Social-democratic government and health policy in Europe: a quantitative analysis.
Although health policy ultimately depends on political decision making, empirical evidence of the impact of politics on implementation of health policies and their population health outcomes is scarce. In this study, we assess the effects of social-democratic government participation on indicators of preventive health policy (tobacco, alcohol, food, mother and child health, infectious diseases, hypertension, cancer screening, road traffic safety, air pollution) in Europe. Cumulative years of social-democratic government differed widely between European countries, as did indicators of current health policy performance, but the latter are not associated with recent social-democratic government. However, there is a positive association with social-democratic government cumulated over five decades. Positive effects of social-democratic government are mainly seen on indicators of tobacco and alcohol control. We conclude that long-term social-democratic government participation may have had a positive impact on some areas of preventive health policy, perhaps through the creation of strong public health institutions or a strong public health workforce.
Department of Public Health, Erasmus MC, Rotterdam, Netherlands. j.mackenbach@erasmusmc.nl
Johan P
JP
Mackenbach
Martin
M
McKee
D000063:Accidents, Traffic / Q000517:prevention & control; D000397:Air Pollution / Q000517:prevention & control; D000428:Alcohol Drinking / Q000517:prevention & control; D002648:Child; D002662:Child Health Services; D002835:Christianity; D003140:Communicable Disease Control; D004032:Diet; D055088:Early Detection of Cancer; D005060:Europe; D006291:Health Policy; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000188:drug therapy; D008427:Maternal Health Services; D011057:Politics; D011322:Primary Prevention / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D000074606:Smoking Prevention; D012946:Social Welfare; D013997:Time Factors