Dollars, DALYs and Decisions: Economic Aspects of the Mental Health SystemWorld Health Organization, 2006 - 56 pages The widening recognition of mental health as a significant international public health issue has led to an increasing need to demonstrate that investment of resources into service development is both required and also worthwhile. In particular there is a need to generate evidence on mental health care strategies that are not only effective and appropriate but are also cost-effective and sustainable. Aimed at health policy-makers and service researchers with an interest in strengthening mental health systems, this publication sets out to highlight the need for and relevance of an economic dimension to decision-making and to summarize results from existing mental health economic analyses. |
Common terms and phrases
alcohol anti-psychotic drug approach Asia assessment bipolar affective disorder bipolar disorder breath-testing burden of disease burden of mental capita common mental disorders community-based context contextualisation cost of illness cost-effectiveness analysis cost-effectiveness of interventions Cost-effectiveness ratios costs and effects criteria DALY averted costs depression disability disease burden economic evaluation efficiency epidemiological epilepsy estimates Estonia Estonian Kroon evidence example expected framework global health budget health gains health interventions horizontal equity hospital-based household impact inputs international dollars investment mental disorders mental health planning mental health policy mental health services mental health system middle-income regions Naira neuropsychiatric conditions Newer antidepressant drug Newer atypical Nigeria Older neuroleptic Older tricyclic outpatient overall package panic disorder pharmacological phenytoin population-level potential prevalence priorities priority-setting reducing relative resource allocation scaling-up schizophrenia service development Sri Lanka SSRIs target tion Treatment coverage WHO-CHOICE World Bank
Popular passages
Page 20 - One DALY can be thought of as one lost year of 'healthy' life and the burden of disease as a measurement of the gap between current health status and an ideal situation where everyone lives into old age free of disease and disability".
Page 15 - WHO has also defined a health care system as all the activities whose primary purpose is to promote, restore, or maintain health (McKee 2001). As this chapter points out, health care should include much more than medical care.
Page 27 - States; as such, it is a hypothetical currency that is used as a means of translating and comparing costs from one country to the other using a common reference point, the US dollar.
Page 20 - This measure was called Disability Adjusted Life Years (DALYs). DALYs measure lost years of healthy life regardless of whether the years were lost to premature death or disability. The disability component of this measure is weighted for severity of the disability. For example, disability caused by major depression was found to be equivalent to blindness or paraplegia whereas active psychosis seen in schizophrenia produces disability equal to quadriplegia.
Page 24 - ingredients' approach to the costing of health interventions is used, which requires separate estimation of the quantity of resource inputs needed (such as numbers of health personnel) and the price or unit cost of those resource inputs (such as the salary of a health professional).
Page 20 - However, it is important to be aware of the limitations of the DALY approach and its data sources.
Page 13 - In short, the widening recognition of mental health as a significant international public health issue has led to an increasing need to demonstrate that investment of resources into service development is both required and also worthwhile.
Page 24 - Key transition rates are the incidence of the disorder in the population, case-fatality and remission. In addition, a disability weight is specified for time spent in different states of (ill-)health.
Page 23 - WHO-CHOICE in a systematic and standardized manner involves a number of key analytical steps...