资金限制对规划预防活动的负面影响：来自意大利经验的一些证据。
The negative effect of financial constraints on planning prevention activities: some evidence from the Italian experience.
作者信息
Rosso Annalisa, De Vito Corrado, Marzuillo Carolina, Massimi Azzurra, D'Andrea Elvira, Villari Paolo
机构信息
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5-00185 Rome, Italy.
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5-00185 Rome, Italy
出版信息
Eur J Public Health. 2015 Dec;25(6):1117-9. doi: 10.1093/eurpub/ckv087. Epub 2015 May 9.
This study was aimed to assess the association between regional financial deficits and Recovery Plans and the quality of the 702 projects developed by the Italian Regions within the National Prevention Plan 2010-13. Multivariate analyses showed significant associations between Recovery Plans and low quality of projects, possibly due to weak regional public health capacities. Regions with Recovery Plans are likely to focus mainly on short-term issues with a high impact on health care costs, leaving few resources available for prevention. A different approach to financial deficit focused on long-term strategies, including those for health promotion and disease prevention, is needed.
本研究旨在评估地区财政赤字与复苏计划之间的关联，以及意大利各地区在2010 - 13年国家预防计划内制定的702个项目的质量。多变量分析显示，复苏计划与项目质量低下之间存在显著关联，这可能是由于地区公共卫生能力薄弱所致。实施复苏计划的地区可能主要关注对医疗成本有重大影响的短期问题，从而为预防工作留下的资源很少。需要一种不同的应对财政赤字的方法，该方法应侧重于长期战略，包括促进健康和疾病预防的战略。
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