Universal health coverage for mental, neurological, and substance use disorders

an extended cost-effectiveness analysis

Dan Chisholm, Kjell Arne Johansson, Neha Raykar, Itamar Megiddo, Aditi Nigam, Kirsten Bjerkreim Strand, Abigail Colson, Abebaw Fekadu, Stéphane Verguet

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Considers equity and financial protection as important attributes of health systems, and uses case studies from India and Ethiopia to analyze epilepsy, schizophrenia, and depression. In India, there is a strong push toward universal public finance (UPF) to reverse decades of high, often impoverishing out-of-pocket (OOP) health care expenditures and to allocate resources more equitably. Ethiopia is one of many low-income countries in Sub-Saharan Africa facing a severe shortage of skilled workers and other resources for addressing the burden of mental, neurological, and substance use (MNS) disorders. The Ethiopian government has launched a National Mental Health Strategy which explicitly recognizes the importance of an efficient, equitable scale-up of mental health care within a broader, ongoing effort to increase levels of health insurance in the general population. The analyses show that enhanced coverage of effective treatment leads to significant improvements in population health and that this can be achieved at a very reasonable cost.
Original languageEnglish
Title of host publicationDisease Control Priorities
Subtitle of host publicationMental, Neurological, and Substance Use Disorders
EditorsVikram Patel, Dan Chisholm, Tarun Dua, Ramanan Laxminarayan, Mari'a Lena Medina-Mora
Place of PublicationWashington, DC
Pages237 - 251
Number of pages15
Volume4
Edition3rd
DOIs
Publication statusPublished - 31 Mar 2016

Fingerprint

Mental health
Resources
India
Health
Cost-effectiveness analysis
Substance use
Ethiopia
General population
Health insurance
Skilled workers
Low-income countries
Sub-Saharan Africa
Schizophrenia
Equity
Health care expenditures
Burden
Government
Costs
Public finance
Healthcare

Keywords

  • epilepsy
  • mood disorders
  • health finance
  • health outcomes
  • mental health
  • standards of care

Cite this

Chisholm, D., Johansson, K. A., Raykar, N., Megiddo, I., Nigam, A., Strand, K. B., ... Verguet, S. (2016). Universal health coverage for mental, neurological, and substance use disorders: an extended cost-effectiveness analysis. In V. Patel, D. Chisholm, T. Dua, R. Laxminarayan, & M. L. Medina-Mora (Eds.), Disease Control Priorities: Mental, Neurological, and Substance Use Disorders (3rd ed., Vol. 4, pp. 237 - 251). Washington, DC. https://doi.org/10.1596/978-1-4648-0426-7_ch13
Chisholm, Dan ; Johansson, Kjell Arne ; Raykar, Neha ; Megiddo, Itamar ; Nigam, Aditi ; Strand, Kirsten Bjerkreim ; Colson, Abigail ; Fekadu, Abebaw ; Verguet, Stéphane. / Universal health coverage for mental, neurological, and substance use disorders : an extended cost-effectiveness analysis. Disease Control Priorities: Mental, Neurological, and Substance Use Disorders . editor / Vikram Patel ; Dan Chisholm ; Tarun Dua ; Ramanan Laxminarayan ; Mari'a Lena Medina-Mora. Vol. 4 3rd. ed. Washington, DC, 2016. pp. 237 - 251
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Chisholm, D, Johansson, KA, Raykar, N, Megiddo, I, Nigam, A, Strand, KB, Colson, A, Fekadu, A & Verguet, S 2016, Universal health coverage for mental, neurological, and substance use disorders: an extended cost-effectiveness analysis. in V Patel, D Chisholm, T Dua, R Laxminarayan & ML Medina-Mora (eds), Disease Control Priorities: Mental, Neurological, and Substance Use Disorders . 3rd edn, vol. 4, Washington, DC, pp. 237 - 251. https://doi.org/10.1596/978-1-4648-0426-7_ch13

Universal health coverage for mental, neurological, and substance use disorders : an extended cost-effectiveness analysis. / Chisholm, Dan; Johansson, Kjell Arne; Raykar, Neha; Megiddo, Itamar; Nigam, Aditi; Strand, Kirsten Bjerkreim; Colson, Abigail; Fekadu, Abebaw; Verguet, Stéphane.

Disease Control Priorities: Mental, Neurological, and Substance Use Disorders . ed. / Vikram Patel; Dan Chisholm; Tarun Dua; Ramanan Laxminarayan; Mari'a Lena Medina-Mora. Vol. 4 3rd. ed. Washington, DC, 2016. p. 237 - 251.

Research output: Chapter in Book/Report/Conference proceedingChapter

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AU - Megiddo, Itamar

AU - Nigam, Aditi

AU - Strand, Kirsten Bjerkreim

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AU - Fekadu, Abebaw

AU - Verguet, Stéphane

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N2 - Considers equity and financial protection as important attributes of health systems, and uses case studies from India and Ethiopia to analyze epilepsy, schizophrenia, and depression. In India, there is a strong push toward universal public finance (UPF) to reverse decades of high, often impoverishing out-of-pocket (OOP) health care expenditures and to allocate resources more equitably. Ethiopia is one of many low-income countries in Sub-Saharan Africa facing a severe shortage of skilled workers and other resources for addressing the burden of mental, neurological, and substance use (MNS) disorders. The Ethiopian government has launched a National Mental Health Strategy which explicitly recognizes the importance of an efficient, equitable scale-up of mental health care within a broader, ongoing effort to increase levels of health insurance in the general population. The analyses show that enhanced coverage of effective treatment leads to significant improvements in population health and that this can be achieved at a very reasonable cost.

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KW - epilepsy

KW - mood disorders

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BT - Disease Control Priorities

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A2 - Dua, Tarun

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CY - Washington, DC

ER -

Chisholm D, Johansson KA, Raykar N, Megiddo I, Nigam A, Strand KB et al. Universal health coverage for mental, neurological, and substance use disorders: an extended cost-effectiveness analysis. In Patel V, Chisholm D, Dua T, Laxminarayan R, Medina-Mora ML, editors, Disease Control Priorities: Mental, Neurological, and Substance Use Disorders . 3rd ed. Vol. 4. Washington, DC. 2016. p. 237 - 251 https://doi.org/10.1596/978-1-4648-0426-7_ch13