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欧洲区域的跨境卫生活动:促进健康的良好实践。

Cross-border health activities in the Euregios: good practice for better health.

作者信息

Brand Helmut, Hollederer Alfons, Wolf Ulrike, Brand Angela

机构信息

Institute of Public Health NRW (lögd), Westerfeldstr. 35-37, 33611 Bielefeld, Germany.

出版信息

Health Policy. 2008 May;86(2-3):245-54. doi: 10.1016/j.healthpol.2007.10.015. Epub 2008 Feb 21.

DOI:10.1016/j.healthpol.2007.10.015
PMID:18093690
Abstract

BACKGROUND

Health-related cooperation between neighbouring countries has a long tradition in the European Union, especially in the transfrontier structures well-known under the label of Euregio or Euroregion.

OBJECTIVE

Overview and analysis of cross-border health-related activities in the Euregios.

METHODS

The EU-funded project "EUREGIO" carried out a systematic inventory analysis of cross-border health projects. It is based on written surveys among 53 Interreg IIIA secretariats, 67 Euregios and 328 project bodies. The responses of 122 health projects were considered.

RESULTS

37 Euregios or similar cross-border structures established health-relevant working groups, working circles, forums or projects. The cross-border health projects cover a wide spectrum of issues, e.g., education and training, patient care, prevention, and disaster control. Target groups were in most cases medical personnel, patients or decision-making bodies. Four official criteria for cooperation (joint project development, implementation, staffing and financing) are met by the great majority of projects. However, the survey shows a lack of information, publication and evaluation.

CONCLUSIONS

Cross-border cooperation in health is underrepresented in many regions. The project results point to great potentials which should be further developed both in terms of quantitative and qualitative aspects. Recommendations are given for project actors and stakeholders.

摘要

背景

邻国之间与健康相关的合作在欧盟有着悠久的传统,尤其是在以欧洲区域或欧元区域之名为人熟知的跨境结构中。

目的

概述和分析欧洲区域内与健康相关的跨境活动。

方法

由欧盟资助的“欧洲区域”项目对跨境健康项目进行了系统的清查分析。该分析基于对53个欧洲区域合作计划(Interreg)IIIA秘书处、67个欧洲区域以及328个项目机构的书面调查。研究考虑了122个健康项目的回复。

结果

37个欧洲区域或类似的跨境结构设立了与健康相关的工作组、工作圈、论坛或项目。跨境健康项目涵盖广泛的问题,如教育与培训、患者护理、预防和灾害控制。大多数情况下,目标群体是医务人员、患者或决策机构。绝大多数项目符合合作的四项官方标准(联合项目开发、实施、人员配备和融资)。然而,调查显示存在信息、出版和评估方面的不足。

结论

许多地区的跨境健康合作未得到充分体现。项目结果表明在数量和质量方面都有巨大潜力有待进一步开发。针对项目参与者和利益相关者提出了建议。

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