scholarly journals Whither economic evaluation in the case of COVID-19: What can the field of mental health economics contribute within the Australian context?

2020 ◽  
Vol 54 (12) ◽  
pp. 1157-1161
Author(s):  
Cathrine Mihalopoulos ◽  
Mary Lou Chatterton ◽  
Lidia Engel ◽  
Long Khanh-Dao Le ◽  
Yong Yi Lee
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Decision Making ◽  
Health Care System ◽  
Disease Outbreaks ◽  
Well Being ◽  
Australian Health ◽  
Life Years ◽  
Mental Health Economics ◽  
Care System

COVID-19 has resulted in broad impacts on the economy and aspects of daily life including our collective mental health and well-being. The Australian health care system already faces limitations in its ability to treat people with mental health diagnoses. Australia has responded to the COVID-19 outbreak by, among other initiatives, providing reimbursement for telehealth services. However, it is unclear if these measures will be enough to manage the psychological distress, depression, anxiety and post-traumatic distress shown to accompany infectious disease outbreaks and economic shocks. Decision making has focused on the physical health ramifications of COVID-19, the avoidance of over-burdening the health care system and saving lives. We propose an alternative framework for decision making that combines life years saved with impacts on quality of life. A framework that simultaneously includes mental health and broader economic impacts into a single decision-making process would facilitate transparent and accountable decision making that can improve the overall welfare of Australian society as we continue to address the considerable challenges that the COVID-19 pandemic is creating.

scholarly journals Governance of health care systems in an ageing world – the case of Australia

2015 ◽  
Vol 13 (1) ◽  
pp. 729-735 ◽  
Author(s):  
Ewa Banasik
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Systems ◽  
Well Being ◽  
World Health ◽  
The Political ◽  
Central Component ◽  
Australian Health ◽  
Care Systems ◽  
Care System

The main argument of this paper is that because the burden of diseases increases with age, a greater numbers of older individuals will increase the demand for health care, and whether this demand will be met very much depends on how health care systems are governed. This task is particularly complex in jurisdictions with multi-layer governing systems such as the Australian health care system. Governance, described in terms of stewardship of the well-being of the population and as a central component for building effective health care systems, is increasingly considered to be very important for a well performing health care system (World Health Organization, 2000, 2007). Governance is, however, the least studied function in a health care system (Alliance 2009). Furthermore, the limited governance frameworks and assessments that have been developed thus far fail to include the political context in which health care systems operate (Baez-Camargo and Jacobs, 2011). This paper intends to fill this knowledge gap by exploring the political dynamics of the Australian health care system’s governance and its accountability. Furthering the discourse on governance is especially important in times when health care systems are confronted with the challenges of ageing populations

scholarly journals The health care system: an overview

2020 ◽  
pp. 25-33
Author(s):  
O.I. Kyselova ◽  
K.O. Nadtochiy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Social Institutions ◽  
Well Being ◽  
The State ◽  
Main Element ◽  
Physical And Mental Health ◽  
Care System

Health care is the most important social sphere of society, on the state of which depends not only the health of the population, but also the political stability of the state. The health of the population is the basis of its well-being, the development of society in its social and economic expression. Recently, the health problems of the population have been repeatedly considered in connection with strengthening the security of the country, the development of urgent measures to maintain the health of less vulnerable groups in difficult conditions of socio-economic transformation. Healthcare is an integral part of international development. An effective health care system can make a significant contribution to the country's economy, its development and industrialization. Health care is an important factor that determines the general physical and mental health, well-being of people not only in one country but also around the world. Health care as the leading branch of activity of the country, the purpose is the organization and maintenance of accessible medical care of the population. It is the main element of national security. Is a set of measures of economic, political, social, legal, scientific, medical, sanitary, anti-epidemic and cultural nature, aimed at preserving and strengthening the physical and mental health of each person, maintaining a healthy life and, in this case, deteriorating health I, then - the provision of medical care. Special social institutions are created for this purpose. This article analyzes the relevance of health care and examines that these issues are major and health care is a leading sector of Ukraine, which aims to organize and provide affordable health care.

scholarly journals Baby Steps to a Learning Mental Health Care System: Can we do the Work?

2020 ◽  
Author(s):  
Brian Shiner ◽  
Bradley V Watts
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Decision Making ◽  
Clinical Practice ◽  
Mental Health Care ◽  
Health Care System ◽  
Health Care Systems ◽  
Electronic Health Record Data ◽  
Mental Health Care System ◽  
Care System

Abstract There are an infinite number of small decisions to be made in routine clinical practice, and most will never be the subject of prospective research studies. Rather than making these decisions arbitrarily, learning health care systems leverage experience represented by electronic health record data and other sources to inform decision making and improve clinical practice. While this approach has been elusive in mental health, Coulombe et al. (AJE-00362-2020.R3) use British National Health Service data to evaluate a decision rule for antidepressant choice created using dynamic weighted survival modeling. Though the results are equivocal in this use case, the work suggests a path forward for data-driven decision making in routine mental health care. Such approaches will be required to set the stage for a learning mental health care system.

Social Workers’ Role in the Canadian Mental Health Care System

2011 ◽  
Vol 22 (2) ◽  
pp. 214-218 ◽  
Author(s):  
Ashley M. Towns ◽  
Karen Schwartz
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Social Workers ◽  
Health Care System ◽  
Well Being ◽  
Canadian Community Health Survey ◽  
Mental Health Care System ◽  
Community Health Survey ◽  
Care System

Objective: Using Canadian survey data this research provides social workers in Canada with a better understanding of their role in the Canadian mental health care system. Methods: By analyzing data from the Canadian Community Health Survey, Cycle 1.2 Mental Health and Well-being, the role of social workers in the Canadian mental health system was determined. Results: Findings indicated that social workers were accessed third most frequently for mental health care. While a variety of individuals accessed care from social workers, those of different sexes, ages, education, and income levels did so at significantly different rates. Conclusion: Social workers should adjust services to include those less likely to access care who may benefit from it, while maintaining services for current clients.

scholarly journals Unmasking a health care system: the Dutch policy response to the Covid-19 crisis

2021 ◽  
pp. 1-10 ◽  
Author(s):  
Iris Wallenburg ◽  
Jan-Kees Helderman ◽  
Patrick Jeurissen ◽  
Roland Bal
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care System ◽  
Health Care Systems ◽  
Economic Policies ◽  
Hard Time ◽  
Dutch Health ◽  
Care Systems ◽  
Policy Systems ◽  
Care System

Abstract The Covid-19 pandemic has put policy systems to the test. In this paper, we unmask the institutionalized resilience of the Dutch health care system to pandemic crisis. Building on logics of crisis decision-making and on the notion of ‘tact’, we reveal how the Dutch government initially succeeded in orchestrating collective action through aligning public health purposes and installing socio-economic policies to soften societal impact. However, when the crisis evolved into a more enduring one, a more contested policy arena emerged in which decision-makers had a hard time composing and defending a united decision-making strategy. Measures have become increasingly debated on all policy levels as well as among experts, and conflicts are widely covered in the Dutch media. With the 2021 elections ahead, this means an additional test of the resilience of the Dutch socio-political and health care systems.

scholarly journals Coping with Criticism and Embracing Change—Further Reflexions on the Debate on a Mental Health Care System without Coercion

Laws ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 22
Author(s):  
Sebastian von Peter ◽  
Martin Zinkler
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care System ◽  
Police Custody ◽  
Judicial Control ◽  
Mental Health Care System ◽  
The Will ◽  
Alternative Scenarios ◽  
Care System

In August 2019, a manuscript was published in this journal that aimed at imagining a mental health care system that renounces the judicial control to better focus on the will and preferences of those who require support. Alternative scenarios for dealing with risk, inpatient care, and police custody were presented that elicited strong and emotionally laden reactions. This article adds further reflections to this debate, aiming at contributing explanations for this unsettlement. A productive notion of criticism is discussed, and ways to achieve change toward a more human rights-oriented psychiatric practice are outlined.

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