PDF(Pubmed)
Abstract：
BACKGROUND: Albania, Bosnia and Herzegovina, Kosovo, Montenegro, North Macedonia and Serbia have committed to becoming European Union (EU) member states. This, among others, implies that candidate/potential candidate states adopt legally authorized EU policies, including health. The study aims to identify the main country-specific health policy areas critical to the EU accession health policy dimension and present the change in associated selected health indicators from 2000 to 2019.
METHODS: The study draws on published reports and analyses of official statistics over time and cross-country. Health care policy adherence to the European Commission\'s recommended country-specific health actions was classified into five health policy areas: financing, payment, organization, regulation and persuasion. Key health policy areas for Western Balkan countries (WBCs) were identified. Health progress or lack thereof in catching up to the EU15 population health, health expenditure and the number of health professionals are measured.
RESULTS: The European Commission prioritized financing and regulation for all WBCs in the five policy areas. Nine of the 18 analyzed selected health indicators showed divergence, and the other nine converged towards the EU15 averages. WBCs continue to face diverse public health challenges in improving life expectancy at birth, death rates caused by circulatory system diseases, malignant neoplasms, traffic accidents, psychoactive substance use, tuberculosis incidence, tobacco smoking prevalence and public-sector health expenditure.
CONCLUSIONS: By 2019, there is limited evidence of WBCs catching up to the average EU15 health levels and health care policies. Closer attention towards EU health and health care policies would be favourable.
METHODS: The study draws on published reports and analyses of official statistics over time and cross-country. Health care policy adherence to the European Commission\'s recommended country-specific health actions was classified into five health policy areas: financing, payment, organization, regulation and persuasion. Key health policy areas for Western Balkan countries (WBCs) were identified. Health progress or lack thereof in catching up to the EU15 population health, health expenditure and the number of health professionals are measured.
RESULTS: The European Commission prioritized financing and regulation for all WBCs in the five policy areas. Nine of the 18 analyzed selected health indicators showed divergence, and the other nine converged towards the EU15 averages. WBCs continue to face diverse public health challenges in improving life expectancy at birth, death rates caused by circulatory system diseases, malignant neoplasms, traffic accidents, psychoactive substance use, tuberculosis incidence, tobacco smoking prevalence and public-sector health expenditure.
CONCLUSIONS: By 2019, there is limited evidence of WBCs catching up to the average EU15 health levels and health care policies. Closer attention towards EU health and health care policies would be favourable.
摘要：
背景：阿尔巴尼亚，波斯尼亚和黑塞哥维那，科索沃，黑山,北马其顿和塞尔维亚已承诺成为欧盟（EU）成员国。这个,其中,意味着候选国/潜在候选国采用合法授权的欧盟政策，包括健康。该研究旨在确定对加入欧盟卫生政策层面至关重要的主要国家卫生政策领域，并介绍2000年至2019年相关选定卫生指标的变化。
方法：该研究借鉴了已发表的报告和对一段时间和跨国的官方统计数据的分析。符合欧盟委员会建议的针对特定国家的卫生行动的卫生保健政策被分为五个卫生政策领域：融资，付款,组织,调节和说服。确定了西巴尔干国家（WBC）的关键卫生政策领域。在赶上欧盟15国人口健康方面，健康进步或缺乏进步，测量卫生支出和卫生专业人员的数量。
结果：欧盟委员会在五个政策领域优先考虑所有WBC的融资和监管。18个分析的选定健康指标中有9个显示出分歧，其他9个趋同EU15平均水平。WBC在提高出生时预期寿命方面继续面临各种公共卫生挑战，循环系统疾病引起的死亡率，恶性肿瘤,交通事故,精神活性物质的使用，结核病发病率，烟草吸烟率和公共部门卫生支出。
结论：到2019年，WBC追赶EU15平均健康水平和医疗保健政策的证据有限。对欧盟卫生和医疗保健政策的更多关注将是有利的。
方法：该研究借鉴了已发表的报告和对一段时间和跨国的官方统计数据的分析。符合欧盟委员会建议的针对特定国家的卫生行动的卫生保健政策被分为五个卫生政策领域：融资，付款,组织,调节和说服。确定了西巴尔干国家（WBC）的关键卫生政策领域。在赶上欧盟15国人口健康方面，健康进步或缺乏进步，测量卫生支出和卫生专业人员的数量。
结果：欧盟委员会在五个政策领域优先考虑所有WBC的融资和监管。18个分析的选定健康指标中有9个显示出分歧，其他9个趋同EU15平均水平。WBC在提高出生时预期寿命方面继续面临各种公共卫生挑战，循环系统疾病引起的死亡率，恶性肿瘤,交通事故,精神活性物质的使用，结核病发病率，烟草吸烟率和公共部门卫生支出。
结论：到2019年，WBC追赶EU15平均健康水平和医疗保健政策的证据有限。对欧盟卫生和医疗保健政策的更多关注将是有利的。
