Dzakula Aleksandar, Polasek Ozren, Sosic Zvonko, Voncina Luka, Pavleković Gordana, Brborović Ognjen
1Department of Social Medicine and Health Care Organization, Andrija Stampar School of Public Health, Medical School, University of Zagreb, Croatia.
Croat Med J. 2006 Jun;47(3):499-502.
Health and health care provision are among the most important and politically sensitive public service areas. Politicians carefully incorporate health care program changes in their political agendas to gain votes. However, knowing health care priorities of the electoral body is not useful only to politicians, but also to health policy makers, as it enables them to target the most problematic areas in health care. We conducted a telephone survey of representative sample of voters (n=643) immediately before the presidential elections in Croatia in 2005, to determine the possible differences in health care priorities between left-wing and right-wing voters, and found a high level of homogeneity in their opinions. Health care organization, corruption, and financing issues were identified as the top priorities by both left- and right-wing voters. This agreement in voters' expectations, probably caused by a similar frame of mind of Croatian citizens inherited from pre-democratic times of self-government, could be used by health policy makers to rationally invest the means and efforts in dealing with the most problematic health care issues.
健康与医疗保健服务属于最重要且在政治上最敏感的公共服务领域。政治家们会谨慎地将医疗保健项目的变革纳入其政治议程以获取选票。然而，了解选举机构的医疗保健优先事项不仅对政治家有用，对卫生政策制定者也有用，因为这能使他们瞄准医疗保健中最具问题的领域。2005年克罗地亚总统选举前夕，我们对有代表性的选民样本（n = 643）进行了电话调查，以确定左翼和右翼选民在医疗保健优先事项上可能存在的差异，结果发现他们的意见高度一致。医疗保健组织、腐败和融资问题被左翼和右翼选民都列为首要优先事项。选民期望中的这种共识，可能是由于克罗地亚公民从前民主自治时期继承下来的类似思维模式所致，卫生政策制定者可利用这一共识合理投入资源和精力来处理最具问题的医疗保健问题。
