European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, WC1H 9SH, London, United Kingdom.
Health Policy. 2019 Jan;123(1):21-26. doi: 10.1016/j.healthpol.2018.11.014. Epub 2018 Nov 27.
Concerns have been raised in recent years in several European countries over cutbacks to funding for public health. This article explores how widespread the problem is, bringing together available information on funding for public health in Europe and the effects of the economic crisis. It is based on a review of academic and grey literature and of available databases, detailed case studies of nine European countries (England, France, Germany, Italy, the Netherlands, Slovenia, Sweden, Poland, and the Republic of Moldova) and in-depth interviews. The findings highlight difficulties in establishing accurate estimates of spending on public health, but also point to cutbacks in many countries and an overall declining share of health expenditure going to public health. Public health seems to have been particularly vulnerable to funding cuts. However, the decline is not inevitable and there are examples of countries that have chosen to retain or increase their investment in public health.
近年来，欧洲的一些国家对公共卫生资金削减的问题表示担忧。本文探讨了这一问题的普遍性，汇集了欧洲公共卫生资金的可用信息以及经济危机的影响。本文基于对学术和灰色文献以及现有数据库的审查，对 9 个欧洲国家（英国、法国、德国、意大利、荷兰、斯洛文尼亚、瑞典、波兰和摩尔多瓦共和国）进行了详细的案例研究，并进行了深入访谈。研究结果表明，要准确估算公共卫生支出存在困难，但也指出许多国家削减了开支，用于公共卫生的卫生支出总体比例在下降。公共卫生似乎特别容易受到资金削减的影响。然而，这种下降并非不可避免，而且有一些国家选择保留或增加对公共卫生的投资。
