The Public Health Service strategic plan to combat HIV & AIDS in the United States /

Running title: Strategic plan to combat AIDS & HIV in the U.S.

Toward equality of well-being : strategies for improving minority health : strategic planning and coordination process.

S/N 037017-024-01504-1 (GPO).

Health Security Act.

Shipping list no.: 93-0618-P.

Meeting the challenge : a research agenda for America's health, safety, and food.

"February 1996."

Mental health : improper restraint or seclusion use places people at risk : report to Congressional requesters /

"B-282597"--P. 1.

Basic health care for the medically indigent /

"January, 1989."

Challenge and opportunity: public health in an era of change.

"March 1996."

Health care in rural Illinois : strategies for change /

Developed by the Department's Division of Health Policy and Finance within the Office of Health Policy and Planning.

Home health agencies in Illinois, 1987 : a cooperative study of Illinois Department of Public Health and Illinois Council on Home Health Services.

Mode of access: Internet.

Health care in rural Illinois : recommendations of the Rural Health Task Force.

"April, 1990."

Proprietary health care facilities and services in Illinois.

On prelim. p.: Office of Health Policy and Planning, Division of Health Information and Evaluation.

Regulatory reform: a report to the Governor and the General Assembly from the Illinois Department of Mental Health and Developmental Disabilities as required under Senate Joint Resolution 180.

Cover title.

The Public health index : measuring the health of Illinois residents.

"January, 1988."

Improving supportive care for women with breast cancer in Australia: The challenge of modifying health systems

Although the benefits of many psychosocial support strategies in improving well being in women with breast cancer have been demonstrated, few women receive these programs as part of routine care. This paper provides some recommendations, based on experience in Australia, about how access to evidence-based supportive care strategies might be improved through modification of health systems. It demonstrates the paucity of research about the costs and health service implications of psychosocial support strategies, which is vital to health planning and service delivery change. It outlines the systematic approach taken in Australia to improving psychosocial support nationally by: the development of research reviews; preparation of guidelines about supportive care, implementation of programs to foster the adoption of guidelines through modification of policy, health service delivery and clinician training; and monitoring programs. Coalitions of government, health care professionals and consumers are key to effective lobbying for change. If all women with breast cancer are to receive better supportive care, there is a need for approaches which: refocus the research effort in psycho-oncology; develop more strategic approaches to generating change in health systems and health policy and foster partnerships to advocate for improved resources. Copyright (C) 2003 John Wiley Sons, Ltd.

Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders

Background Mental health survey data are now being used proactively to decide how the burden of disease might best be reduced. Aims To study the cost-effectiveness of current and optimal treatments for mental disorders and the proportion of burden avertable by each. Method Data for three affective, four anxiety and two alcohol use disorders and for schizophrenia were compared in terms of cost, burden averted and efficiency of current and optimal treatment. We then calculated the burden unavertable given current knowledge. The unit of health gain was a reduction in the years lived with disability (YLDs). Results Summing across all disorders, current treatment averted 13% of the burden, at an average cost of AUS$30 000 per YLD gained. Optimal treatment at current coverage could avert 20% of the burden, at an average cost of AUS$18 000 per YLD gained. Optimal treatment at optimal coverage could avert 28% of the burden, at AUS$16 000 per YLD gained. Sixty per cent of the burden of mental disorders was deemed to be unavertable. Conclusions The efficiency of treatment varied more than tenfold across disorders. Although coverage of some of the more efficient treatments should be extended, other factors justify continued use of less-efficient treatments for some disorders. Declaration of interest None. Funding detailed in Acknowledgements.