欧洲公共卫生在欧洲的公共卫生
1European Centre of Health of Societies in Transition, School of Hygiene and Tropical Medicine, London, UK. Martin.McKee@lshtm.ac.uk
Lancet (London, England)
|September 1, 2000
概括
由于不同的健康状况和系统,欧洲的公共卫生是复杂的. 虽然一些国家看到健康状况的改善,但其他国家面临着像结核病和艾滋病等传染病的上升,突出了各种公共卫生挑战.
科学领域:
- 公共卫生 公共卫生
- 欧洲卫生系统 欧洲卫生系统
- 健康差异 在健康上的差异
背景情况:
- 对于公共卫生分析来说,定义"欧洲"存在挑战.
- 欧洲各国的健康状况存在显著差异.
- 卫生系统和结果有很大差异,从改善心脏病率到东欧肺结核和艾滋病的增加.
研究的目的:
- 分析欧洲公共卫生领域的多样性.
- 检查健康状况和疾病患病率的变化.
- 评估公共卫生社区的有效性和宣传作用.
主要方法:
- 对欧洲各国的健康指标进行比较分析.
- 检查国家内部的区域和社会阶级差异.
- 评估公共卫生政策的实施和宣传工作.
主要成果:
- 健康状况有很大差异,西欧/中欧的心血管健康状况有所改善,但前苏联国家结核病和艾滋病的病例有所增加.
- 各国内部 (区域,社会阶层) 的内部差异很大.
- 公共卫生政策的实施不一致;倡导角色往往不发达.
结论:
- 欧洲公共卫生的特点是健康状况,疾病负担和政策反应的异质性.
- 在许多欧洲国家,公共卫生宣传和政策机制的缺陷普遍存在.
- 尽管面临挑战,但仍有积极的指标表明,未来欧洲公共卫生可能会得到改善.
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