O'Connor Julia S, Bankauskaite Vaida
School of Policy Studies, University of Ulster, Magee Campus, Derry-Londonderry, Northern Ireland BT487JL, UK.
Eur J Public Health. 2008 Dec;18(6):586-92. doi: 10.1093/eurpub/ckn097. Epub 2008 Oct 23.
The focus of the article is on organizational reform measures in public health in Estonia, Latvia and Lithuania from 1992 to 2005 and the associated changes in population health.
The study draws on published reports and analyses official statistics over time and cross-nationally. Changes in population health are measured by indicators of population health status and indicators of primary prevention or avoidable mortality, which reflect performance of national health policy.
Our study shows some similarities and some important differences in terms of public health development in the Baltic countries since beginning of the 1990s.
This study highlights the importance of political stability and support in achieving public health improvements and the pervasive influence of socio-demographic factors on several key health indicators in Baltic countries. It points to the need to introduce evidence-based public health interventions, enhance social trust, address corruption and tackle poverty.
本文重点关注1992年至2005年爱沙尼亚、拉脱维亚和立陶宛公共卫生领域的组织改革措施以及相关的人口健康变化。
该研究借鉴已发表的报告，并对官方统计数据进行长期和跨国分析。人口健康变化通过人口健康状况指标以及初级预防或可避免死亡率指标来衡量，这些指标反映了国家卫生政策的执行情况。
我们的研究表明，自20世纪90年代初以来，波罗的海国家在公共卫生发展方面存在一些相似之处和一些重要差异。
本研究强调了政治稳定和支持对于改善公共卫生的重要性，以及社会人口因素对波罗的海国家几个关键健康指标的普遍影响。它指出需要引入循证公共卫生干预措施，增强社会信任，解决腐败问题并应对贫困。
