Department of Public Health, Erasmus MC, Rotterdam, Netherlands.
Int J Health Serv. 2013;43(3):389-413. doi: 10.2190/HS.43.3.b.
Although health policy ultimately depends on political decision making, empirical evidence of the impact of politics on implementation of health policies and their population health outcomes is scarce. In this study, we assess the effects of social-democratic government participation on indicators of preventive health policy (tobacco, alcohol, food, mother and child health, infectious diseases, hypertension, cancer screening, road traffic safety, air pollution) in Europe. Cumulative years of social-democratic government differed widely between European countries, as did indicators of current health policy performance, but the latter are not associated with recent social-democratic government. However, there is a positive association with social-democratic government cumulated over five decades. Positive effects of social-democratic government are mainly seen on indicators of tobacco and alcohol control. We conclude that long-term social-democratic government participation may have had a positive impact on some areas of preventive health policy, perhaps through the creation of strong public health institutions or a strong public health workforce.
尽管卫生政策最终取决于政治决策，但政治对卫生政策实施及其对人口健康结果的影响的经验证据却很少。在这项研究中，我们评估了社会民主主义政府参与对欧洲预防卫生政策指标（烟草、酒精、食品、母婴健康、传染病、高血压、癌症筛查、道路交通安全、空气污染）的影响。欧洲各国之间社会民主主义政府的累计参与年限差异很大，当前卫生政策绩效指标也存在差异，但后者与近期社会民主主义政府无关。然而，与过去五十年累计的社会民主主义政府却呈正相关。社会民主主义政府的积极作用主要体现在烟草和酒精控制指标上。我们的结论是，长期参与社会民主主义政府可能对预防卫生政策的某些领域产生了积极影响，这也许是通过创建强大的公共卫生机构或强大的公共卫生劳动力实现的。
