分析波罗的海三国1992年到2004年间卫生政策的演变过程和结果,可以看出他们的总体目标是相似的,在初级卫生保健、医疗行业改革和医疗资金筹措方面的政策内容是互相参照的。在上世纪90年代初期卫生政策都朝着西欧的社会保险筹资模式并行前进,都是锚定全科医生服务建立初级保健系统和降低医院定位。三个国家关键的卫生政策和结果特征有的趋同有的趋异,但都朝着欧盟15国的方向发展。 An analysis of the evolution and results of the health policies of the three Baltic states between 1992 and 2004 shows that their overall goals are similar and that the policy content of primary health care, health sector reform and medical financing are cross-referenced. Parallel to the pattern of social insurance financing in Western Europe, all health policies in the early 1990s are anchoring GPs to establish primary health care systems and to reduce hospital targeting. The convergence of the key health policies and outcomes in the three countries diverges somewhat, but all are moving in the direction of the EU-15.