Nikolai Alexandrovich Semashko’s views on the organization of a doctor’s treatment and diagnostic work
https://doi.org/10.21045/2782-1676-2025-5-1-76-83
Abstract
Introduction. A significant event in 2024 is the 150th anniversary of the birth of an outstanding healthcare organizer, politician, scientist and teacher in the field of social hygiene – Nikolai Aleksandrovich Semashko. The purpose of the study: based on the analysis of works published by N. A. Semashko, to identify the main organizational directions for improving the medical and diagnostic work of doctors in the first half of the twentieth century. Materials and methods. The study of N. A. Semashko’s views on the organization of medical and diagnostic work of a doctor was carried out using analytical and logical methods based on his published scientific works, the search for which was carried out in the Central Scientific Medical Library, the Russian State Library, electronic scientific libraries eLibrary and CyberLeninka for the period from 1918 to 1949. Results. In the course of the study, it was established that Nikolai Aleksandrovich paid close attention to improving the organization of medical and diagnostic work when forming a new healthcare system in our country. Based on his university education, experience as a district zemstvo doctor and his extraordinary abilities, he successfully achieved the development of effective directions of medical and preventive measures not only in the activities of hospitals, clinics, dispensaries, sanatoriums, but also performed by medical personnel at factories, plants and in rural areas. At the same time, N. A. Semashko considered the doctor to be the key figure in the implementation of medical and diagnostic work, who must know his duties and perform them efficiently. Along with this, he considered it important that society, in turn, knew the rights and duties of the doctor and understood the limits of its demands on him. Conclusion. Most of the directions for organizing the medical and diagnostic work of doctors substantiated by N. A. Semashko remain relevant to this day, and therefore they should be developed in the modern conditions of health care.
About the Author
V. N. Tregubov
I. M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Valeriy N. Tregubov – Grand PhD in Medical sciences, Professor, Professor at N. A. Semashko Public Health and Healthcare Department, F. F. Erismann Institute of Public Health
Moscow
References
1. Main dates of life and activity. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 41–44.
2. Semashko N. A. Social hygiene, its essence, method and meaning. Social hygiene: a collection published periodically under the editorship of the Department of Social Hygiene of Moscow State Universities. Moskva-Petrograd. Gosizdat. 1923; 5–11.
3. Semashko N. A. Prozhitoe i perezhitoe. M.: Gosizdat, 1960; 120 р.
4. Semashko N. A. More about the work of a sanitary doctor. // Sovetskoe zdravoohranenie. 1945; (6): 37–40.
5. Semashko N. A. Vvedenie v social’nuyu gigienu. M.: Education worker, 1927; 52 р.
6. Semashko N. A. Preventive direction in medical medicine. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 152–159.
7. Semashko N. A. Prevention and medical examination. The basics of prevention in medicine, ed. Mol’kova A.V., Semashko N. A., Sysina A. N. M. L.: Gosizdat. 1927; 7–16.
8. Semashko N. A. Goals and objectives of preventive medicine. // Journal for Advanced Zhurnal dlya usovershenstvovaniya vrachej. 1925; (2): 1–12.
9. Semashko N. A. October baby. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 215–219.
10. Semashko N. A. Essays on the theory of the organization of Soviet health care. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 90–133.
11. Semashko N. A. Preventive direction in the Soviet health care. Selected works by N. A. Semashko, ed. Kal’yu P.I. M.: Medicine. 1967; 181–186.
12. Semashko N. A. The state of health care and its tasks. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 148–151.
13. Semashko N. A. The main stages in the development of Soviet medicine. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 160–167.
14. Semashko N. A. On the quality indicators of the medical work of the hospital. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 168–171.
15. Semashko N. A. Protection of public health in the era of the dictatorship of the proletariat. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 138–147.
16. Semashko N. A. On the appearance of the Soviet doctor. Selected works by N. A. Semashko, ed. Ashurkova E. D. et al. M.: State Publishing House of Medical Literature. 1954; 243–250.
Review
For citations:
Tregubov V.N. Nikolai Alexandrovich Semashko’s views on the organization of a doctor’s treatment and diagnostic work. Public Health. 2025;5(1):76-83. (In Russ.) https://doi.org/10.21045/2782-1676-2025-5-1-76-83
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