The Determinants and the Evolution of the Health Policies in Cardiovascular Medicine in a Postmodern Vision


  • Mihaela Tomaziu-Todosia Alexandru Ioan Cuza University of Ia?i, Romania
  • Grigore Tinică Prof. Dr. George I.M. Georgescu” Cardiovascular Diseases Institute & “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, Romania



health, health policies, cardiovascular medicine, development


Public health is a scientific domain with significant population impact. Any irregularities or discrepancies affect all patients that depend on its normal function, therefore explaining the reason why public attention is always vastly invested in it. With a balanced health status in the population as primary goal, the domain of public health with its adopted policies stands at the frontlines. Public Health Policies can be resumed to three main aspects, based on the health system performance concept developed by the World Health Organization: population health status, citizen satisfaction with healthcare and the extent to which the system provides financial protection. Nowadays, with cardiovascular disease becoming the leading cause of death worldwide, the field of cardiovascular public health has gained significant general interest. The present article aims to address the importance of health policies from a determinants’ perspective while taking into consideration the influence of population illness on health policy development.

Author Biography

Mihaela Tomaziu-Todosia, Alexandru Ioan Cuza University of Ia?i, Romania

PhD Student, Management


Akinboboye, O., Nichols, K., Wang, Y., Dim, U. R., & Reichek, N. (2005). Accuracy of radionuclide ventriculography assessed by magnetic resonance imaging in patients with abnormal left ventricles, Journal of Nuclear Cardiology, 12(4) pp. 418 – 427, DOI: 10.1016/j.nuclcard.2005.04.003.

Anderson, O. (1972). Health care: Can there be equity? The United States, Sweden, and England, New York: Wiley Publications.

Anderson, O. (1989). The health services continuum in democratic states: An inquiry into solvable problems, UK: Ann Arbor, MI, Health Administration Press.

Bhatnagar, A. (2004). Cardiovascular pathophysiology of environmental pollutants, American Journal of Physiology-Heart and Circulatory Physiology, 286, pp. 479 – 485, .

Bondar, F., (2007), Politici publice şi administraţie publică, [Public policies and public administration],București: Ed. Polirom

Cawley, J. (2011). The Oxford Handbook of the Social Science of Obesity, New York: Oxford University Press.

Chamie, J. (2004). World Population Prospects, The 2002 Revision, Volume III: Analytical Report, New York.

Constantin, V., (2002), Documente de bază ale Comunităţii şi Uniunii Europene, [Basic documents of the Community and the European Union], Ed. a II-a, Iași: Ed. Polirom

D'Agostino, R. B., Sr. Vasan, R. S., Pencina, M. J., Wolf, P. A., Cobain, M., Massaro, J. M., & Kannel, W. B. (2008). General cardiovascular risk profile for use in primary care: the Framingham Heart Study, Circulation Journal, 117(6), pp. 743 – 753,

Dauchet, L., Kesse-Guyot, E., Czernichow, S., Bertrais, S., Estaquio, C., Péneau, S., Vergnaud, A., C., Chat-Yung, S., Castetbon, K., Deschamps, V., Brindel, & P., Hercberg, S. (2007). Dietary patterns and blood pressure change over 5-y follow-up in the SU.VI.MAX cohort, The American Journal of Clinical Nutrition, 85(6), pp. 1650 – 1656,

Dragland, S., Senoo, H., Wake, K., Holte, K., & Blomhoff, R. (2003). Several culinary and medicinal herbs are important sources of dietary antioxidants, The Journal of Nutrition, 133(5), pp. 1286 – 1290,

European Coal and Steel Community. (1952). Treaty establishing the European Coal and Steel Community. ECSC Treaty.

European Economic Community. (1958). Treaty of Rome establishing the European Economic Community (EEC Treaty).

European Economic Community. (1987). The Single European Act.

European Union. (1993). The Maastricht Treaty on the European Union.

Farwell, S. L., Reylander, K., Iovine, M., & Lowe-Krentz, L. (2017). Novel Heparin Receptor Transmembrane Protein 184a Regulates Angiogenesis in the Adult Zebrafish Caudal Fin, Frontiers in Physiology, 8, pp. 671 – 682,

Filmer, D., & Pritchett, L. (1997). Child Mortality and Public Spending on Health: How Much Does Money Matter?, Policy Research Working Paper, no. 1864, pp. 1 – 46, Washington: World Bank,

Gemmell, I., Heller, R. F., Payne, K., Edwards, R., Roland, M., & Durrington, P. (2006). Potential population impact of the UK government strategy for reducing the burden of coronary heart disease in England: comparing primary and secondary prevention strategies, Quality and Safety in Health Care, 15(5), pp. 339 – 343, DOI: 10.1136/qshc.2005.017061.

Greenberg, H., Raymond, S., & Leeder, S. (2005). Cardiovascular Disease And Global Health: Threat And Opportunity, Health Affairs Journal, 2, pp. 5 – 35,

Groah, S., L., Nash, M. S., Ward, E. A, Libin, A., Mendez, A. J., Burns, P., Elrod, M., & Hamm, L. F. (2011). Cardiometabolic risk in community-dwelling persons with chronic spinal cord injury, Journal of Cardiopulmonary Rehabilitation and Prevention, 31(2), pp. 73 – 80, DOI: 10.1097/HCR.0b013e3181f68aba.

Gupta, R., Guptha, S., Joshi, R., & Xavier, D. (2011). Translating evidence into policy for cardiovascular disease control in India, Health Research Policy and Systems, 9(8), pp. 1- 12, DOI: 10.1186/1478-4505-9-8.

Kesteloot, H., Sans, S., & Kromhout, D. (2006). Dynamics of cardiovascular and all-cause mortality in Western and Eastern Europe between 1970 and 2000, European Heart Journal, 27(1), pp. 107 – 113,

Lieberman, J. A., Hammond, F. M., Barringer, T. A., Goff, D. C., Norton, H. J., Bockenek, W. L., & Scelza, W. M. (2011). Adherence with the National Cholesterol Education Program guidelines in men with chronic spinal cord injury, The Journal of Spinal Cord Medicine, 34(1), pp. 28 – 34, DOI: 10.1179/107902610x12883422813589.

Loyd-Jones, D. M., Leip, E. P., Larson, M. G., D'Agostino, R. B., Beiser, A., Wilson, P. W., Wolf, P. A., & Levy, D. (2006). Prediction of lifetime risk for cardiovascular disease by risk factor burden at 50 years of age, Circulation Journal, 113(6), pp. 791 – 798,

Middleton, J. W., Leong, G., & Mann, L. (2008). Management of spinal cord injury in general practice - part 2, Australian Family Physician, 37(5), pp. 335 – 338,

Mokdad, A. H., Marks, J. S., Stroup, D. F., & Gerberding, J. L. (2004). Actual Causes of Death in the United States, 2000, JAMA: Journal of the American Medical Association, 291(10), pp. 1238 – 1245, DOI: 10.1001/jama.291.10.1238.

National Health Service. (2011). available at, [Accessed 28 April 2020].

OECD/EU. (2018). Health at a Glance: Europe 2018: State of Health in the EU Cycle, OECD Publishing, Paris, available at, [Accessed 28 April 2020].

Omran, A. R. (2005). The Epidemiologic Transition: A Theory of the Epidemiology of Population Change, Milbank Quarterly, 49(4), pp. 509 – 538, DOI: 10.1111/j.1468-0009.2005.00398.x.

Paulus, A. T., Evers, S. M., Fecher, F., (2002), Cross Border Health Care: An Analysis of Recent ECJ Rulings, European Journal of Law and Economics, Vol .14(1), pp. 61 – 73, DOI: 10.1023/A:1015642601282

Plutzky, J. (2001). Inflammatory Pathways in Atherosclerosis and Acute Coronary Syndromes, The American Journal of Cardiology, 88 (suppl), pp. 10K - 15K,

Reddy, S. K. (2002). Cardiovascular diseases in the developing countries: dimensions,determinants, dynamics and directions for public health action, Public Health Nutrition, 5(1A), pp. 231 – 237, DOI: 10.1079/phn2001298.

Rengma, M., Sen, J., & Mondal, N. (2015). Socio-Economic, Demographic and Lifestyle Determinants of Overweight and Obesity among Adults of Northeast India, Ethiopian Journal of Health Sciences, 25(3), pp. 199 – 208, DOI: 10.4314/ejhs.v25i3.2.

Roemer, M. (1985). National strategies fo r health care organization: A world overview, Ann Arbor, MI, UK: Health Administration Press.

Roemer, M. (1993). National health systems throughout the world, Annual Review of Public Health, 14, pp. 335 – 353,

Schwamm, L., Reeves, M. J., & Frankel, M. (2006). Designing a sustainable national registry for stroke quality improvement, American Journal of Preventive Medicine, 31(6), Suppl 2, pp. 251- 257,

Sharma, V. K., Yngard, R. A., & Lin Y. (2009). Silver nanoparticles: green synthesis and their antimicrobial activities, Advances in Colloid and Interface Science, 30(145) (1-2), pp. 83 – 96, DOI: 10.1016/j.cis.2008.09.002.

Siegel, L., Sesso, H., Bowman, T., Lee, I., Manson, J., & Gaziano, M. (2009). Physical activity, body mass index and diabetes risk in men: A prospective study, The American Journal of Medicine, 122(12), pp. 1115 – 1121,

Song, T., Chi, L., Chu, C., Chen, F., Zhou, C., & Chang, Y. (2016). Obesity, Cardiovascular Fitness, and Inhibition Function: An Electrophysiological Study, Frontiers in Physiology, 7, pp. 1124 – 1134,

Weir, B. S., Anderson, A. D., & Hepler, A. B. (2006). Genetic relatedness analysis: modern data and new challenges, National Review of Genetic, 7(10), pp. 771 – 780, DOI: 10.1038/nrg1960.

World Health Organization. (2008). World Health Statistics, WHO Press, France, pp. 36 – 47, available at, [Accessed 28 April 2020].

Yusuf, S., Hawken, S., Ounpuu, S., Dans, T., Avezum, A., Lanas, F., McQueen, M., Budaj, A., Pais, P., Varigos, J., & Lisheng, L. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study, Lancet, 364(9438), pp. 937 – 952, DOI: 10.1016/s0140-6736(04)17018-9.




How to Cite

Tomaziu-Todosia, M., & Tinică, G. (2021). The Determinants and the Evolution of the Health Policies in Cardiovascular Medicine in a Postmodern Vision. Postmodern Openings, 12(1), 169-184.



Theoretical articles