Salmela R K
Scand J Soc Med. 1987;15(3):117-22. doi: 10.1177/140349488701500301.
Primary health care (PHC) is the key to attaining the goal of health for all (HFA) by the year 2000. Also the European countries have accepted the declarations and WHO resolutions related to global and European HFA strategies. However, the implementation of regional and national strategies has met with many obstacles, caused by reluctant attitudes and poor planning and management systems. In this review the objective of PHC in industrialized countries, the evaluation process of HFA strategy, and progress in PHC in Europe in the 1980s are discussed. Lack of defined national objectives, and health information systems which are not adopted to purposes of monitoring progress in PHC are causing most of the problems in evaluation. There is a clear positive development in PHC resources and organization in the Nordic countries. Generally speaking PHC is progressing very slowly in Europe, if there is any progress at all. This can be said both about organization of health care, planning and management systems and about application of PHC principles like community participation and intersectoral collaboration. The national health information systems should be quickly revised to allow more exact monitoring of progress towards the 38 European targets and additional national targets.
初级卫生保健是到2000年实现人人享有卫生保健目标的关键。欧洲国家也已接受了与全球和欧洲人人享有卫生保健战略相关的宣言和世界卫生组织决议。然而，由于态度消极以及规划和管理系统不完善，区域和国家战略的实施遇到了许多障碍。本文探讨了工业化国家初级卫生保健的目标、人人享有卫生保健战略的评估过程以及20世纪80年代欧洲初级卫生保健的进展情况。缺乏明确的国家目标以及未适用于监测初级卫生保健进展目的的卫生信息系统，是评估中出现的大多数问题的根源。北欧国家在初级卫生保健资源和组织方面有明显的积极发展。一般来说，欧洲的初级卫生保健进展非常缓慢，甚至可以说根本没有进展。在卫生保健组织、规划和管理系统以及社区参与和部门间协作等初级卫生保健原则的应用方面都是如此。国家卫生信息系统应迅速修订，以便更准确地监测在实现38项欧洲目标和其他国家目标方面的进展情况。
