Explaining the Decrease in Deaths from Cardiovascular Disease in Poland. The Top-Down Risk Assessment Approach, from Policy to Health Impact
Journal Title: Advances in Hygiene and Experimental Medicine - Year 2016, Vol 70, Issue
Abstract
Objective: The purpose of this paper was to assess the relations between policy and health outcomeSetting: The CVD mortality rate in Poland over the past two decades has decreased by about 40%. It was the highest decrease among Central and Eastern European countries and also exceptional on a global scale.Design:Key determinants which can account for these phenomena include CVD-related life style factors, better environmental indicators, and better access to medical technologies and to pharmacological treatment. Health policy played a vital role.Methods: The study was based on an extensive literature review, documentation analysis and questionnaire survey research. The top-down risk assessment approach model was implemented, which followed the logical pathway between the policy, health determinants, risk factors and health outcome.Results: Several national public health programs have been implemented since the beginning of the 1990s. The National Health Fund has constantly increased the expenditures on cardiology treatment. The number of invasive cardiology units has increased, as has the number of coronarography and angioplasty procedures in the same period.Conclusions: The significant mortality decrease can indicate to policy makers that it is necessary to prioritize policies to manage effective, innovative medical interventions. Topdown policy risk assessment is a useful methodological tool to present the full chain of interactions.
Authors and Affiliations
Joanna Kobza, Mariusz Geremek
Keywords
Related Articles
- EP ID EP220765
- DOI -
- Views 142
- Downloads 0
Rola szlaków sygnałowych TGF-β w nowotworach
Cytokina TGF-β wpływa na wzrost i różnicowanie wielu typów komórek oraz homeostazę tkankową. Ponadto, białko to pełni główną rolę w patogenezie licznych chorób. Szlaki sygnałowe indukowane w komórkach nowotworowych przez...
Występowanie bakterii z rodzaju Legionella spp. w próbkach wody ciepłej w szpitalach w Polsce, w latach 2009-2013
Microbiological threat from Legionella spp. is associated with the current widespread use of air-condition systems and frequent colonization of hot water distribution systems in public facilities (hospitals, hotels, nurs...
Insulin resistance and chronic inflammation
Insulin resistance is a condition of reduced biological response to insulin. Growing evidence indicates the role of the chronic low-grade inflammatory response in the pathogenesis of insulin resistance. Adipose tissue in...
Zaburzenia ruchu gałek ocznych u osób HIV (+) leczonych metadonem
The use of various diet supplements in metabolic syndrome
Civilization development is associated with immense progress in science and significant improvement of human living conditions but simultaneously it contributes to many health problems including metabolic syndrome. Metab...