European Observatory on Health Systems and Policies, London, United Kingdom.
London School of Economics and Political Science, London, United Kingdom.
Front Public Health. 2023 Jan 16;10:1082164. doi: 10.3389/fpubh.2022.1082164. eCollection 2022.
Although countries in central and eastern Europe (CEE) have relatively younger populations compared to the West, their populations are often affected by higher prevalence of chronic conditions and multi-morbidity and this burden will likely increase as their populations age. Relatively little is known about how these countries cater to the needs of complex patients. This Perspective piece identifies key initiatives to improve coordination of care in Czechia, Hungary, Poland, and Slovakia, including some pioneering and far-reaching approaches. Unfortunately, some of them have failed to be implemented, but a recent strategic commitment to care coordination in some of these countries and the dedication to rebuilding stronger health systems after the COVID-19 pandemic offer an opportunity to take stock of these past and ongoing experiences and push for more progress in this area.
尽管中东欧国家（CEE）的人口比西方国家年轻，但他们的人口往往受到更高的慢性病和多病共存的患病率的影响，随着人口老龄化，这种负担可能会增加。对于这些国家如何满足复杂患者的需求，我们知之甚少。本文介绍了改善捷克、匈牙利、波兰和斯洛伐克医疗服务协调的一些关键举措，包括一些具有开创性和深远意义的方法。遗憾的是，其中一些举措未能付诸实施，但最近这些国家对医疗服务协调的战略承诺，以及在 COVID-19 大流行后重建更强大卫生系统的决心，为我们提供了一个机会，可以对这些过去和正在进行的经验进行总结，并推动该领域取得更多进展。
