Equivalent Income and the Well-Being Burden of Disease

Author(s):  
Erik Schokkaert

Economic evaluation of health policy has to go beyond health to focus on a broader concept of individual well-being if it aims at contributing to the debate about the optimal size of the health budget while taking into account economic inequality. The definition of well-being for policy purposes is neither a psychological nor a metaphysical issue, but a normative one. Happiness or subjective satisfaction are not attractive for this purpose, and this chapter proposes an alternative, the so-called equivalent income measure. Equivalent income does respect individual considered opinions about what is a good life. The author shows that the concept can be made operational through an analysis of the well-being burden of disease in various European countries.

Author(s):  
Kim A. Kayunze ◽  
Angwara D. Kiwara ◽  
Eligius Lyamuya ◽  
Dominic M. Kambarage ◽  
Jonathan Rushton ◽  
...  

One-health approaches have started being applied to health systems in some countries in controlling infectious diseases in order to reduce the burden of disease in humans, livestock and wild animals collaboratively. However, one wonders whether the problem of lingering and emerging zoonoses is more affected by health policies, low application of one-health approaches, or other factors. As part of efforts to answer this question, the Southern African Centre for Infectious Disease Surveillance (SACIDS) smart partnership of human health, animal health and socio-economic experts published, in April 2011, a conceptual framework to support One Health research for policy on emerging zoonoses. The main objective of this paper was to identify which factors really affect the burden of disease and how the burden could affect socio-economic well-being. Amongst other issues, the review of literature shows that the occurrence of infectious diseases in humans and animals is driven by many factors, the most important ones being the causative agents (viruses, bacteria, parasites, etc.) and the mediator conditions (social, cultural, economic or climatic) which facilitate the infection to occur and hold. Literature also shows that in many countries there is little collaboration between medical and veterinary services despite the shared underlying science and the increasing infectious disease threat. In view of these findings, a research to inform health policy must walk on two legs: a natural sciences leg and a social sciences one.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Marinela Olaroiu ◽  
Ioana Dana Alexa ◽  
Wim J. A. van den Heuvel

Objectives. Ageing of societies causes serious political concerns on well-being of old citizens and care for the (frail) old. These concerns increased with the economic crisis of 2008. In European countries policy measures were taken to deal with the consequences of this crisis. This study explores the possible effects of these measures on life satisfaction of older citizens. Methods. Life satisfaction was assessed through international surveys in 2007 and 2013 and changes in societal conditions, using eight indicators on demography, welfare, and health, are assessed in 31 European countries in 2006 and in 2014. Data are standardised and based on official, national surveys and statistics. Results. The former found that U-shape relationship between age and life satisfaction disappeared after the crisis. Negative changes in social protection and care arrangements, taken after the economic crisis, are related to low life satisfaction in old citizens. Conclusions. Various societal conditions deteriorated in 2014 as compared to 2006. Policy measures, taken due to the 2008 economic crisis, have changed societal conditions and affected life satisfaction of older citizens negatively. In countries with a rudimentary structure of health and welfare provisions old citizens could not cope with the imposed policy measures.


2019 ◽  
pp. 41-82
Author(s):  
Matthew D. Adler

This chapter discusses the well-being measure: a key component of the social welfare function (SWF) framework. This measure, w(·), assigns well-being numbers to individuals in outcomes so as to reflect admissible well-being comparisons (of well-being levels and/or well-being differences). In order for the SWF framework to function, these admissible comparisons must include interpersonal as well as intrapersonal comparisons; the chapter explains why. It then shows how von Neumann/Morgenstern (vNM) utility functions can be used to construct an interpersonally comparable well-being measure that respects individual preferences. A different preference-based well-being measure, the equivalent-income measure, is also reviewed. Although the preference view of well-being is dominant in the SWF literature, w(·) may instead be based upon a non-preference view of well-being, such as an hedonic or objective-good account. The chapter concludes by considering why some economists have been skeptical about interpersonal comparisons.


2018 ◽  
Vol 46 (1) ◽  
pp. 45-52
Author(s):  
Ilham Akhsanu Ridlo ◽  
Rizqy Amelia Zein

AbstractGlobally, during the last three decades, mental health has played significant role in regards to thediscourse of global health policy. Since two decades ago, WHO has firmly defined health as a roundedstate of condition where an individual reach “...not merely the absence of the illness, but also achievementof physical, mental and social well-being.” WHO’s definition of health implies a significant impact onglobal health policy – all members of states should adhere their health policy to this definition. TheGlobal Burden of Disease study carried out by IHME (The Institute for Health Metrics and Evaluation)in 2012 that mapped out the burden of disease around the world revealed an appalling fact namelyworsened mental health condition. Years lost due to disability (YLD) study mentioned that 6 out to 20diseases that were most responsible in causing disability were mental illnesses. Therefore, this articleaimed to describe the mental illness prevalence in global and national level by reviewing several mentalillness epidemiological studies. Additionally, this article highlighted some of important challenges thatshould be considered by healthcare service providers and policymakers in tackling mental health issues,which are treatment gap and mental health stigma.Keywords: Mental Health Policy, Global and National Prevalence, Treatment Gap AbstrakSecara global, dalam kurun waktu 30 tahun terakhir, isu mengenai kesehatan mental memainkanperan penting dalam perumusan kebijakan kesehatan global. Sejak dua dekade yang lalu, WHOmengeluarkan definisi sehat sebagai suatu kondisi dimana seorang indvidu mencapai “...tak sekedarbebas dari penyakit, melainkan mampu mencapai kesejahteraan fisik, mental dan sosial.” Definisidari WHO tersebut berkonsekuensi besar dalam perumusan kebijakan kesehatan mental, dimanaseluruh negara anggotanya harus menyandarkan garis besar kebijakan kesehatannya pada definisi ini.Studi mengenai Global Burden of Disease yang diselenggarakan oleh IHME (The Institute for HealthMetrics and Evaluation) mengungkapkan bahwa ada tren yang menunjukkan bahwa kondisi kesehatanmental menjadi ancaman serius. Studi mengenai jumlah tahun yang hilang akibat disabilitas (YLD)menyebutkan bahwa 6 dari 20 penyakit yang paling bertanggung jawab menyebabkan disabilitasadalah penyakit mental. Oleh karena itu, artikel ini bertujuan untuk mendeskripsikan prevalensigangguan mental dalam skup global dan nasional dengan cara meninjau beberapa riset epidemiologisyang berfokus pada gangguan mental. Selain itu, artikel ini akan membahas mengenai isu-isu pentingyang merupakan tantangan bagi pelayanan kesehatan mental di Indonesia yang harus ditanggapi seriusoleh penyedia layanan kesehatan mental dan pembuat kebijakan, yaitu kesenjangan perawatan danstigma.Kata kunci: Kebijakan Kesehatan Mental, Prevalensi Global dan Nasional, Kesenjangan


2020 ◽  
Vol 93 (4) ◽  
pp. 60-73
Author(s):  
E. B. Veprikova ◽  
◽  
A. A. Kislenok ◽  

Reducing the level of interregional differentiation is one of the problems in spatial development management according to the Spatial Development Strategy of the Russian Federation. Presence of significant regional imbalances hampers formation of a common economic, social, cultural, and institutional space and lead to a creation of backward territories which lag behind in the development. The focus of public policy measures on the centers of economic growth, with the concentration of financial and labor resources, without solving the problems of backward territories does not bring the expected effect – overall development and well-being. Local effects in the absence of positive changes in other territories result in the increase in imbalances, which limit the overall effectiveness of the public policy. At the same time, a steadily increasing lag may cause a loss of potential of economic growth and thus forms backward territories. The creation of territorial backwardness is a gradual process. Therefore, diagnosing the state of the territory and identifying the signs of increasing depression is an essential issue of public administration. The article presents the main approaches to the definition of territorial backwardness used in the Russia and overseas, it also reviews the determinants of backward territories. Different methods for identification of backwardness in the territorial development have been tested on the basis of the regions of the Russian Far East.


2019 ◽  
Vol 46 (10) ◽  
pp. 1234-1246
Author(s):  
Lambert K. Engelbrecht ◽  
Abigail Ornellas

Purpose Within a neoliberal environment, financial vulnerability of households has become an increasing challenge and there is a requirement of financial literacy education, a necessary activity to facilitate sustainable development and well-being. However, this is seldom a mainstream discourse in social work deliberations. The paper aims to discuss these issues. Design/methodology/approach First, introducing the neoliberal impact on financial well-being and capability for vulnerable households, the authors’ postulation is substantiated on a seven-point argument. The contexts of financially vulnerable households are sketched. Second, a conceptualisation of financial literacy is offered, and third, perspectives on and approaches to financial literacy as a fundamental capability are presented. This is followed by a theoretical foundation of community education as a practice model in social work to develop financial capabilities. In the fifth place, prevailing practices of Financial Capabilities Development (FCD) programmes are offered. Subsequently, the implications of a neoliberal environment for social work practice are examined. Findings The revised global definition of social work encourages the profession to understand and address the structural causes of social problems through collective interventions. As a response, it is argued that community education towards FCD of vulnerable households within a neoliberal environment should be an essential discourse in social development. Originality/value The authors reflect on the significance of FCD, highlighting its contribution towards human security and sustainable development. Although this paper draws on Southern African contexts, the discourse finds resonance in other contexts across the world.


1990 ◽  
Vol 16 (4) ◽  
pp. 525-553
Author(s):  
Mimi Yoon

Medical technology is easing the plight of many infertile couples by offering such reproductive alternatives as in vitro fertilization, artificial insemination and surrogacy. In response to the changes in our society's definition of family, wrought by scientific advances, the National Conference of Commissioners on Uniform States Laws promulgated the Uniform Status of Children of Assisted Conception Act. The purpose of this Act is to protect the interests of children born through extraordinary medical procedures. This Note analyzes the Act's provisions regarding surrogacy and focuses on how the Commission's regulatory scheme fails to protect the child's interests. The Act's alternative of voiding the surrogacy contract also does not protect the child's interests. A more complete regulatory scheme which protects the adult parties’ interests, as well as the child's, should be devised, as the adequacy of the adult parties’ protection ultimately affects the child's well-being.


Author(s):  
Matthew Pittman ◽  
Emil Steiner

This study seeks to add nuance to the definition of binge-watching by identifying the subtypes of the general practice that reflect viewer rituals, motives, and outcomes. The two subtypes are (1) the healthy practice of ‘feast-watching’ and (2) the unhealthy practice of ‘cringe-watching’. While binge-watching as a singular behavior has been associated with anxiety, depression, and loneliness, a survey ( N = 800) finds that binge-watching which is solo, accidental, and distracted (cringe-watching) predicts increased regret and decreased well-being. However, binge-watching that is planned, social, and attentive (feast-watching) predicts positive outcomes. These subtypes add much needed organizational clarity to the discussion of binge-watching, which, due to its popularity, has grown into a catchall for extended video consumption.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Raffo ◽  
L Appolloni ◽  
D D'Alessandro

Abstract Introduction In recent years, Public Health devoted a growing interest to housing conditions. In particular, housing dimensions and functional characteristics are relevant, mainly considering population ageing and disability. Aim of the study is to compare housing standards of some European countries to analyse their ability to satisfy new population needs. Methodology The dwellings dimensional standards of 9 European countries (Sweden, UK, Denmark, The Netherlands, France, Germany, Portugal, Spain and Italy) are compared. From the websites of the official channels of the various countries the regulations have been downloaded. The standards have been compared. Results A wide variability in the dimensions of room among the standards is observed (e.g. single room: from 9 sqm in Italy, to 7 sqm in France, to the absence of any limit in UK, Germany - Hesse and Denmark). Italian and French regulations define housing dimension considering the room use (eg. bed or living room) and the number of people. The Swedish regulation provides performance requirements and functional indications but does not specify the minimum dimensions of habitable rooms. The rooms' minimum height varies between the standards. In Italy and Portugal, the minimum height of the ceiling is intended to be 2.70 m, while in the other nations the minimum heights vary from 2.60 m in the Netherlands to no limit in UK. Conclusions A diverse approach among European Countries is observed: from a market-oriented logic (e.g., UK), in which minimum dimensions are not defined, to a prescriptive one (Italy), to a functionality-oriented (the Netherlands). The regulations of some Countries are health-oriented especially for most fragile social classes, since, defining larger dimensional standard, they reduce the risk of overcrowding, indoor air pollution and mental distress. However, considering the health, social, environmental and economic trends, many of these standards should be revised. Key messages Optimal housing standards promote the health and well-being of occupants. Healthy housing, healthy people.


2021 ◽  
pp. 036168432110134
Author(s):  
Alessandra Costa Pereira Junqueira ◽  
Tracy L. Tylka ◽  
Sebastião de Sousa Almeida ◽  
Telma Maria Braga Costa ◽  
Maria Fernanda Laus

In many countries, women are socialized to adopt a narrow definition of beauty. Research has revealed that, in the United States and China, the ability to broadly conceptualize beauty (perceive beauty in diverse body sizes, shapes, and appearances) is linked to women’s lower anti-fat attitudes, higher body appreciation, and higher well-being. In this study, we translated an existing measure of this construct, the Broad Conceptualization of Beauty Scale (BCBS), into Brazilian Portuguese and evaluated the factor structure and reliability and validity of its scores with a diverse sample of 563 Portuguese women. Findings revealed that the Brazilian Portuguese BCBS contains two factors—external/appearance features of beauty (BCBS-E) and internal features of beauty (BCBS-I)—contrary to the unidimensional factor structure found in previous studies. Support for internal consistency and 3-week test–retest reliability was garnered. Total BCBS and BCBS-E scores evidenced convergent, discriminant, and incremental validity, whereas the BCBS-I did not accrue substantial convergent or incremental validity support beyond its inverse bivariate association with anti-fat attitudes. We recommend the use of the Brazilian Portuguese BCBS in body image research programs as well as clinical practice and prevention programs with Brazilian women seeking support for body dissatisfaction and disordered eating.


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