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When the standards aren't standard: Evidence-based medicine in the Russian context

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  • Geltzer, Anna

Abstract

This paper examines the uses of evidence-based medicine (EBM) in post-Soviet Russia through the use of semi-structured interviews. It asks what it means to talk about practicing evidence-based medicine in a setting where the context of practice presents considerable barriers to the implementation of EBM principles. Drawing on interviews with Russian physicians, medical students and users of the healthcare system, the paper argues that in post-Soviet Russia EBM serves as a strategic discourse for segments of the medical profession. With the collapse of the U.S.S.R. the healthcare system has been going through a period of crisis, and Russian physicians are finding that they have to redefine their professional identity with respect to the domestic and the international context and have to seek new sources for legitimating their professional position. The western origins of EBM endow this rhetoric with considerable power in the Russian context and render it a very useful tool in the project of redefinition.

Suggested Citation

  • Geltzer, Anna, 2009. "When the standards aren't standard: Evidence-based medicine in the Russian context," Social Science & Medicine, Elsevier, vol. 68(3), pages 526-532, February.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:3:p:526-532
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    References listed on IDEAS

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    1. May, Carl & Rapley, Tim & Moreira, Tiago & Finch, Tracy & Heaven, Ben, 2006. "Technogovernance: Evidence, subjectivity, and the clinical encounter in primary care medicine," Social Science & Medicine, Elsevier, vol. 62(4), pages 1022-1030, February.
    2. Cambrosio, Alberto & Keating, Peter & Schlich, Thomas & Weisz, George, 2006. "Regulatory objectivity and the generation and management of evidence in medicine," Social Science & Medicine, Elsevier, vol. 63(1), pages 189-199, July.
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    Cited by:

    1. Wu, Chia-Ling, 2012. "IVF policy and global/local politics: The making of multiple-embryo transfer regulation in Taiwan," Social Science & Medicine, Elsevier, vol. 75(4), pages 725-732.
    2. Luck, J. & Peabody, J.W. & DeMaria, L.M. & Alvarado, C.S. & Menon, R., 2014. "Patient and provider perspectives on quality and health system effectiveness in a transition economy: Evidence from Ukraine," Social Science & Medicine, Elsevier, vol. 114(C), pages 57-65.

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