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ICP/ MPN 001 ISBN 92 890 4268 0 ISSN 0250- 8729 © BceMHpHaR opraHHJaU1tR J.apaeooxpaHeHHR . 1987 ro.a Ha ny6nHKaUHH BceMHpHoH opraHHJaUHH J.apaeooxpaHeH1tR pacnpocTpa- HR~r c R nono•eHltR npOTOKona f 2 BceMltpHOH KOHBeHUHH 06 oxpaHe aBTOp- C K 11x npae . JaReneHHe Ha nepene'laTKy HnH nepeeo.a ny6nH K auHH EeponeH- c Koro pernoHanhHoro 6~po BOJ 'laCTH'lHo 11m1 nonHocTb~ cne.aye T Hanpae- nRTb B JTy opraH11JaUH~ no a.apecy : Regiona l Office for Europe, Scherfigsvej 8, DK-2100 Copenhagen 0, Denmark . PerttoHanbHOe 6~po OXOTHO y.ao eneT BOpReT TaKHe npocb6M. 06o J tta'leHltR . HCnonbJyeMble e Ha CTORWeM HJ.llaHHH, H npHBO.IIIIMble e HeM MaTep11anM Hit B KOeM cny'lae He BMpa•a~T MHeHltR CeKpeTapHaTa Bce- MltpHOH opraHltJaUlllt J.apaeooxpaHeH ltR O ~Plt.llH'leCKOM CTaTyce KaKOH-n1160 CT p a HM , TeppltTOpltH , ropo.aa HnH paHoHa . HX opraHe enacTII ltAH 06 HX rocy.aa p CTBeHHMX rpaHltUax . 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Uenb KoH$epeHUHH 3aKnwqanacb B ycoeepweHCTB OBaHHH H yKpenneHHH e cTpaHax EeponeAcKoro perHoHa npo uecc o e ynpaeneHHR CTpaTerHRMH AOCTH*€HHR 3AOPOBbR AnR e cex K 2000 r. npeACTORno rnaeH~M o6pa30M o6ecneqHTb o6Me H on=oM H MH€HHRMH O nyTRX BH€AP€HHR H3MeHeHHA, HanpaeneHH~X Ha C03AaHHe 6onee cnpaBeAnHB~X H eceCTOPOHHHX nporpaMM H nonHTHKH B oOnaCTH 3ApaeooxpaHeHHR, KOTOp~e n03B OnHnH 6~ ynyqWHTb COCTORHHe 3AOPOBbR HaceneHHR H Oo nee 3$$eKTHBHO HCnOnb30BaTb pecypc~. nepeA yqacTHHKaMH KOH$epeHUHH CTORnH cneAYKJLUHe KOHKpeTH~e 3aAaqH: 1. npoaHanH3HpOBaTb H3MeHeHHR B oOnaCTH nnaHHPOBaHHR H ynpaeneHHR 3ApaeooxpaHeHHeM e rocyAapcTeax - qneHax EeponeAcKoro perHOHa, npoHcWeAWHe nocne Eepo n eAcKoA KOH$epeHUHH no nnaHHPOBaHHW HaUHOHanbHOrO 3ApaeooxpaHeHHR ( 6yxapecT, 1974), H paCCMOTpeTb COOTBeTCTBH e cyu.1ecTBYWLI\HX CHCTeM ynpaeneHHR uenH AOCTH*€HHR 3AOPOBbR .nnR ecex K 2000 r.; 2. paCCMOTpeTb peweHHR TaKHX KnW4 € B~X npo6n eM nnaHHpoeaHHR H ynpaeneHHR, KaK: 96anaHCHPOBaHHOCTb ueHTPi;lnH3aUIIH H JT€UeHTpanH3aU11H e npouecce nn a Httpo eaHHR H ynpaen e HHR H ponb pa3nHqH~X ypoeHeA PYKOBOACTBa 3Apaeoo xpa HeHHeM B 3TOM npouecce; Oonee WHpOKOe npHBneqeHHe Hacene HHR II pa3Jl ll4H~ X KaTero pHA M€AHUHHCKoro n epco Ha/l a K npHHRTHW peweHHA H nnaHHPOBaHHW 3ApaeooxpaH e HHR; HanH4He Mexa HH 3 MOB Me*ceKTOpanb ll OA .ne RT e /lbHOCTH H KOOPAHHaUHH B o6 n aCTH 3Apaeooxpa li e llH R ; nepcneKT HB~ nnaHHPOBaHHR 3Apaeoo xpaHeliHH B yC/l 0 ~1RX coepeMeHH~X 3 KOHOMHqeCKHX TPY.Llli OC Te H H li eyCTOH4HB OC T H; no Tpe6 HOC TH s HccnenoaaHHRx H n onroTOBKe Kanpo a no s o npocaM nnaHHposaHHR H ynpaaneHHR B o 6nacTH 3npasooxpaHeHHR; 3 . npoaHanH3HPOBaTb B03MO*H~e 3KOHOMHqeCKHe nocnencTBHR nonHTHKH DOCTH*eHHH 3DOPOBbR nnR scex K 2000 r.; 4 . o 6cynHTb cpencTBa nnaHHPOBaHHR H H3yqeHHR anbTepHaTIIBH~X nyTeA peanH3aUHH perHOHanbHOA CTpaTerHH DOCTH*eHHR 3DOPOBbR nnH acex K 2000 r. c noMOmbw pa3pa60TKH cueHapues. 8 pa6oTe KoH¢epeHUHH npHHRnH yqaCTHe npencTaBHTenH 21 rocynapcTsa - qneHa EaponeAcKoro perHoHa , a TaK~e KaHa,rn,1, npencTaBHTenH KOMHCCHH eaponeACKHX coo6mecTB, AccouHaUHH WK o n o6wecTBeHHoro 3npaaooxpaHeHHH EaponeAcKoro perHoHa, ~spo ne AcK o A accouHaUHH nporpaMM H3yqeHHH cny*6 3DpasooxpaHeHHH, Me*DyHaponHoro COBeTa MeDHUHHCKHX cecTep H Me*DYHaponHoA ¢enepaUHH OOnbHHU. KpoMe Toro, Ha KOH¢epeHUHH npHCYTCTBOBanH 26 apeMeHH~X COBeTHHKOB, COTPYDHHKH WTa6-KBapTHP~ 803 H EsponeAcKoro perHOHanbHOro 6wpo . Ko H¢epeHUHW OTKP~ n-p Leo A. Kaprio, DHpeKTOP EaponeACKOro perHOHanbHOro Owpo 803, B npHCYTCTBHH ee BenHqecTBa KOponeB~ HHnepnaHDOB SeaTpHKC. YqacTHHKOB np11seTCTsosan r-H J.P . v an der Reijden, rocynapcTaeHH~A ce KpeTapb no nenaM 3npaaooxpaHeHHH, 6narococTOHHHR H KynbTYP~, qbe B~CTynneHHe HOCHno OCHOBononarawmHA nnR Ko H¢ e peHUHH xapaKTep. Opo3ByqanH TaK*e B~CTynneHHR n-pa J. van La nden, reHepanbHoro nHpeKTopa cny*6 3npaaooxpaHeHHR HunepnaHno a, n-pa S. Khanna, cTapwero MeDHUHHCKoro c ne uHanHCTa B ceKUHH KOOPDHHaUHH CTpaTerHH DOCTH*eHHR 3DOPOBbR nnR scex B WTa6-KBapTHpe 803, H n-pa Leo A. Kaprio . ,n-p J. van Landen H n-p o.n. m.enHH 6~H H36paH~ npe nce naTeneM H 3aMeCTHTeneM npencenaTenR KoH¢epeHUHH COO TBeTCTBeHHO . .UoKnanqHKOM 6~ n-p D.M . Pendreigh, a n-p J.E. Asvall, B03rnaanRwmHA ynpasneHHe nporpaMMaMH a EsponeACKOM perHOHanbHOM Owpo 803 , HCnonHRn 06R3aHHOCTH ceKpeTapR. 2 JU1CKYCCHH BO BPEMH OTKPblTHR: KOH<l>EPEHl~Hl1 Ha nepeoM 3acenaHHH 6bUlH npencTaene H~ cnenywmHe AOKnan~: "TeHneHUHH B o6naCTH nnaHHPOBaHHR H ynpaeneHHR 3DpaeooxpaHeHHeM B cTpattax EsponeAcKoro perHoHa" n-pa I. S. Luculescu , perHoHanbHoro cneuHanHcTa e oOnacTH nporpaMMHPOBaHHR 3ApasooxpatteHHR no CTpattaM, EeponeACKOe perHOHanbHOe 6wpo B03; "CHCTe- H npouecc~ nnaHHPOBaHHR H ynpasneHHR B ceKTope 3ApaeooxpaHeHHR rocynapCTB - 4neHOB EeponeACKOro perHOHa B03 - 0630P COBpeMe HH Oro nono•eHHR" r-Ha D.Affeld H n-pa S.E.Ekeid; "Bonpoc~ nnaHHPOBaHHR H ynpasneHHR B ceKTOpe 3ApaeooxpaHeHHR" n-pa D.M.Pendreigh. Ka•n~A H3 3THX AOKnanos RBnRncR ceoero po na 063opoM nnaHHPOBaHHR H ynpaeneHHR B oOnacTH 3ApasooxpaHeHHR B EeponeACKOM perHOHe B HaCTORmee epeMR H B HeAaBHeM npown oM B CBeTe rnoOanbHOA H perHOHaRbH~X CTpaTerHA AOCTH.eHHR 3AOPOBbR ARR ecex. 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OnHaKO TaKaR panHKanbHaR nonHTHKa, KaK cTpaTerHR nocTH*eHHR JnopOBbR nna Bcex K 2000 r.,TpeoyeT TWaTenbHOA oueHKH (a He npoCTO onHCaHHR HnH KO HTpOnHpOBaHHR) 3aTpaT Ha HOBOBBeneHHR H CBR3aHHblX C HHMH npeHMYWeCTB. nepepacnpenenHTb pecypcbl B c$epy nepBHYH OA MenHK o - caHHTapHoA nOMOWH H npO$HnaKTHKH 0yneT HenerK o : Te , KT O npH 3TOM TepaeT, oynyT BO3Pa*aTb npoTHB nepe pac npene n e HHR cpenCTB, a Te, YTO npH 3TOM BblHrpblBaeT, nnoxo KOo pnHHHPYWT CBOH neACTBHR no n o nnep*Ke nonHTHKH nepBHqHOA Me nHK O- caHHTapuoA noMOWH. T e M He MeHee 3TOMY npo u eccy n o Mo * e T H3MeHeHHe CHCTeMbl CTHMYnHpOBaHHR nepcottana Ha n e pBHqH OM H Ha BTOpHqHQM (B 6OnbHHuax) ypOBHe . 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HeoOxonHMO yaenHqHTb B03MO*HOCTH nnR Hccneno aaHHA H ynenHTb nepaooqepenHoe BHHMaHHe HccnenoaaHHRM a Tex HanpaaneHHRX, KOTOpNe oco6eHHO Ba*HN nnR pa3BHTHR HaUHOHanbHOrO 3npaaooxpaHeHHR, HanpHMep, H3yqHTb: CHTyaUHOHHNe $aKTOP~, onpenenRWmHe MeTOnN nnaHHpOBaHHR H ynpaaneHHR; MeTon~ oueHKH apenHOCTeA nnR 3nopOBbR H COCTORHHR 3nOPOBbH HaceneHHR; 3$$eKTHBH~e HH$OpMaUHOHH~e CHCTe~ 3npaaooxpaHeHHR; MeTonN onpeneneHHH 3$$eKTHBHOCTH pa3nHqHNX nonxonoa H CBR3aHH~X C HHMH 3aTpaT H B~ron; cTpaTerHH pa3BHTHH y nepcoHana 3npaaooxpaHeHHH OpHeHTaUHH Ha HY*nN HaceneHHH; pa3BHTHe HaB~KOB ynpaaneHHH; pa3BHTHe HaBNKOB Me*aenoMCTBeHHOro H Me*CeKTOpanbHOro COTpynHHqecTaa; HaBNKH npaBHnbHOro noseneHHH, B qacTHOCTH B KOH$nHKTHNX CHTyauHHx; nocnencTBHH 3KOHOMHqecKHX TPYnHOCTeA nnR COCTOHHHH 3nopOBbH HaceneHHH H ynpaaneHHH 3npaaooxpaHeHHeM; pa3BHTHe HaB~KOB $OpMynHpOBaHHR nonHTHKH; anbTepHaTHBHNe MeTon~ BN6opa CTpaTerHA. 10. npencTOHT eme MHoroe cnenaTb a o6nacTH coneAcTBHH 3HeprHqHoMy pyKosoncT ay a ceKTope 3npaaooxpa HeHHH, a qacTHOCTH B OTHOWeHHH pa3pa60TKH nanbH O BHnH oA n on HTHKH, CTHMynHpoaaHHH H KoopnHHaUHH MHOroceKTOpanbHNX HHHUHaTHB H COTPYnHHqecTBa B nene yKpenneHHH 3nopOBbR H npO$HnaKTHKH 6one3HeA. 11 . 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PerH o HanbH OMY 6~po cnenyeT pa3eepHyTb ce Tb coTpynHH~awmHx ueHTpo e, KOTop~e o6ner~aT rocynapcTeaM- ~neHaM pa3pa60TKY H peanH3aUHID HaUH OHanbH~X CTpaTerHA H 6ynyT nonnep~HBaTb HX neRTenbHOCTb e o6nacTH Hccneno eaHHR H nonroTOBKH Kanpoe. 37 cnHCOK YlJACTHHKOB ABCTPHfl n-p G. Liebeswar, JaMeCTHTenb AHpeKTopa cny*O oomecTaeHHoro JnpaaooxpaHeHHfl, ~eAepanbHOe MHHHCTepCTBO 3ApaaooxpaHeHHfl H 3amHT~ OKPY*a~meA cpeA~, BeHa 6enbrHfl ~-p E. Mintiens, KaHuenflPHfl MHHHCTpa, MHHHCTP 3ApaaooxpaHeHHfl H npocaemeHHfl (Anfl ~paHKOfl3bNHOA oomttH~), Ep~ccenb ~-p P. de Schouwer, reHepanbH~A ceKpeTapb MHHHCTepCTBa no AenaM oomecTaeHHoro 3ApaaooxpaHeHHfl H ceMbH, OTAen Me*nyHaponH~X OTHOWeHHA, Ep=cenb r-*a M. Smet, cneuttanHCT no MeAHUHHCKOA COUHOnOrHH, HHCTHTYT COUHOnOrH~eCKHX HCCneAOBaHHA, n~aeH r-H R. Urbain, MHHHCTP 3ApaaooxpaHeHHfl H npocaemeHHfl (Anfl ~paHKOfl3~~HOA oOmHH~), 6p~ccenb KaHapa ~-p M. Jerome-Forget, noMomHHK JaMeCTHTenfl MHHHCTpa, OTAeneHHe nnaHHPOBaHHfl nonHTHKH H HH~OpMaUHH, MHHHCTepCTBO HaUHOHanbHOrO 3ApaaooxpaHeHHfl H couttanbHoro oOecne~eHHfl , OTTaaa YexocnoaaKHfl 38 ~-p E. Klivarova , AHpeKTOP, OTAen BHeWHHX CHOWeHHA , MHHHCTepCTBO 3ApaaooxpaHeHHfl lJeWCKOA CouttanHCTH~eCKOA PecnyonHKH , npara npo~ . J. Prokopec, MHHHCTP 3npaaooxpaHeHHfl, MHHHCTepCTB O 3npaaooxpaHeHHfl lJeWCK OA CouttanHCTH~eCKOA Pecny6nHKH, npara n-p N. Rosdahl, 3aMecTHTenb rettepanhttoro AHpeKTopa, PYK OBOAHTenb OTAena o6meA rHrHeH~, HaUH OHanb H~A coBeT 3ApaaooxpatteHHR, Konettrarett n-p G. Schieler, 3aMeCTHTenb reHepanbHOro AHPeKTOpa, PYKOBOAHTenb OTAeneHHR OonbHHU, HaUH OHanbH~A COBeT 3Apaaoo xpatteHHR, Konettrarett <l>HHnRHAHR n-p A. Niemi, AHpeKTOp OTAeneHHR nepBHqHoA MeAHKO- caHHTapHOA no MomH, HaUHOHanbH~A COBeT 3Apaa ooxpa ttellHR, XenbCHHKH <t>paHUHR r-H v. Comiti, COBeTHHK no TeXHHqecKHM Bo npocaM , rettepanbtt~A AHpeKTOpaT 3ApaaooxpatteHHR, napH* n-p J.-P. Picard, AHPeKTOP HaUHOHanbH OA WKOn~ oOmecTBeHHoro 3ApaaooxpatteHHR, PettH n-p M. Rochaix, 6~BWHA reHepanbH~A AHpeKTOP , rpalf(!laHCKHe OonbHHU~ AnR 6e3HaAe*H~X OonbH~X flH OHa repMaHcKaR µeMoKpaTHqecKaR Pecny6nHKa n-p A.H. Bar, pyKOBOAHTenb OTAeneHHR, HH CTHTYT COUHanbHOA rHrHe H~ H opra HH3aUHH oxpaH~ 3AOPOBbR, 6epnHH n-p u. Schneidewind, 3aMeCTHTenb MHHHCT pa , MHHHCTepCTB O 3Apaa ooxpatteHHR, 6epnHH <l>eAepaTHBHaR Pecny6nHKa repMaHHH n-p R. Mattheis, CTapwHA MeAHUHHCKHA cneuHanHCT , CoBeT no AenaM 3ApaaooxpatteHHR, ceMbH H couHanbH~ a onpocaM , 6epnHH (3anaAH~A) r-H W.F. Schrader, MHCTHTYT MeAHKo-caHHTap H~X H COUHanbH~X HCCneAOBaHHA, 6epnHH (3anaAH~A ) n-p H. Stein, c ne uH anHcT no no nHTHKe a o6na c TH 3ApaaooxpaHeHHR, <l>eAepanbHOe MHHH CTepCTBO no AenaM MOnone*H, ceMbH H 3Apaaooxpa He HHR, 60HH 39 rpe UHR n-p C. Oervenis, qneH 6OnbHHqHoro KOMHTeTa, UeHTpanbH~A coaeT no JnpaaooxpaHeHHW, A$HH~ n-p A. 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Kaprio, nHpeKTOP PerHOHanbHOro 6wpo 4 7 48 n-p I. Kiekbusch, pertto ttanbH~H cneuttanttcT no cattttTapttoMy npo cse1UeHH10 n-p P . A. Lamarche, cneuttanttcT no nnattttposaHHIO nporpaMM n-p I.S. Luculescu, perttottanbH~A cneuttanttcT B o6nacTH npo rpar,,u.mposaHHR 3.QpasooxpatteHHR no cTpattaM n-p H. Vuori, perttottanbH~A cneuttanttcT no nepBH~HoA Me.QHKO-CaHHTapHOA nOMOIUH n-p A . Wojtczak, .QttpeKTOP no sonpocaM ttccne.nosaHttA, nnaHHPOBaHHR H nlO.QCKHX pecypcos n-p H. Zollner, perHOHanbH~ cneuttanHCT no 3KOHOMHKe 3.Qpa sooxpa He HHR WTa6-Ksapn1pa n-p s. Khanna, KOOP.QHHaUHR cTpaTerHH .QOCTH~eHHR 3.QOPOBbR nnR scex n-p s. Moday, npouecc ynpasneHHR pa3BHTtteM HaUHOHanbHoro 3.QpasooxpaHeHHR n-p Y. Nuyens, H3y~etttte cttcTeM 3.QpasooxpatteHHR lllllll lllillllllllllllllll lllllllllllllllllllllll *0 0013 1 52 *
World Health Organization (WHO) · Publications
Планирование и управление в секторе здравоохранения: отчет о совещании ВОЗ, Гаага, 27 августа–1 сентября 1984 г.
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World Health Organization