambetgalieva, R. R. Khisamutdinova
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Abstract

The relevance of the topic of the research is conditioned by the necessity to reflect in the historical science the peculiarities of development of the Soviet public health care in the conditions of the postwar reconstruction. The func-tioning of medical institutions in the postwar period took place in difficult conditions not only in the liberated territory, but also in the rear regions, as the consequences of the Great Patriotic War for the country and all the peoples of the former Soviet Union were enormous. Currently, Russian and Kazakh historiography lacks comprehensive studies on this issue, and the available works are mostly fragmentary in nature. The purpose of the research is to study the problems of medical and sanitary-preventive institutions, the state of health of the population of the Aktobe region of the Kazakh SSR in the post-war years. Objectives: on the basis of the documents of the State Archive of Aktobe region to analyze problems such as the shortage of medical personnel in the region, poor material - technical support and poor sanitary condition of medical institutions, to assess the extent of the spread of various infectious diseases, especially among the rural population. Methodology. The source base of the research includes published materials and archive documents. In the work were used scientific methods, typical for historical research: historical-genetic, comparative-historical. Results. The study showed that in general the state of medical institutions during the late Stalinism period in the territory of Aktobe region was unsatisfactory. The study of published sources and archival documents allowed us to reveal the real picture of the need and scarcity in the hospital institutions in the postwar years, as well as to assess the government attempts to reform the system of outpatient and polyclinic institutions. Conclusion. Deterioration of public health, which resulted in a decrease in the birth rate and increased mortality, arose as a result of the Great Patriotic War. Low provision of equipment, medical instruments contributed to the decline in the quality of medical care. The results of the study can serve as a basis for further study of the problem of development and organization of health care in the Kazakh SSR in the postwar period.
斯大林后期医疗机构状况和公共卫生问题(关于哈萨克斯坦苏维埃社会主义共和国阿克托别地区的资料)
研究主题的相关性取决于在历史科学中反映苏联公共卫生保健在战后重建条件下发展的特殊性的必要性。战后时期,不仅在解放区,而且在后方地区,医疗机构的运作都是在困难的条件下进行的,因为卫国战争对前苏联国家和全体人民造成了巨大的影响。目前,俄、哈萨克史学对这一问题缺乏全面的研究,现有的著作多为零散的。研究的目的是研究医疗和卫生预防机构的问题,以及哈萨克斯坦苏维埃社会主义共和国阿克托别地区人口在战后的健康状况。目的:根据阿克托别州国家档案馆的文件,分析该地区医疗人员短缺、物质技术支持不足和医疗机构卫生条件差等问题,评估各种传染病的传播程度,特别是在农村人口中的传播程度。方法。研究的来源基础包括出版资料和档案文件。在工作中使用了典型的历史研究的科学方法:历史-遗传,比较-历史。结果。研究表明,在斯大林主义后期,阿克托别地区境内医疗机构的状况总体上是不令人满意的。通过对已出版资料和档案文件的研究,我们得以揭示战后医院机构的需求和短缺的真实情况,并评估政府改革门诊和综合诊所制度的尝试。结论。由于卫国战争,公共卫生的恶化导致了出生率的下降和死亡率的上升。设备和医疗器械供应不足导致医疗服务质量下降。研究结果可为进一步研究战后哈萨克斯坦苏维埃社会主义共和国卫生事业的发展和组织问题提供依据。
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