Kvĕtenský J, Chudý P
Katedra interní medicíny I., lékarské fakulty Univerzity Komenského, Martin.
Cas Lek Cesk. 1990 Jan 19;129(3):67-70.
The health services, being part of the tertiary sphere, must rely as far as material resources are concerned on the results of the economic policy of the state. This has, however, also a feedback effect: economics can have favourable results only when the health status of the population permits the implementation of pretentious economic targets. Thus dialectic relations are involved. Nationwide health programmes must among others promote the health status of the population. It is, however, not possible for the health services to ensure these programmes self-handed. Every section of the population must be responsible for its share. This implies to legal, moral, economic professional, training and finally also political responsibility. The authors discuss the most important problems associated with ensuring mutual relations of these section in the implementation of the cardiovascular programme.
作为第三产业领域的一部分，医疗卫生服务在物质资源方面必须依赖国家经济政策的成果。然而，这也存在一种反馈效应：只有当民众的健康状况允许实施宏伟的经济目标时，经济才能取得良好成果。因此，其中涉及辩证关系。全国性的健康计划尤其必须促进民众的健康状况。然而，医疗卫生服务部门无法独自确保这些计划的实施。每一部分民众都必须对自己的那一份负责。这意味着法律、道德、经济、专业、培训以及最终的政治责任。作者们讨论了在实施心血管疾病计划过程中确保这些部分之间相互关系所涉及的最重要问题。
