Why live in Russia is less than in the West?

Модератор: zlata

Why live in Russia is less than in the West?

Сообщение HainanWel.com(e)! » 11 июн 2016, 12:58

It is known that life expectancy in Russia though has increased dramatically over the past 10 years, but still remains at a fairly average by world standards level. Of course, the reason is not only in medicine - for example, the maximum life expectancy observed in Ingushetia, not the richest region of Russia. They live an average of 79 years, 76 years old man and 81 women:

http://www.statdata.ru/spg_reg_rf

However, in second place after Moscow goes Ingushetia, where the average life expectancy is 76 years, which is several years higher than the average Russian level. It is reasonable to assume that a high place in Moscow is still not connected to the gentle climate, and not even with a sober way of life of Muscovites, as a good medical infrastructure.

Yesterday, a doctor from Germany, blogger myargument, sent me a note, in which he presented his opinion on the matter.

The author graduated in 1987, he lived in Dnepropetrovsk (Ukraine), continuously worked as a surgeon and an anesthetist. In Germany, he moved in 2001, a year has worked in the specialty in Hannover (500 thousand people), in the field of anesthesiology and intensive care medicine. Total, as you can see, the total work experience is about 30 years, half of which fell on the Ukrainian clinics, and half - to the German.

So here, in fact, notes:

I read a couple of articles a respected blogger friztmorgen'a of "western" and the Russian medicine. The moral is simple - in spite of "some" dignity sluggish Western medicine, paracetamol cures, not the right medicine, the doctors do not really literate, etc. In contrast to it in Russia and some former Soviet republics it is not so...

Is it true or not?

I do not know, Mr. Morgen blog writing, as I understand it, only patients. I venture to express the opinion of a doctor working for many years in Germany, before moving spent more than 12 years in the Soviet-Ukrainian health care.

As a physician I understand that medicine in the patient's eyes is a meeting with a doctor ... but what happens to the meeting? Events and actions that take place behind the scenes, the patient can not see, but they are of paramount importance.

1. First things first.

In order to enroll in medical school in Germany, the applicant must have a very high grade point average after the end of the gymnasium. If adapted to the average score of the "Soviet School", in which five had the highest rating, the German candidate should have somewhere 4.8 points. The above is only at the future lawyers. Of course, the average score varies at different times, in different federal states and so on.

Thus, the flow "to pull" is impossible. To do this, all the estimates overstate the gymnasium for several years, then "posodeystovat" at the level of the selection committee ... well, maybe somewhere something was, but in the press about this, I did not read.

For those who are gleaning your score, there is a queue for admission, it can last up to 3-5 years. At this time, the physician operates the future, as a rule, a degree close to the medicine. Compare this stage in the life of the doctor in different countries.

2.Ucheba.

Chic textbooks excellent bibiloteki, Internet for students in high school free. Well equipped training places, everything is done for quality training of future doctors.

My daughter studied in Hannover, and so, a local high school was among the 5-6 major employers of the city, along with the plants, "Volkswagen" and "Continental". As an employer or university created several thousand jobs for doctors, nurses and technicians.

The local library can drive doctors on trips - logs for all specialties of a dozen countries, monographs, newspapers, CD with different programs and videos. About laboratories for computer tomography and the like can be added ballads. Pro range of work, I'm not talking.

Compare with peripheral universities in Russia Yaroslavl level, Saratov, Yekaterinburg ... By the way, the students after the end of the grammar very well speak English or French and read these magazines without a dictionary.

Estimates of the exam for the money? I do not believe, because it can not be. In Germany, this practice is like a professional, moral suicide for the teacher.

Hanover is not the largest city in Germany, is the capital of the richest is not federal land, not Berlin, in short.

Here the link information about the competition in the medical universities in Germany and an average score. The Hanover Institute rating of 1.1. The highest score after the end of the gymnasium - 1.0:

http://karrierebibel.de/medizin-diese-n ... dienplatz/

3. Job

There are search methods work, a kind of "exchange" for future professionals, where you can meet with employers from different cities / clinics.

The last 10-12 years, shortage of specialists is planned in Germany, so look for a job easier. Man chooses a profession, place of work, take into account some features of post-graduate education and begins to write a letter with a proposal of its services. As a rule, in the past month University graduate finds what he wanted, or at least an acceptable alternative option for 3-4 years.

4.Rabota

Young doctor seriously in all countries of the world, it's not about that. As a physician work is organized, how it is better or worse than in Russia, Belarus or the Ukraine?

Simplified say so - heavy loads cause a lot of reading and a lot to know. The flow of duty, rotation in the workplace, public discussion rentgenissledovany regular data, laboratory data, and so on. D. It's hard, but very necessary.

The doctor faced with an interesting situation (I'm sorry, I do not know the realities of the CIS countries) - the fact of the patient's guardian, the fact of the patient's instructions for his treatment in the final stages of life, written medical explanation prior to any manipulation, clinics for rehabilitation with a striking range of all instruments and tools and stuff like that. Patient Rights in the first place.

5. Hospitals

It so happened that I work in Germany in smaller peripheral hospitals (250 beds). All my jobs were in the 40-60 km away from the large, according to German standards, the city. In short - the province.

There are all types of laboratory studies (of course there is a set of exotic, rare tests), CT scan, MRI, and so on. D. For inpatient all conditions, the diagnosis will be delivered on time and accurately. There is a very good control.

6. Lifespan

Why is the life expectancy in the West than in the countries of the former Soviet Union / CIS?

Here you can write a lot and for a long time. Let's try to divide the question into several simpler.

The reasons for the high life expectancy in Germany a lot - for example, respect for their own health. I go to the fitness room, more than 50% of visitors are of retirement age. It is understood that they do not push rod 100 kg, and 100 are tightened again. No, they are just regular, winter or summer, come to the gym and use the machine. at the price of room available - 15-20 euros per month, unlimited training time, and sauna.

Domestic sport. This I call the passion Germans to cycling. Coming off the first snow - in the streets of the wave of cyclists. On the bikes go all - and old and small. For the heart is very good loads.

Pools. Available and cheap. For reference - the price of an outdoor pool (unlimited visiting, simple service) 2.5 euro, an indoor pool with free sauna, all the more better - 4 euros in 3 hours. For comparison, the price of the pack, "Marlboro" cigarettes around 5.5 euros .. Smart choose physical education and sport.

The tradition of walking. Different age groups, mostly elderly people, unite in groups and with a backpack walking in nature. Suschestvet huge network of routes for pedestrians and cyclists, «wandern» (so called hiking) are very popular and loved by the people.

7. Getting to the doctor

Appeal to the general practitioner is free for visitors. People from 40 years (this is my medical supervision) visit the doctor 2-3 times a year to prevent possible diseases. This is the norm. Health insurance companies are encouraging the ruble / euro all preventive measures.

Food. Any diet known and popular. Vegetarian dishes are available in all restaurants, calorie composition written in the menu or on special stands.
The quality of products is high. Fruits and vegetables are available year round. There are all sorts of consultants in the field of power (at the hospital level and outpatient medicine), the mass of information available on the "healthy lifestyle".

8. The infant mortality rate - extremely low

A pregnant woman is almost always healthy (there are some exceptions, but this is a topic for other notes), she once was a doctor knows about childbirth and breast very much. In the event of problems - newborn evacuated by helicopter to a target clinic, where everything in the ICU.

https://ru.wikipedia.org/wiki/Список_стран_по_уровню_младенческой_смертности

9. Mortality on roads, household and industrial mortality

Death rate due to traffic accidents is reduced permanently. Industrial injuries is low, the trade unions pay treatment by 100%, everything you need and how much you need. Suicide and death in accidents (violence) is also low:

http://roadskillmap.com/#35.17380831799959,18.984375,2

https://ru.wikipedia.org/wiki/Список_стран_по_количеству_самоубийств

https://www.destatis.de/DE/Publikatione ... cationFile

But there are other figures and data (via the link text in German):
http://www.rki.de/DE/Content/Gesundheit ... cationFile

Now add up all the points in a single parameter called 'prodolzhitelnst life. " So it is clear that in the West, especially in Germany and the duration has to be high more than a year.

10. Patients

I already wrote that the German residents frequently visit the doctor. In addition, they regularly take medication prescribed by a doctor! You think that there is nothing surprising about that? In vain. The main feature of the patient from the former Soviet Union - taking the medicine on your own, in their methods and in their self-appointed.

As it is written in the article, the link - the average resident of Germany visits the doctor 14 times a year. Women - 20 times. More detailed information - 25% of the insured for health insurance visit the doctor four times a year, and another 25% - 10 times, a quarter of the insured go to the doctor - up to 22 times:

http://www.spiegel.de/wissenschaft/medi ... 22145.html

11. The purpose of visiting a doctor

Germans often come on prevention (the so-called «check-visite», ie a visit for inspection, monitoring). Of course, come in connection with diseases.

Few waiting raising the temperature to 39 and then, staggering, he goes to the doctor to find out about the need to receive paracetamol. As a rule, go to the doctor immediately, the testimony (and contraindications to receiving paracetamol and similar drugs), they know almost everything.

For workers - with the banal colds officially allowed to be absent from work without help from a doctor three days.

12. Doctors and doctor visits

That's right - the term (that is, set to a doctor appointment time) have to wait long. This is true. Why? Because the medicine - it's not only help patients, but also a business. The general practitioner is not only a doctor but also a private entrepreneur. So, it is not very good in the German system of medicine. Often he underpaid for his work, and he needs to pay for rent, loans, leasing, staff salaries, and so on. D.

This is one of several reasons why the number of general practitioners is reduced, especially in the periphery.

What patient? First of all, I think. Options to address the complexities - have patience and wait in the waiting room at the doctor, yes, that's right, up to 3-5 hours. But the doctor at this time does not drink beer and play a game of backgammon! He's working with the other patients! If the patient realizes it, then it will also be easier.

The second option is to reduce the waiting time - a request for health insurance with a request for help in the organization of the term (especially doctors "elite" type professions, ENT, allergist, etc...). The box office is now actively engaged in this.

The third option - to wait in the hospital. This is not surprising. The number and structure of urgent appeals is not expected. Maybe you have a broken arm after sitting for 15 minutes, maybe 3:00. What do the doctors at that time? Drink beer, watch TV, play whist? Not at all. They work actively - operate, inspect and treat patients. Have patience.

13. Medturizm in Russia

Why do people go to be treated from the USA, Germany and so on. D. To Russia? I do not know. I see no reason. Rather, I see - first, the difference in the service price. In Germany, many are not aware of the existence of additional insurance on almost all occasions. A pity, many problems would disappear. For little money, you can achieve a lot.

Second reason - former Soviet citizens traveling to the former home for treatment. Treatment sovmeshaetsya with relaxation and visits. So what? What proves this argument? All wrote about disaffected citizens (long root canal treatment, highly qualified specialists examinations), are available for a formal charge in Germany, too. But maybe someone does not have enough knowledge of the language?

The third occasion - the absence of disease. Here you will be surprised, but many suffer from depression and visit their historical homeland, while taking some medicines, cures vague pain, weakness, fatigue, etc.

I can not imagine people in Germany (German-born) to buy tickets for the treatment of Irkutsk and Blagoveshchensk. Even for treatment in Moscow, too, I can not imagine why ...?

14. The migration of doctors

Another argument in favor of the benefits of Western / German medicine. The direction of migration of doctors and staff not to the East and the West.

Do probemy in German medicine? Yes. And they become larger over the years. The reason - the inadequate political decisions of the authorities, changes in demographics, changes in the structure of society, etc. It is therefore not enough doctors and nurses, the queue grows in emergency rooms... This is a logical option for western society.

Let's hope for the best, and everywhere.


Just a quick explanation at the end. First, the last time I came out two posts a review of foreign medicine - one about Ukraine, the second about the West in general. Here they are:

Western medicine: http://fritzmorgen.livejournal.com/891995.html
Ukrainian hospital: http://fritzmorgen.livejournal.com/890525.html

I recommend to read, very entertaining reading. In particular, it shows a lot of stories about the Germans (and residents of other countries), who come to Russia for medical treatment.

So, the doctor from Germany seems absurd idea that the Germans might want to come to Russia for medical treatment. Nedoumevaniya reason is clear - Dr. myargument judge him by the familiar Ukrainian medicine, and this is evident from the fact that in the notes he puts Russia and Ukraine on the same level.

In fact, the Russian medicine jerked forward so much in the last 10-15 years, in all respects, that now, as rightly noticed my readers to compare it with the Ukrainian simply incorrect, as we're already in the same weight category with the EU countries.

However, as you know, enjoy and relax yet early. If the life expectancy of women in Russia have quite a European, here with men, things are very sad, life expectancy for men in Russia is 11 years less than women:

http://ruxpert.ru/Демография_России

Especially the sad fact that the same medicine that failure is not correct, because, firstly, we still drink a lot, and secondly, we are still in the course of the barbaric confusion, according to which man should not go to doctor, until he lost consciousness in the workplace.
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