Luber E
Gesundheitswesen. 1997 Jun;59(6):387-90.
In Germany, there is no national preventive policy defining health problems, priorities and development of adequate intervention strategies including the factors of change. Thus, preventive potential remains unused. This is most evident for societal strategies, whereas individual strategies have been promoted when the responsibility for health promotion (h.p.) was resting with the sickness funds. In 1996, financing of h.p. through sickness funds was stopped. Redefining structures for preventive measures is overdue. Health authorities should play an active role in focussing on the coordination of health promotion. These arguments are discussed using the example of non-smoking campaign policies.
在德国,没有全国性的预防政策来界定健康问题、优先事项以及制定包括变革因素在内的适当干预策略。因此,预防潜力仍未得到利用。这在社会策略方面最为明显,而当健康促进的责任由疾病基金承担时,个人策略得到了推广。1996年,通过疾病基金为健康促进提供资金的做法被停止。重新界定预防措施的结构已刻不容缓。卫生当局应在专注于健康促进的协调方面发挥积极作用。将以禁烟运动政策为例对这些观点进行讨论。