Part,  Chapter, Paragraph

 501   II,     5.  5.  1    |               productivity. Use of formal health services is low. About one
 502   II,     5.  5.  1    |                  been reported to contact health services (Alonso et al.,
 503   II,     5.  5.  1    |                 committed suicide had had health care within the month prior
 504   II,     5.  5.  1    |       comparability and quality of mental health related register data. Problems
 505   II,     5.  5.  1    |          differences in organising mental health services and in national
 506   II,     5.  5.  1    |                  services and in national health information systems. Also
 507   II,     5.  5.  1    |                  deaths related to mental health problems or on morbidity
 508   II,     5.  5.  1    |              reality of population mental health. These statistics contain
 509   II,     5.  5.  1    |             people who suffer from mental health problems but neither die
 510   II,     5.  5.  1    |                 be used to compare mental health morbidity between EU countries.
 511   II,     5.  5.  1    |                   WHO databases~ ~The WHO Health for All (HfA) –database
 512   II,     5.  5.  1    |              indicators related to mental health. Those relevant for mood
 513   II,     5.  5.  1    |                more information on mental health data in HfA, see also the
 514   II,     5.  5.  1    |               reporting systems of mental health establishments, annual data
 515   II,     5.  5.  1    |                data collections on mental health and from health insurance
 516   II,     5.  5.  1    |                 on mental health and from health insurance data. In addition,
 517   II,     5.  5.  1    |                data collections on mental health or relevant data sources.
 518   II,     5.  5.  1    |           Co-Operation Development’s OECD Health Data 2008 offers some mental
 519   II,     5.  5.  1    |             intentional self-harm.~ ~OECD Health Data 2008 includes also
 520   II,     5.  5.  1    |              includes also general mental health indicators like mortality
 521   II,     5.  5.  1    |                 distress, positive mental health and care-seeking behaviour.~ ~
 522   II,     5.  5.  1    |            symptoms. Acceptance of mental health problems varies between
 523   II,     5.  5.  1    |            account the most severe mental health disorders such as psychotic
 524   II,     5.  5.  1    |                 using standardised mental health instruments that are available
 525   II,     5.  5.  1    |                  take into account mental health or well-being by including
 526   II,     5.  5.  1    |             derived from validated mental health scales and interpretation
 527   II,     5.  5.  1    |           disorder had contacted a formal health service. About one third
 528   II,     5.  5.  1    |            Relative burden of some mental health disorders and no disorder
 529   II,     5.  5.  1    |                  and policies~ ~EU Mental Health Policies~ ~Depression has
 530   II,     5.  5.  1    |                   one of the most serious health problems in Europe in terms
 531   II,     5.  5.  1    |                    The most recent mental health activity of the Commission
 532   II,     5.  5.  1    |                introduction of the Mental Health Pact in June 2008. The focus
 533   II,     5.  5.  1    |                   These themes are mental health at schools, mental health
 534   II,     5.  5.  1    |                 health at schools, mental health at workplace, mental health
 535   II,     5.  5.  1    |               health at workplace, mental health of older people, prevention
 536   II,     5.  5.  1    |                  themes and on the Mental Health Pact.~ ~EU co-funded mental
 537   II,     5.  5.  1    |               Pact.~ ~EU co-funded mental health projects from EU Public
 538   II,     5.  5.  1    |                   projects from EU Public Health Programmes concerning mental/
 539   II,     5.  5.  1    |                suicide~ ~The first mental health project co-funded from the
 540   II,     5.  5.  1    |               central concepts for mental health as well promoted and proposed
 541   II,     5.  5.  1    |            suicides. Thus, several mental health programmes have been co-funded
 542   II,     5.  5.  1    |              co-funded from the EU Public Health Programmes. Several have
 543   II,     5.  5.  1    |                   the promotion of mental health and prevention of mood and
 544   II,     5.  5.  1    |              Commission, 2004b):~ ~Mental health projects co-funded by the
 545   II,     5.  5.  1    |                European Commission Public Health ProgrammesContribution
 546   II,     5.  5.  1    |                    Contribution to mental health policy~General programmes
 547   II,     5.  5.  1    |             targeted to strengthen mental health policies in the EU.~o Putting
 548   II,     5.  5.  1    |                  the EU.~o Putting Mental Health on the European Agenda (
 549   II,     5.  5.  1    |                Policies, Practice and the Health Care System (2002-4).~·
 550   II,     5.  5.  1    |               2002-4).~· Promoting mental health throughout the lifespan.~
 551   II,     5.  5.  1    |              significant impact on mental health through one’s life. The
 552   II,     5.  5.  1    |              strategies to promote mental health of young children.~o Supporting
 553   II,     5.  5.  1    |            relevant information on mental health~Reliable and comparable
 554   II,     5.  5.  1    |              indicators to monitor mental health are necessary to develop
 555   II,     5.  5.  1    |          establishment of a Set of Mental Health Indicators for European
 556   II,     5.  5.  1    |                consisted of indicators of health status, determinants of
 557   II,     5.  5.  1    |                   status, determinants of health and health systems.~o The
 558   II,     5.  5.  1    |                determinants of health and health systems.~o The European
 559   II,     5.  5.  1    |             Report of the State of Mental Health in the European Union (2002-
 560   II,     5.  5.  1    |                   Member States.~o Mental Health Information and Determinants
 561   II,     5.  5.  1    |              provided final set of mental health indicators and proposed
 562   II,     5.  5.  1    |                  other than in the Public Health Field with relevance to
 563   II,     5.  5.  1    |                   and promotion of mental health in many European countries,
 564   II,     5.  5.  1    |                 and information on mental health and the promotion of inter-sectoral
 565   II,     5.  5.  1    |           approaches. The European Mental Health Pact offers a base for future
 566   II,     5.  5.  1    |                  policy action for mental health. High quality and comparable
 567   II,     5.  5.  1    |                 to be collected on mental health disorders through the use
 568   II,     5.  5.  1    |                 regular intervals. Mental health surveys should also include
 569   II,     5.  5.  1    |                     2004b). Use of mental health services in Europe: results
 570   II,     5.  5.  1    |        association? J Epidemiol Community Health 57(8):594-600.~ ~C J (2008).
 571   II,     5.  5.  1    |                  European Pact for mental Health. Brussels: European Commission,
 572   II,     5.  5.  1    |                 2004a). Action for Mental Health. Activities co-funded from
 573   II,     5.  5.  1    |                 European Community Public Health Programmes 1997-2004). Luxembourg:
 574   II,     5.  5.  1    |                   at: http://ec.europa.eu/health/ph_determinants/life_style/
 575   II,     5.  5.  1    |                  style/mental/pubs_mental_health_en.htm~ ~Fryers T (2007).
 576   II,     5.  5.  1    |             mental disorders in the World Health Organization's World Mental
 577   II,     5.  5.  1    |               Organization's World Mental Health Survey Initiative. World
 578   II,     5.  5.  1    |                use of services for mental health problems in six European
 579   II,     5.  5.  1    |                2002). Contact with mental health and primary care providers
 580   II,     5.  5.  1    |                 from the WHO World Mental Health Surveys. Br J Psychiatry
 581   II,     5.  5.  1    |     discrimination limit access to mental health care. Epidemiol Psichiatr
 582   II,     5.  5.  1    |            depression in Europe. J Mental Health Policy Econ 9(2):87-98.~ ~S F
 583   II,     5.  5.  1    |                     J Epidemiol Community Health. 62(6):545-51.~ ~ ~
 584   II,     5.  5.  2    |                 estimates for every World Health Organisation (WHO) world
 585   II,     5.  5.  2    |                Europe has nominated a NGO Health Grouping working group on “
 586   II,     5.  5.  2    |               leading to higher costs for health care and support services,
 587   II,     5.  5.  2    |                 DG Sanco under its Public Health Framework Programme for
 588   II,     5.  5.  2    |              which it stressed the public health implications of an ageing
 589   II,     5.  5.  2    |                     Ensuring the European health strategy guarantees quality
 590   II,     5.  5.  2    |           available treatments, efficient health services, prevention and
 591   II,     5.  5.  2    |               campaigns;~· Addressing the health inequalities across Europe
 592   II,     5.  5.  2    |                  making dementia a public health priority in Europe (European
 593   II,     5.  5.  2    |                 895-906~ ~European Public Health Alliance (2007): summary
 594   II,     5.  5.  2    |                the UK inquiry into mental health and well-being in later
 595   II,     5.  5.  2    |                   Annual Review of Public Health 25: 1-24.~ ~Kurz A (2002):
 596   II,     5.  5.  3    |                   as defined by the World Health Organization (WHO) that
 597   II,     5.  5.  3    |             impact on mental and physical health, and is therefore classified
 598   II,     5.  5.  3    |                 et al, in press).~ ~HBSC (Health Behaviour in School Aged
 599   II,     5.  5.  3    |               Europe; Volume 2: Available Health Information on Behavioural
 600   II,     5.  5.  3    |                Anorexia Nervosa. Austrian health statistics which inform
 601   II,     5.  5.  3    |                  Commissioner for Women’s Health).~Bulgaria~ ~X~ ~Croatia~ ~
 602   II,     5.  5.  3    |                  of systematic preventive health examinations of school children
 603   II,     5.  5.  3    |        unpublished data from the National Health Survey.~Cyprus~ ~X~ ~Czech Republic~
 604   II,     5.  5.  3    |             Bulimia and Anorexia Nervosa. Health care providers report treatment
 605   II,     5.  5.  3    |                 available. The Center for Health and Prevention in Adolescence
 606   II,     5.  5.  3    |                some data are available in Health Insurance Centre (treatment
 607   II,     5.  5.  3    |                  of systematic preventive health examinations of school children.~
 608   II,     5.  5.  3    |               Europe; Volume 2: Available Health Information on Behavioural
 609   II,     5.  5.  3    |                  particular high priority health problems of European adolescents
 610   II,     5.  5.  3    |                  Hoeken, 2003).~The HBSC (Health Behaviour in School Aged
 611   II,     5.  5.  3    |              factors influencing personal health and may contribute to fall
 612   II,     5.  5.  3    |                implemented a strategy for health in childhood and adolescence
 613   II,     5.  5.  3    |        decision-makers;~· imply important health sector, coordinate work
 614   II,     5.  5.  3    |                  and international public health and policy. In most cases,
 615   II,     5.  5.  3    |                 programmes concern mental health and do not focus on eating
 616   II,     5.  5.  3    |                 benefits for individuals, health systems and society. For
 617   II,     5.  5.  3    |             informing parents, educators, health care providers, children
 618   II,     5.  5.  3    |                    implement a comparable health monitoring system at European
 619   II,     5.  5.  3    |                national and international health monitoring systems and health promotion
 620   II,     5.  5.  3    |              Europe; Volume 1: The Public Health Challenge of Measuring the
 621   II,     5.  5.  3    |               Europe; Volume 2: Available Health Information on Behavioural
 622   II,     5.  5.  3    |                 adolescents from a public health perspective. The HELENA
 623   II,     5.  5.  3    |            Adolescence. Journal of Public Health 15:187197. Available at: htt f (
 624   II,     5.  5.  3    |                  on 12 March 2007).~World Health Organization (WHO) (2003):
 625   II,     5.  5.  3    |           disorders. National Library for Health Mental Health Specialist
 626   II,     5.  5.  3    |                 Library for Health Mental Health Specialist Library [htt ] (
 627   II,     5.  5.  3    |                  on 19 March 2008).~World Health Organization (2004): Health
 628   II,     5.  5.  3    |               Health Organization (2004): Health Policy for Children and
 629   II,     5.  5.  3    |        Adolescents, No. 4; Young people’s health in context. Health Behaviour
 630   II,     5.  5.  3    |               people’s health in context. Health Behaviour in School-aged
 631   II,     5.  5.  3    |                  on 19 March 2008).~World Health Organization (WHO) (2005):
 632   II,     5.  5.  3    |                 WHO) (2005): The European Health Report 2005Part 3 Child
 633   II,     5.  5.  3    |                Part 3 Child an adolescent health and development. WHO Library
 634   II,     5.  5.  3    |                  Information Council~HBSC~Health Behaviour in School Aged
 635   II,     5.  5.  3    |                  in Adolescence~WHO~World Health Organization~WHO Regional
 636   II,     5.  5.  3    |                   Office for Europe~World Health Organization Regional Office
 637   II,     5.  5.  3    |                   sheet of the WHO Mental Health Report, 7 per 1000 suffer
 638   II,     5.  5.  3    |                    community based mental health services were not provided (
 639   II,     5.  5.  3    |             amount of expenditures of the health care system is due to schizophrenia
 640   II,     5.  5.  3    |                   between European mental health care systems.~ ~Statistics
 641   II,     5.  5.  3    |                Another data source is IMS Health, a commercial organization
 642   II,     5.  5.  3    |             schizophrenia (IMS 2003).~ ~ ~Health indicators usually used
 643   II,     5.  5.  3    |                   of data is the European Health for all Database (HFA-DB)
 644   II,     5.  5.  3    |               strategies regarding mental health policy.~Mortality~The crude
 645   II,     5.  5.  3    |                drug therapy and in mental health services, this mortality
 646   II,     5.  5.  3    |                 differences in the mental health care systems, the extent
 647   II,     5.  5.  3    |               differences in the national health information systems and
 648   II,     5.  5.  3    |             deficiencies in international health information systems.~Not
 649   II,     5.  5.  3    |                 one fifth of DALYs due to health conditions (WHO, 2007).
 650   II,     5.  5.  3    |                   psychosis. As different health systems provide different
 651   II,     5.  5.  3    |                   treatment gap in mental health care, European data on this
 652   II,     5.  5.  3    |                   treatment gap in mental health care (people remaining untreated
 653   II,     5.  5.  3    |          guidelines may in part be due to health insurance policies but are
 654   II,     5.  5.  3    |                   The WHO-Atlas on Mental Health delivers an overview on
 655   II,     5.  5.  3    |                   Table 5.5.3.2.5. Mental health service in Europe~Not only
 656   II,     5.  5.  3    |                WHO-initiated World Mental Health Surveys (WHO, 2004), which
 657   II,     5.  5.  3    |          specialized personnel for mental health services are an important
 658   II,     5.  5.  3    |                 resource of a good mental health system. On average, the
 659   II,     5.  5.  3    |      community-based care.~The 2001 World Health Report on Mental Health
 660   II,     5.  5.  3    |                   Health Report on Mental Health strongly favours the benefits
 661   II,     5.  5.  3    |              extent and quality of mental health care in European countries
 662   II,     5.  5.  3    |                   the WHO Atlas on mental health resources in the world (
 663   II,     5.  5.  3    |                 not have specified mental health policies. More than two
 664   II,     5.  5.  3    |                   them do not have mental health programmes. One fifth does
 665   II,     5.  5.  3    |                tenth does not have mental health legislation”.~These deficits
 666   II,     5.  5.  3    |                allocation of the national health budgets to mental disorders:
 667   II,     5.  5.  3    |             budget is allocated to mental health care. Research is necessary
 668   II,     5.  5.  3    |                  necessary to find out if health expenditures reflect quality
 669   II,     5.  5.  3    |             psychotropic drugs and mental health workers. Furthermore, stigma
 670   II,     5.  5.  3    |                 EU Green Paper for Mental Health, fighting stigma is one
 671   II,     5.  5.  3    |               people and improving mental health care. An evaluation of the
 672   II,     5.  5.  3    |                   Expenditures by kind of health care service for year 2002
 673   II,     5.  5.  3    |                   on the amount of mental health expenditure. Families of
 674   II,     5.  5.  3    |          segmented according to different health care services, reflect the
 675   II,     5.  5.  3    |                policies~ ~National mental health acts or programmes~Before
 676   II,     5.  5.  3    |                strategy to improve mental health in the European Region.
 677   II,     5.  5.  3    |                 below:~· WHO Atlas Mental Health, published in 2001Collection
 678   II,     5.  5.  3    |          Collection of data on the mental health care system. www Mental
 679   II,     5.  5.  3    |                   care system. www Mental Health in Europe 2001 - Country
 680   II,     5.  5.  3    |                European Network on Mental Health~www. Mental health: facing
 681   II,     5.  5.  3    |                 Mental Health~www. Mental health: facing the challenges,
 682   II,     5.  5.  3    |               Commission, 2006a)~· Mental Health in the EUKey facts, figures
 683   II,     5.  5.  3    |         EU-programmes dealing with mental health. However, there is still
 684   II,     5.  5.  3    |             initiate a Europe-wide Mental Health Pact during a EU Health
 685   II,     5.  5.  3    |                   Health Pact during a EU Health Ministerial conference held
 686   II,     5.  5.  3    |        consolidated version of the Mental Health Pact – ww . The Implementation
 687   II,     5.  5.  3    |                future direction of mental health care was edited in the UK.
 688   II,     5.  5.  3    |               National Alliance on Mental Health supported by the Ministry
 689   II,     5.  5.  3    |              supported by the Ministry of Health. This is meant to continue
 690   II,     5.  5.  3    |         ameliorate the delivery of mental health care by providing area-wide
 691   II,     5.  5.  3    |                   of all necessary mental health services and providers;~·
 692   II,     5.  5.  3    |                   AGREE project. Qual Saf Health Care 12:18-23.~Andlin-Sobocki
 693   II,     5.  5.  3    |        Andlin-Sobocki P, Rössler W (2002):Health inequalities and the health
 694   II,     5.  5.  3    |               Health inequalities and the health needs of people with mental
 695   II,     5.  5.  3    |              mental illness. N S W Public Health Bull 13(7):155-8.~Andlin-Sobocki
 696   II,     5.  5.  3    |                 Clinl Pract Epidemol Ment Health 3(1):23 [Epub ahead of print].~
 697   II,     5.  5.  3    |             Chatterji S; WHO World Mental Health Survey Consortium (2004):
 698   II,     5.  5.  3    |             mental disorders in the World Health Organization World Mental
 699   II,     5.  5.  3    |                 Organization World Mental Health Surveys. Journal of the
 700   II,     5.  5.  3    |               Paper. Improving the mental health of the population: Towards
 701   II,     5.  5.  3    |              Towards a strategy on mental health for the European Union.
 702   II,     5.  5.  3    |                Available at: ec.europa.eu/health/ph_determinants/life_style/
 703   II,     5.  5.  3    |           Consultative Platform on Mental Health.~ec.europa.eu/health/ph_
 704   II,     5.  5.  3    |               Mental Health.~ec.europa.eu/health/ph_determinants/life_style/
 705   II,     5.  5.  3    |                for their patients? J Ment Health Policy Econ 10:63-71.~Fors
 706   II,     5.  5.  3    |              Thornicroft G (2007): Mental Health Policy and Practice across
 707   II,     5.  5.  3    |                future direction of mental health care. Open University Press,
 708   II,     5.  5.  3    |                   treatment gap in mental health care. Bull World Health
 709   II,     5.  5.  3    |                   health care. Bull World Health Organ. 82(11):858-66.~Lacro
 710   II,     5.  5.  3    |                   MR, Rahman A (2007): No health without mental health. Lancet
 711   II,     5.  5.  3    |                  No health without mental health. Lancet 370(9590):859-77.~
 712   II,     5.  5.  3    |                  2007): Stigma and mental health. Lancet 370(9590):810-11.~
 713   II,     5.  5.  3    |         Psychiatry 56(8):733-40.~NOMESCO. Health Statistics in the Nordic
 714   II,     5.  5.  3    |                   Countries 2005 - Mental health in the Nordic countries (
 715   II,     5.  5.  3    |               Neurosci 253:321-329.~World Health Organization (WHO) (1997):
 716   II,     5.  5.  3    |                   and schizophrenia World Health Organization, Division of
 717   II,     5.  5.  3    |          Organization, Division of Mental Health and Prevention of Substance
 718   II,     5.  5.  3    |            Substance abuse, Geneva.~World Health Organization (WHO) (2001a) -
 719   II,     5.  5.  3    |            Regional Office Europe: Mental Health in Europe. Country Reports
 720   II,     5.  5.  3    |                European Network on Mental Health. Available at: www f; last
 721   II,     5.  5.  3    |              accessed Dec 13, 2007.~World Health Organization (WHO) (2001b):
 722   II,     5.  5.  3    |                     2001b): Atlas. Mental health resources in the world 2001.
 723   II,     5.  5.  3    |              accessed Dec 13, 2007.~World Health Organisation (WHO) - World
 724   II,     5.  5.  3    |         Organisation (WHO) - World Mental Health Survey Consortium (2004):
 725   II,     5.  5.  3    |             mental disorders in the World Health Organization World Mental
 726   II,     5.  5.  3    |                 Organization World Mental Health Surveys (Kessler RC). JAMA
 727   II,     5.  5.  3    |                 291 (21):2581-2590.~World Health Organization (2005a): Prevention
 728   II,     5.  5.  3    |              accessed Dec 13, 2007.~World Health Organization (2005b): Press
 729   II,     5.  5.  3    |              accessed Dec 13, 2007.~World Health Organization (2005c): Mental
 730   II,     5.  5.  3    |              Organization (2005c): Mental health: facing the challenges,
 731   II,     5.  5.  3    |              accessed Dec 13, 2007.~World Health Organization (2005d) -WHO
 732   II,     5.  5.  3    |                   Europe: Helsinki Mental Health Declaration for Europe.
 733   II,     5.  5.  3    |                   practitioner for mental health problems in a rural town.
 734   II,     5.  5.  3    |                 to comment on the current health service usage per Member
 735   II,     5.  5.  3    |                   the prevention of other health problems e.g. cardio-vascular
 736   II,     5.  5.  3    |              costs are those generated by health and social care provision (
 737   II,     5.  5.  3    |                   way. Indeed, the public health burden of these disorders
 738   II,     5.  5.  3    |         co-financed project by the Public Health Executive Agency (PHEA)
 739   II,     5.  5.  3    |          extensive training of a range of health, social care and education
 740   II,     5.  5.  3    |            related areas including mental health, the criminal justice system
 741   II,     5.  5.  3    |           scientific community and public health sector. Although both the
 742   II,     5.  5.  3    |                 trained personnel and the health services structure and whether
 743   II,     5.  5.  3    |                  policy for education and health services for people and
 744   II,     5.  5.  3    |                  Trends in Autism. Public Health Reports, Nov-Dec.~Fombonne
 745   II,     5.  5.  3    |           Otherwise Specified~PHEA~Public Health Executive Agency~ ~
 746   II,     5.  5.  3    |             capabilities of the available health care facilities. Although
 747   II,     5.  5.  3    |                   on the patient’s or the health authority’s perspective (
 748   II,     5.  5.  3    |                 may be too high. From the health authority perspective, however,
 749   II,     5.  5.  3    |              local situation. Networks of health care workers (physicians,
 750   II,     5.  5.  3    |         interactions between professional health care workers should be increased
 751   II,     5.  5.  3    |                   epilepsy and associated health usage. J Neurol Neurosurg
 752   II,     5.  5.  3    |                  Rosati, in press), World Health Organisation (WHO) and Eurostat
 753   II,     5.  5.  3    |               improvement of the national health care system, multiple large
 754   II,     5.  5.  3    |            evaluating the burden of MS in health economics. DALYs are the
 755   II,     5.  5.  3    |              gains in measures of general health, pain, role-emotion, and
 756   II,     5.  5.  3    |             Multiple Sclerosis Societies. Health Departments in most member
 757   II,     5.  5.  3    |              obtain from their respective health services, as well as in
 758   II,     5.  5.  3    |         Parliament urged the Ministers of Health of the European Union to
 759   II,     5.  5.  3    |                 of coordination on public health.~ ~The Code describes good
 760   II,     5.  5.  3    |                 key areas critical to the health and Quality of Life of People
 761   II,     5.  5.  3    |                 Commission and the German Health Minister Ulla Schmidt, during
 762   II,     5.  5.  3    |                   for profit or no-profit health and social services providers,
 763   II,     5.  5.  3    |                 the European Commission’s Health Policy Forum, and is also
 764   II,     5.  5.  3    |           multiple sclerosis in the Leeds Health Authority. J Neurol Neurosurg
 765   II,     5.  5.  3    |              cost-effectiveness analysis. Health Policy and Planning 16;326-
 766   II,     5.  5.  3    |                Rehabil 65:135-138.~Global Health Atlas (2005). Available
 767   II,     5.  5.  3    |                   a response to Williams. Health Economics 9:69-82.~Myhr
 768   II,     5.  5.  3    |               countries 19791997. Public Health 118:268283.~Pugliatti M,
 769   II,     5.  5.  3    |              Psychiatry 78:707-709.~World Health Organization (WHO) (2004a).
 770   II,     5.  5.  3    |                   2002 Estimates. In: WHO Health Report 2004.~World Health
 771   II,     5.  5.  3    |                 Health Report 2004.~World Health Organization (WHO) (2004b):
 772   II,     5.  5.  3    |                  In: WHO (eds): The world health report 2004 - changing history.
 773   II,     5.  5.  3    |                  United Kingdom~WHO~World Health Organization~YLD~Years Of
 774   II,     5.  5.  3    |           literature search in electronic health information databases. Data
 775   II,     5.  5.  3    |                   the individual, family, health services and society, ii)
 776   II,     5.  5.  3    |               will be critical for future health care planning in societies
 777   II,     5.  5.  3    |                 reason might be that less health service is offered to the
 778   II,     5.  5.  3    |                 There are several gaps in health economic and epidemiological
 779   II,     5.  5.  3    |                   it includes projects on health economic evaluation of brain
 780   II,     5.  5.  3    |                   different economies and health care systems.~NGOs, which
 781   II,     5.  5.  3    |                   practice parameters and health technology assessments regarding
 782   II,     5.  5.  3    |             represents an enormous public health challenge.~ ~
 783   II,     5.  5.  3    |                  Rodnitzky RL (1998): The health burdens of Parkinson’s disease.
 784   II,     5.  5.  3    |                along.pdf~Eurostat (2002): Health statistics: key data on
 785   II,     5.  5.  3    |                   statistics: key data on health, 2002. Available at: htt F.~
 786   II,     5.  5.  3    |                  is the evidence? Environ Health Perspect 113(9):1234-1238.~
 787   II,     5.  5.  3    |               district of the Northampton Health Authority, United Kingdom.
 788   II,     5.  6.  1    |                They are a major burden on health and social care, are one
 789   II,     5.  6.  1    |                  the most common cause of health problems limiting work and
 790   II,     5.  6.  1    |           sick leave (Swedish Yearbook of Health and Medical Care, 2001).~ ~
 791   II,     5.  6.  1    |                 United Nations, the World Health Organisation, World Bank
 792   II,     5.  6.  2    |              Limitation: the great public health challenge. University of
 793   II,     5.  6.  2    |            Towards Better Musculoskeletal Health: A guide to the prevention
 794   II,     5.  6.  2    |            Towards Better Musculoskeletal Health)~· Woolf AD, Pfleger B Burden
 795   II,     5.  6.  3    |           disability and quality of life; health care utilization; economic
 796   II,     5.  6.  3    |            Towards Better Musculoskeletal Health), which is greater with
 797   II,     5.  6.  3    |          countries (Lopez et al, 2006).~ ~Health care utilization~ ~Musculoskeletal
 798   II,     5.  6.  3    |                  the most common cause of health problems limiting work in
 799   II,     5.  6.  3    |               reason (Swedish Yearbook of Health and Medical Care, 2001).~ ~
 800   II,     5.  6.  3    |             conditions ranked second as a health care cost in 1994 (Meerding
 801   II,     5.  6.  3    |                accounting for 6% of total health care costs compared to 8.
 802   II,     5.  6.  3    |                  the number presenting to health care with OA by agreed criteria.
 803   II,     5.  6.  3    |                   point of view of public health, based on their prevalence
 804   II,     5.  6.  3    |                   loss, and of social and health care. There is little data
 805   II,     5.  6.  3    |            Towards Better Musculoskeletal Health).~ ~Incidence~ ~A review
 806   II,     5.  6.  3    |            Towards Better Musculoskeletal Health). Physiotherapy and adaptations
 807   II,     5.  6.  3    |           expressed by functional status, health status and health status
 808   II,     5.  6.  3    |                 status, health status and health status perception, radiological
 809   II,     5.  6.  3    |                  Low back pain is a major health and socio-economic problem
 810   II,     5.  6.  3    |                   Psychosocial aspects of health and work combined with economic
 811   II,     5.  6.  3    |                  back pain, the impact on health and low frequency of return
 812   II,     5.  6.  4    |                prioritizing resources for health and social care. Most of
 813   II,     5.  6.  4    |            related to the direct costs of health care, although these are
 814   II,     5.  6.  4    |                work disability and use of health resources are illustrated
 815   II,     5.  6.  4    |                   weeks), musculoskeletal health complaints are second only
 816   II,     5.  6.  4    |             gender. Norway 1997.~ ~Use of health care services~ ~About one-quarter
 817   II,     5.  6.  4    |                   2007).~ ~The associated health care costs that are generated
 818   II,     5.  6.  4    |                 The total direct cost for health services due to musculoskeletal
 819   II,     5.  6.  5    |            Towards Better Musculoskeletal Health (European Commission (2004):
 820   II,     5.  6.  5    |            Towards Better Musculoskeletal Health). These bring together the
 821   II,     5.  6.  5    |              orthopaedics, trauma, public health, health promotion and policy
 822   II,     5.  6.  5    |                   improve musculoskeletal health whatever the underlying
 823   II,     5.  6.  5    |                  and representatives; and health care providers want to be
 824   II,     5.  6.  5    |                 and http f. The potential health gains are given in the full
 825   II,     5.  6.  6    |           disorders as a cause of chronic health problems, disability, and
 826   II,     5.  6.  6    |                 problems, disability, and health care utilization: findings
 827   II,     5.  6.  6    |            findings from the 1990 Ontario Health Survey. J Rheumatol 21:505-
 828   II,     5.  6.  6    |                 132:701-707~Department of Health and Social Services, UK (
 829   II,     5.  6.  6    |                   adults.~ ~Department of Health, UK (2006): The Musculoskeletal
 830   II,     5.  6.  6    |            Towards Better Musculoskeletal Health, ISBN 91-975284-0-4. Bone
 831   II,     5.  6.  6    |               European Commission (2007): Health in the European Union. Special
 832   II,     5.  6.  6    |        Socialstyrelsen (National Board of Health and Welfare)~ ~Johnell O,
 833   II,     5.  6.  6    |          Assessment. Int J Technol Assess Health Care 16(4):1193-200~Juni
 834   II,     5.  6.  6    |           fracture according to the World Health Organization criteria for
 835   II,     5.  6.  6    |                   222-6~National Board on Health and Welfare (Sweden) (2001):
 836   II,     5.  6.  6    |               Sweden) (2001): Yearbook of Health and Medical Care 2001. Available
 837   II,     5.  6.  6    |        osteoarthritis among patients in a health maintenance organization.
 838   II,     5.  6.  6    |                   population. Am J Public Health 87:1680-1682~Reynolds DL,
 839   II,     5.  6.  6    |            Available at URL: htt f. World Health Organization, Geneva~ ~Symmons
 840   II,     5.  6.  6    |           osteoporosis: report of a World Health Organization Study Group.
 841   II,     5.  6.  6    |             Series No. 843. Geneva, World Health Organization~ ~WHO (2003):
 842   II,     5.  6.  6    |                WHO Europe (2006): Gaining Health. The European Strategy for
 843   II,     5.  6.  6    |    Musculoskeletal Conditions. Bull World Health Organ 81(9):646-56~Woolf
 844   II,     5.  7.Acr    |               Disease~NHANES III~National Health and Nutrition Examination
 845   II,     5.  7.Acr    |             Replacement Therapy~WHO~World Health Organization~ ~
 846   II,     5.  7.  1    |              recognized as a major public health problem. CKD can be detected
 847   II,     5.  7.  1    |                 derived from the National Health and Nutrition Examination
 848   II,     5.  7.  1    |               been translated into public health policies. Moreover, early
 849   II,     5.  7.  1    |                the 2005 WHO report (World Health Organization, 2005; Yach
 850   II,     5.  7.  1    |             overlooked by governments and health authorities and ignored
 851   II,     5.  7.  1    |               consume a large fraction of health care resources, full recognition
 852   II,     5.  7.  1    |            conditions. For these reasons, health policies for CKD need to
 853   II,     5.  7.  1    |                   Italy 1.8% of the total health care budget was spent for
 854   II,     5.  7.  2    |          resulting information may assist health authorities and health planners
 855   II,     5.  7.  2    |             assist health authorities and health planners in the formulation
 856   II,     5.  7.  4    |                   inequalities affect the health of disadvantaged people
 857   II,     5.  7.  4    |                  access to and quality of health care and by survival from
 858   II,     5.  7.  5    |                   Policies~ ~· The Danish Health Ministry has had a quality
 859   II,     5.  7.  5    |                 In Greece the Ministry of Health has not issued any objectives,
 860   II,     5.  7.  5    |              presented to a Parliamentary Health Commission. Unfortunately,
 861   II,     5.  7.  5    |              national level.~· The public health policy in Finland is that
 862   II,     5.  7.  5    |           national level, as the national health authorities have decided
 863   II,     5.  7.  5    |                these subjects into public health policies on cardiovascular
 864   II,     5.  7.  5    |                  provision and quality of health care. At present, there
 865   II,     5.  7.  5    |               2004 the French Ministry of Health established a list of 100
 866   II,     5.  7.  5    |          established a list of 100 public health objectives; two of which
 867   II,     5.  7.  5    |                  in Rome, the Ministry of Health agreed that a public health
 868   II,     5.  7.  5    |               Health agreed that a public health policy should be developed
 869   II,     5.  7.  5    |             Nephrology to the Ministry of Health and it is possible that
 870   II,     5.  7.  5    |                 stages.~· The Ministry of Health in Norway has started a
 871   II,     5.  7.  5    |                  The Austrian Ministry of Health commissioned an institute (
 872   II,     5.  7.  5    |               OEBIG) to issue an Austrian Health Plan (OESG).Regulations
 873   II,     5.  7.  5    |               have been indicated in this Health Plan. The Plan also stated,
 874   II,     5.  7.  5    |          assurance in ESRD treatment. The Health Plan found its way to regional
 875   II,     5.  7.  5    |                 found its way to regional health legislation and planning
 876   II,     5.  7.  5    |            Centres.~· There are no public health policies on CKD or RRT in
 877   II,     5.  7.  6    |                   funded under the Public Health Programme of the European
 878   II,     5.  7.  6    |                   have developed national health policies regarding RRT for
 879   II,     5.  7.  6    |                  pan-European or national health plans of the calibre of
 880   II,     5.  7.  6    |                 steps to ensure that good health, as well as long life, are
 881   II,     5.  7.  7    |             System, National Institute of Health, National Institute of Diabetes
 882   II,     5.  7.  7    |              follow-up of cross sectional health survey. BMJ 2006 Nov 18;
 883   II,     5.  7.  7    |                    International Study of Health Care Organization and Financing
 884   II,     5.  7.  7    |                   evolving reality. Int J Health Care Finance Econ 2007 Jul
 885   II,     5.  7.  7    |                     Distribution of major health risks: findings from the
 886   II,     5.  7.  7    |                 results from the National Health Examination and Nutrition
 887   II,     5.  8.Acr    |            European Community Respiratory Health Survey~ELF~European Lung
 888   II,     5.  8.  1    |          substantial implications for the health of the European population.
 889   II,     5.  8.  2    |                  reviewed journals~- Lung Health in Europe Facts & Figures,
 890   II,     5.  8.  2    |           Mortality Database of the World Health Organization,~ Regional
 891   II,     5.  8.  3    |                 and Review of Housing and Health Status Study (WHO LARES)
 892   II,     5.  8.  3    |            European Community Respiratory Health Survey (ECRHS), were used
 893   II,     5.  8.  3    |            European Community Respiratory Health Survey~ ~ ~The Po Delta
 894   II,     5.  8.  3    |          frequently have multiple chronic health conditions. The severity
 895   II,     5.  8.  3    |                  highlighted that a lower health status (total SGRQ > 60)
 896   II,     5.  8.  3    |                   of European Housing and Health Status (LARES) study by
 897   II,     5.  8.  3    |                   negative effects on the health related quality of life (
 898   II,     5.  8.  3    |      comorbidities.~ ~Economic burden and health care utilization~ ~Several
 899   II,     5.  8.  4    |            European Community Respiratory Health Survey (ECRHS) study high
 900   II,     5.  8.  5    |              being developed by the World Health Organization (WHO) together
 901   II,     5.  8.  6    |                   contrast the increasing health and economic burden of COPD.~ ~
 902   II,     5.  8.  6    |            Moreover, some aspects of COPD health care should also be also
 903   II,     5.  8.  6    |                 been little comparison of health care utilization during
 904   II,     5.  8.  6    |         understanding current patterns of health care utilization.~ ~
 905   II,     5.  8.  7    |            European Community Respiratory Health Survey Study Group. An international
 906   II,     5.  8.  7    |                  disease in France. Value Health 2004; 7: 168-174.~ ~European
 907   II,     5.  8.  7    |       comprehensive survey on respiratory health in Europe”. Loddenkemper
 908   II,     5.  8.  7    |               Rennie D., Stang M (2008):. Health care utilization of patients
 909   II,     5.  8.  7    |         systematic analysis of population health data. Lancet 2006; 367:
 910   II,     5.  8.  7    |                  of asthma or COPD from a health interview survey and from
 911   II,     5.  8.  7    |                  difference? Eur J Public Health 2006; 16: 101-105.~ ~Murray
 912   II,     5.  8.  7    |                  443-453.~Niederlander E. Health (2006): In “Population and
 913   II,     5.  8.  7    |            European Community Respiratory Health Survey (2005): Lung Function
 914   II,     5.  8.  7    |                Croatian Journal of Public Health 3(10)- www/hcjz.hr~ ~Wagena
 915   II,     5.  9.Acr    |            European Community Respiratory Health Survey~GA LEN~Global Allergy
 916   II,     5.  9. FB    |                has developed into a major health concern in Europe, with
 917   II,     5.  9. FB    |        socio-economic burden, in terms of health care utilization, medication
 918   II,     5.  9. FB    |                   treatment compliance by health professionals is linked
 919   II,     5.  9. FB    |             allergic diseases require the health care system to ensure regular
 920   II,     5.  9. FB    |                   become a serious public health issue. If preventive intervention
 921   II,     5.  9. FB    |          prevention~ ~The organization of health care should be reconsidered
 922   II,     5.  9. FB    |        harmonization and effectiveness of health care systems and professional
 923   II,     5.  9. FB    |                people, besides increasing health care costs and lost productivity.
 924   II,     5.  9. FB    |                additional expenditure for health care systems for then reducing
 925   II,     5.  9.  1    |            European Community Respiratory Health Survey (ECRHS) and the International
 926   II,     5.  9.  2    |                 Framework Program;~- Lung Health in Europe Facts & Figures,
 927   II,     5.  9.  2    |             Co-operation and Development) Health Working Paper~ ~Mortality
 928   II,     5.  9.  3    |            European Community Respiratory Health Survey (ECRHS) in 199193
 929   II,     5.  9.  3    |                  be considered a sentinel health event of the access to and
 930   II,     5.  9.  3    |                 the quality of outpatient health care.~ ~Deaths due to asthma
 931   II,     5.  9.  3    |                  9.5.)~ ~ ~ ~The costs of health care~ ~Data provided by
 932   II,     5.  9.  3    |                    8 patients died. (Lung Health in Europe, 2003 ERJ)~ ~According
 933   II,     5.  9.  3    |             Allergic diseases as a public health problem in Europe, The UCB
 934   II,     5.  9.  3    |              Institute of Allergy, 1997), health care providers and authorities
 935   II,     5.  9.  3    |               increasing factor in public health costs. Although they can
 936   II,     5.  9.  3    |                   estimated - in terms of health care and absenteeism, for
 937   II,     5.  9.  3    |                continuous drain on public health resources and loss of workdays.
 938   II,     5.  9.  3    |           included in all statistics from health providers. Antiallergic
 939   II,     5.  9.  3    |                additional expenditure for health care systems but then reducing
 940   II,     5.  9.  3    |          amounting to €9.8 billion) (Lung Health in Europe Facts & Figures,
 941   II,     5.  9.  3    |                care (€ 0.5 billion) (Lung Health in Europe, 2003).~ ~In a
 942   II,     5.  9.  4    |                  The European Respiratory Health Survey (ECRHS) in Sweden,
 943   II,     5.  9.  4    |            European Community Respiratory Health Survey-II 2002) investigated
 944   II,     5.  9.  4    |            European Community Respiratory Health Survey 1994) and did not
 945   II,     5.  9.  4    |            European Community Respiratory Health Survey I showed that seven
 946   II,     5.  9.  4    |              using the European Community Health Respiratory Survey I data, (
 947   II,     5.  9.  4    |              social status. In the German Health Interview and Examination
 948   II,     5.  9.  4    |             Heinrich et al, 2001).~ ~Some health effects of air pollution
 949   II,     5.  9.  4    |                  PAHs.~ ~Another project (Health effects of particles from
 950   II,     5.  9.  4    |              research/environment/pdf/env_health_projects/air_pollution/ap-hepmeap.
 951   II,     5.  9.  5    |             diseases were included in all health statistics.~ ~Primary prevention~ ~
 952   II,     5.  9.  5    |               additional expenditures for health care systems, but also reducing
 953   II,     5.  9.  5    |          prevention~ ~The organization of health care has to be reconsidered
 954   II,     5.  9.  5    |        harmonization and effectiveness of health care systems and professional
 955   II,     5.  9.  5    |                  in reality, also primary health care teams must be strengthened
 956   II,     5.  9.  5    |                 In general, two levels of health care are to be considered.
 957   II,     5.  9.  5    |                  first one is the primary health care level in which general
 958   II,     5.  9.  5    |          effectiveness of these models of health care organization and there
 959   II,     5.  9.  5    |                 the intervention onto the health care systems.~ ~
 960   II,     5.  9.  6    |              burden, not only in terms of health care costs and lost productivity
 961   II,     5.  9.  6    |                 other people. This is why Health Related Quality of Life (
 962   II,     5.  9.  6    |                  tools can be used in all health conditions and allow the
 963   II,     5.  9.  6    |                   focus on the aspects of health status relevant for patients
 964   II,     5.  9.  7    |            European Community Respiratory Health Survey. Eur Respir J, 1994,
 965   II,     5.  9.  7    |            European Community Respiratory Health Survey-II. (2002): The European
 966   II,     5.  9.  7    |            European Community Respiratory Health Survey-II Steering Committee.
 967   II,     5.  9.  7    |                Centre for Environment and Health, Institute of Epidemiology,
 968   II,     5.  9.  7    |                   Feb;25(2):55-67.~ ~Lung Health in Europe (2003): Facts &
 969   II,     5.  9.  7    |                   Results from the German Health Interview and Examination
 970   II,     5.  9.  7    |             Allergic diseases as a public health problem in Europe, 1997~ ~
 971   II,     5.  9.  7    |                Croatian Journal of Public Health 2007; 3(10) - www.hcjz.hr~ ~
 972   II,     5.  9.  7    |                 Epub 2006 May 19.~ ~World Health Organization (WHO) (1952):
 973   II,     5.  9.  7    |                 Constitution of the World Health Organization. Handbook of
 974   II,     5.  9.  7    |                 Palais des Nations, World Health Organization, 1952: 320~ ~Wü B (
 975   II,     5. 10.Acr    |            European Community Respiratory Health Survey~EFSA~European Food
 976   II,     5. 10.  1    |                 report having experienced health problems by eating a particular
 977   II,     5. 10.  1    |                  children (EFSA, 2004).~ ~Health consequences of FA range
 978   II,     5. 10.  2    |            European Community Respiratory Health Survey (ECRHS, htt ), a
 979   II,     5. 10.  4    |                   to the low awareness of health professionals regarding
 980   II,     5. 10.  4    |               social isolation and mental health problems (Knibb et al, 2000).~ ~
 981   II,     5. 10.  7    |               2006- Food Allergies. World Health Organization, 9 June 2006. htt ~ ~
 982   II,     5. 10.  7    |                 community sample. Psychol Health Med 5:419-430.~Kosunen TU,
 983   II,     5. 10.  7    |            European Community Respiratory Health Survey (ECRHS) 1991-1994.
 984   II,     5. 11.Acr    |                Children’s Environment and Health Action Plan for Europe~EDEN~
 985   II,     5. 11.  3    |               little is known about other health effects of piercing, in
 986   II,     5. 11.  3    |             knowledge about this emerging health problem is definitely important
 987   II,     5. 11.  3    |                disease only from a public health perspective. The study of
 988   II,     5. 11.  3    |                  capacity of many current health care systems to cope with
 989   II,     5. 11.  4    |            profound effect on a country’s health care budget because skin
 990   II,     5. 11.  5    |             Conference on Environment and Health in London 1999 and the Fourth
 991   II,     5. 11.  5    |              traced the path for a public health policy response to reduce
 992   II,     5. 11.  5    |                children’s environment and health action plan for Europe (
 993   II,     5. 11.  5    |                   access to environmental health information and education.~
 994   II,     5. 11.  5    |                  is the Environmental and Health Plan of the European Commission
 995   II,     5. 11.  6    |                 which to plan appropriate health services.~The second gap
 996   II,     5. 11.  6    |             effectiveness for the various health care systems that currently
 997   II,     5. 11.  6    |           formulate more effective public health strategies to respond to
 998   II,     5. 11.  7    |              States, 19711974. Vital and Health Statistics: Series 11, No.
 999   II,     5. 11.  7    |                 79–1660. US Department of Health, Education and Welfare,
1000   II,     5. 11.  7    |              Welfare, National Center for Health Statistics 1978: 172~ ~