Research Article

Advice to a Moscow children's hospital.

BMJ 1993; 306 doi: (Published 03 April 1993) Cite this as: BMJ 1993;306:914
  1. S A McKenzie,
  2. O Kurtianyk,
  3. M Kidd,
  4. D Knowles,
  5. H Lipman
  1. Queen Elizabeth Hospital for Children, London.


    At the request of the largest children's hospital in Moscow, McKenzie and colleagues made recommendations for improving the service. Restrictions on visiting and fears of contracting illness from non-disposable needles have discouraged the local population from using the hospital. Consequently the hospital is underused and overstaffed. Serious shortages of drugs and surgical supplies compromise care. Fundamental changes are needed in nursing and postgraduate education. The authors encouraged their Russian colleagues to address the health care needs of their local population and to develop family centred care, and they offered training in London.