Augustynowicz Anna, Czerw Aleksandra, Kowalska Mariola, Bobiński Krzysztof, Fronczak Adam
Department of Public Health, Medical University of Warsaw, Warsaw, Poland, Poland.
Kardiol Pol. 2017;75(6):596-604. doi: 10.5603/KP.a2017.0041.
Cardiovascular diseases (CVD) are the cause of over 4.3 million deaths in the World Health Organisation European Region and around 1.9 million deaths in the European Union member states alone. They are also the number-one cause of death in Poland. In 2010 CVDs accounted for 46% of all deaths, and in 2013 - 45.8%.
The aim of the study was to evaluate the performance of the tasks of local government units in the area of preventive healthcare and health promotion on the basis of health policy programmes concerning CVD.
The study was based on a desk research. The data included in the annual reports submitted to the Minister of Health concerning completed health policy programmes concerned with CVD, was used.
A total of 795 programmes were completed in 2009-2014. The greatest number of programmes were completed by municipalities followed by counties. The costs incurred by voivodeships in connection with the programmes were significantly higher compared to the costs paid by municipalities and counties. Diagnostic programmes accounted for 74% of the overall number of programmes, and preventive programmes made up only 24%. The greatest number of programmes were completed in Mazowieckie and Swietokrzyskie voivodeships. The smallest number of programmes were completed in Lubelskie, Lubuskie, and Podlaskie voivodeships.
Insignificant involvement of local government units can be seen in the fight against CVD. Particular types of local government units demonstrate a varied degree of involvement in the performance of health policy programmes. The small number of preventive programmes points to the fragmentary completion of tasks concerned with preventive healthcare and health promotion. Some of the voivodeships failed to properly address the health needs of local communities in respect of CVD. More programmes need to be completed, and they need to cover more people. Some guidelines should be developed for local government units concerning their involvement in the fight against CVD.
心血管疾病（CVD）是世界卫生组织欧洲区域超过430万人死亡的原因，仅在欧盟成员国就造成约190万人死亡。它们也是波兰的首要死因。2010年，心血管疾病占所有死亡人数的46%，2013年为45.8%。
本研究的目的是根据有关心血管疾病的卫生政策计划，评估地方政府单位在预防性医疗保健和健康促进领域的任务执行情况。
该研究基于案头研究。使用了提交给卫生部长的年度报告中有关已完成的与心血管疾病相关的卫生政策计划的数据。
2009年至2014年共完成了795个计划。完成计划数量最多的是市镇，其次是县。与市镇和县支付的费用相比，省在这些计划上产生的费用明显更高。诊断计划占计划总数的74%，而预防计划仅占24%。完成计划数量最多的是马佐夫舍省和什切青省。完成计划数量最少的是卢布林省、卢布斯克省和波德拉谢省。
在与心血管疾病的斗争中，可以看到地方政府单位的参与度不高。特定类型的地方政府单位在执行卫生政策计划方面表现出不同程度的参与。预防计划数量较少表明与预防性医疗保健和健康促进相关的任务完成得支离破碎。一些省份未能妥善解决当地社区在心血管疾病方面的健康需求。需要完成更多计划，并且需要覆盖更多人群。应该为地方政府单位制定一些关于其参与抗击心血管疾病的指导方针。
