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欧洲的紧缩政策与健康。

Austerity and health in Europe.

机构信息

Science and Technology Options Assessments (STOA), European Parliament, Brussels, Belgium.

出版信息

Health Policy. 2013 Nov;113(1-2):13-9. doi: 10.1016/j.healthpol.2013.09.005. Epub 2013 Sep 25.

Abstract

Many European governments have abundantly cut down public expenditure on health during the financial crisis. Consequences of the financial downturn on health outcomes have begun to emerge. This recession has led to an increase in poor health status, raising rates of anxiety and depression among the economically vulnerable. In addition, the incidence of some communicable diseases along with the rate of suicide has increased significantly. The recession has also driven structural reforms, and affected the priority given to public policies. The purpose of this paper is to analyse how austerity impacts health in Europe and better understand the response of European health systems to the financial crisis. The current economic climate, while challenging, presents an opportunity for reforming and restructuring health promotion actions. More innovative approaches to health should be developed by health professionals and by those responsible for health management. In addition, scientists and experts in public health should promote evidence-based approaches to economic and public health recovery by analyzing the present economic downturn and previous crisis. However, it is governance and leadership that will mostly determine how well health systems are prepared to face the crisis and find ways to mitigate its effects.

摘要

许多欧洲政府在金融危机期间大量削减了医疗保健方面的公共支出。金融衰退对健康结果的影响开始显现。这场经济衰退导致健康状况恶化,使经济弱势群体中的焦虑和抑郁发病率上升。此外,一些传染病的发病率以及自杀率显著上升。经济衰退还推动了结构性改革,并影响了公共政策的优先顺序。本文旨在分析紧缩政策如何影响欧洲的健康,并更好地了解欧洲卫生系统对金融危机的反应。当前的经济形势虽然具有挑战性,但为改革和调整卫生促进工作提供了机会。卫生专业人员和负责卫生管理的人员应制定更具创新性的方法来促进健康。此外,公共卫生领域的科学家和专家应通过分析当前的经济衰退和以往的危机,促进基于证据的经济和公共卫生复苏方法。然而,治理和领导力将在很大程度上决定卫生系统为应对危机做好准备的程度,并找到减轻其影响的方法。

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