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Eurohealth Vol 13 No 3 MENTAL HEALTH ECONOMICS

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Eurohealth Vol 13 No 3 MENTAL HEALTH ECONOMICS Eurohealth RESEARCH • DEBATE • POLICY • NEWS Volume 13 Number 3, 2007 Making the economic case for mental health in Europe France: Health promotion for migrants Intergovernmental relations in Italian health care Health inequalities in the decentralised Spanish health care system Migration of Flemish doctors to the Netherlands • Romania: Pharmaceutical pricing and reimbursement Austria: Electronic health record development • Institutional and community care for older people in Turkey Eurohealth A timely opportunity for Europe LSE Health, London School of Economics and Political The European Commission has just published its new Science, Houghton Street, London WC2A 2AE, United Kingdom C Health Strategy ‘Together for Health: A Strategic fax: +44 (0)20 7955 6090 Approach for the EU 2008–2013’. Building on current www.lse.ac.uk/LSEHealth work, this Strategy aims to provide, for the first time, Editorial Team an overarching strategic framework spanning core EDITOR: issues in health, as well as in ‘health in all policies’ David McDaid: +44 (0)20 7955 6381 and global health issues. email: [email protected] O FOUNDING EDITOR: Elias Mossialos: +44 (0)20 7955 7564 The explicit inclusion of the promotion of mental, as email: [email protected] well as physical, health is a timely reminder of the DEPUTY EDITORS: importance of looking at health holistically. Poor Sherry Merkur: +44 (0)20 7955 6194 mental health affects more than 130 million Europeans email: [email protected] Philipa Mladovsky: +44 (0)20 7955 7298 M at a cost to every European household of more than email: [email protected] € 2,000 per annum. Despite the high personal, social EDITORIAL BOARD: and economic costs too often mental health has been Reinhard Busse, Josep Figueras, Walter Holland, marginalised within public health policy. Julian Le Grand, Martin McKee, Elias Mossialos SENIOR EDITORIAL ADVISER: Paul Belcher: +44 (0)7970 098 940 M In this issue of Eurohealth we report on the work of email: [email protected] the Mental Health Economics European Network DESIGN EDITOR: (MHEEN). With a wide ranging remit, MHEEN has Sarah Moncrieff: +44 (0)20 7834 3444 been collating evidence to support the case for email: [email protected] investment in the promotion of mental well-being and SUBSCRIPTIONS MANAGER Champa Heidbrink: +44 (0)20 7955 6840 prevention of mental health problems. Findings email: [email protected] suggest that investment in effective interventions in E Advisory Board different setting and across different stages of the life Anders Anell; Rita Baeten; Nick Boyd; Johan Calltorp; course can be highly cost effective; it is also consistent Antonio Correia de Campos; Mia Defever; Nick Fahy; with EU goals of increasing economic productivity Giovanni Fattore; Armin Fidler; Unto Häkkinen; Maria Höfmarcher; David Hunter; Egon Jonsson; Meri Koivusalo; and enhancing social inclusion. Allan Krasnik; John Lavis; Kevin McCarthy; Nata Menabde; Bernard Merkel; Stipe Oreskovic; Josef Probst; N Tessa Richards; Richard Saltman; Igor Sheiman; Aris Tackling health inequalities remains a key objective of Sissouras; Hans Stein; Jeffrey L Sturchio; Ken Thorpe; EC policy and we feature several articles concerned Miriam Wiley with this theme. Marc Wluczka describes new Article Submission Guidelines mechanisms put in place in France to help promote the see: www.lse.ac.uk/collections/LSEHealth/documents/ health of new migrants, while Cristina Hernández eurohealth.htm Quevedo looks at decentralisation in Spain and its Published by LSE Health and the European Observatory T on Health Systems and Policies, with the financial support implication for health inequalities. The financial and organisational relationships between central and of Merck & Co and the European Observatory on Health Systems and Policies. regional government form the background to analysis Eurohealth is a quarterly publication that provides a forum by George France of attempts in Italy to eliminate for researchers, experts and policymakers to express their marked variations in the financial solvency of health views on health policy issues and so contribute to a constructive debate on health policy in Europe. services across the country. The EU Health Strategy The views expressed in Eurohealth are those of the authors also highlights demographic change and ageing as an alone and not necessarily those of LSE Health, Merck & Co important concern; an example of the challenges now or the European Observatory on Health Systems and Policies. being confronted in Turkey is also featured. The European Observatory on Health Systems and Policies is a partnership between the World Health Organization The publication of the Health Strategy, with its myriad Regional Office for Europe, the Governments of Belgium, Finland, Greece, Norway, Slovenia, Spain and Sweden, the of goals to be achieved in partnership with Member Veneto Region of Italy, the European Investment Bank, the States is welcome; monitoring mechanisms and hard Open Society Institute, the World Bank, the London School of Economics and Political Science, and the London School targets are still needed to judge progress in of Hygiene & Tropical Medicine. implementation. © LSE Health 2007. No part of this publication may be copied, reproduced, stored in a retrieval system or transmitted David McDaid Editor in any form without prior permission from LSE Health. Philipa Mladovsky Deputy Editor Design and Production: Westminster European email: [email protected] Printing: Optichrome Ltd ISSN 1356-1030 Contents Eurohealth Volume 13 Number 3 Mental Health Economics Jan De Maeseneer is Professor at Vakgroep 1 Mental health and economics in Europe: Findings from the MHEEN Huisartsgeneeskunde en Eerstelijnsgezond- group heidszorg, University of Ghent, Belgium. David McDaid, Martin Knapp, Helena Medeiros and the MHEEN George France is Senior Researcher, Institute group for the Study of Regionalism, Federalism and Self-Government, Italian National Research Council, Rome. Public Health Perspectives Bogdan Grigore is EU Affairs Advisor (Phar- 7 From disease control to health promotion for migrants in France maceuticals), Romanian Ministry of Public Marc Wluczka Health, Bucharest. 9 Health inequalities in the decentralised Spanish health care system Irina Haivas was studying for an MSc in Inter- Cristina Hernández Quevedo national Health Policy, LSE Health, London School of Economics and Political Science. Health Policy Developments Cristina Hernández Quevedo is Research Officer, European Observatory on Health 12 The migration of Flemish doctors to the Netherlands Systems and Policies, London School of Jos van den Heuvel, Jan De Maeseneer and Lud van der Velden Economics and Political Science. 16 Seeking a better balance: Developments in intergovernmental Martin Knapp is Professor, Personal Social relations in Italian health care Services Research Unit, London School of George France Economics and Political Science and Centre for the Economics of Mental Health, Institute of Psychiatry, King’s College London. 20 Institutional and community care for older people in Turkey Ömer Saka and Nebibe Varol Helena Medeiros is Research Officer, Personal Social Services Research Unit, London School of Economics and Political European Snapshots Science. 23 Electronic Health Record development in Austria David McDaid is Research Fellow, LSE Health Theresa Philippi and European Observatory on Health Systems and Policies, London School of 24 Pharmaceutical pricing and reimbursement in Romania Economics and Political Science. Irina Haivas and Bodgan Grigore Theresa Philippi is Deputy Programme Manager of the task force implementing elec- Evidence-informed Decision Making tronic health records (Arge ELGA), Austria. 26 “Bandolier” How good are we with numbers? Omer Saka is based at the Division of Health and Social Care Research, King’s College 28 “Risk in Perspective” The cost of improving health by reducing London. emissions from public transit buses Jos van den Heuvel is Researcher at NIVEL, the Netherlands Institute for Health Services Research, The Netherlands Monitor Lud van der Velden is Researcher at NIVEL, the Netherlands Institute for Health Services 31 Book Review Research, The Netherlands. Screening: Evidence and Practice Nebibe Varol is reading for a PhD, LSE by Angela Raffle and JA Muir Gray Health, London School of Economics and Review by Walter Holland Political Science. Marc Wluczka is Public Health Director, 32 Publications Agence Nationale de l’accueil des étrangers et des Migrations, Paris. 33 Web Watch Walter Holland is Emeritus Professor of Public 34 News from around Europe Health, LSE Health, London School of Economics and Political Science MENTAL HEALTH ECONOMICS Mental health and economics in Europe: Findings from the MHEEN group David McDaid, Martin Knapp, Helena Medeiros and the MHEEN group Summary: Mental health has become an increasingly important issue both at national and European levels. Working across thirty two countries, the Mental Health Economics European Network has been undertaking comparative analysis grouped around a number of themes including organisational structures and service provision, employment and the health/social care interface. In this article we highlight some of the findings in respect of funding, look at how economic incentives can influence the balance between institutional and community based care, and consider the merits of the economic case for promoting mental health and wellbeing. Keywords:
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