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Sökning: WFRF:(Bergh Andreas)

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  • Gustavsson, Anders, et al. (författare)
  • Cost of disorders of the brain in Europe 2010.
  • 2011
  • Ingår i: European Neuropsychopharmacology. - Amsterdam : Elsevier BV. - 0924-977X .- 1873-7862. ; 21:10, s. 718-79
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: The spectrum of disorders of the brain is large, covering hundreds of disorders that are listed in either the mental or neurological disorder chapters of the established international diagnostic classification systems. These disorders have a high prevalence as well as short- and long-term impairments and disabilities. Therefore they are an emotional, financial and social burden to the patients, their families and their social network. In a 2005 landmark study, we estimated for the first time the annual cost of 12 major groups of disorders of the brain in Europe and gave a conservative estimate of €386 billion for the year 2004. This estimate was limited in scope and conservative due to the lack of sufficiently comprehensive epidemiological and/or economic data on several important diagnostic groups. We are now in a position to substantially improve and revise the 2004 estimates. In the present report we cover 19 major groups of disorders, 7 more than previously, of an increased range of age groups and more cost items. We therefore present much improved cost estimates. Our revised estimates also now include the new EU member states, and hence a population of 514 million people.AIMS: To estimate the number of persons with defined disorders of the brain in Europe in 2010, the total cost per person related to each disease in terms of direct and indirect costs, and an estimate of the total cost per disorder and country.METHODS: The best available estimates of the prevalence and cost per person for 19 groups of disorders of the brain (covering well over 100 specific disorders) were identified via a systematic review of the published literature. Together with the twelve disorders included in 2004, the following range of mental and neurologic groups of disorders is covered: addictive disorders, affective disorders, anxiety disorders, brain tumor, childhood and adolescent disorders (developmental disorders), dementia, eating disorders, epilepsy, mental retardation, migraine, multiple sclerosis, neuromuscular disorders, Parkinson's disease, personality disorders, psychotic disorders, sleep disorders, somatoform disorders, stroke, and traumatic brain injury. Epidemiologic panels were charged to complete the literature review for each disorder in order to estimate the 12-month prevalence, and health economic panels were charged to estimate best cost-estimates. A cost model was developed to combine the epidemiologic and economic data and estimate the total cost of each disorder in each of 30 European countries (EU27+Iceland, Norway and Switzerland). The cost model was populated with national statistics from Eurostat to adjust all costs to 2010 values, converting all local currencies to Euro, imputing costs for countries where no data were available, and aggregating country estimates to purchasing power parity adjusted estimates for the total cost of disorders of the brain in Europe 2010.RESULTS: The total cost of disorders of the brain was estimated at €798 billion in 2010. Direct costs constitute the majority of costs (37% direct healthcare costs and 23% direct non-medical costs) whereas the remaining 40% were indirect costs associated with patients' production losses. On average, the estimated cost per person with a disorder of the brain in Europe ranged between €285 for headache and €30,000 for neuromuscular disorders. The European per capita cost of disorders of the brain was €1550 on average but varied by country. The cost (in billion €PPP 2010) of the disorders of the brain included in this study was as follows: addiction: €65.7; anxiety disorders: €74.4; brain tumor: €5.2; child/adolescent disorders: €21.3; dementia: €105.2; eating disorders: €0.8; epilepsy: €13.8; headache: €43.5; mental retardation: €43.3; mood disorders: €113.4; multiple sclerosis: €14.6; neuromuscular disorders: €7.7; Parkinson's disease: €13.9; personality disorders: €27.3; psychotic disorders: €93.9; sleep disorders: €35.4; somatoform disorder: €21.2; stroke: €64.1; traumatic brain injury: €33.0. It should be noted that the revised estimate of those disorders included in the previous 2004 report constituted €477 billion, by and large confirming our previous study results after considering the inflation and population increase since 2004. Further, our results were consistent with administrative data on the health care expenditure in Europe, and comparable to previous studies on the cost of specific disorders in Europe. Our estimates were lower than comparable estimates from the US.DISCUSSION: This study was based on the best currently available data in Europe and our model enabled extrapolation to countries where no data could be found. Still, the scarcity of data is an important source of uncertainty in our estimates and may imply over- or underestimations in some disorders and countries. Even though this review included many disorders, diagnoses, age groups and cost items that were omitted in 2004, there are still remaining disorders that could not be included due to limitations in the available data. We therefore consider our estimate of the total cost of the disorders of the brain in Europe to be conservative. In terms of the health economic burden outlined in this report, disorders of the brain likely constitute the number one economic challenge for European health care, now and in the future. Data presented in this report should be considered by all stakeholder groups, including policy makers, industry and patient advocacy groups, to reconsider the current science, research and public health agenda and define a coordinated plan of action of various levels to address the associated challenges.RECOMMENDATIONS: Political action is required in light of the present high cost of disorders of the brain. Funding of brain research must be increased; care for patients with brain disorders as well as teaching at medical schools and other health related educations must be quantitatively and qualitatively improved, including psychological treatments. The current move of the pharmaceutical industry away from brain related indications must be halted and reversed. Continued research into the cost of the many disorders not included in the present study is warranted. It is essential that not only the EU but also the national governments forcefully support these initiatives.
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  • Hachem, Hany, PhD Candidate, 1987- (författare)
  • Educating older adults : Theoretical and empirical examinations of the learning philosophies in older age
  • 2023
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • In this thesis, I theoretically and empirically examine the dominant learning philosophies in older age. Three statements of principles of educational gerontology coalesce into two notorious learning philosophies in older age: humanist and critical. They formulate answers to vital questions about the education of older people. Written in 1990 from a political economy perspective that heavily draws on Freirean pedagogy, the first statement provides a moral and philosophical backing for the practices and aims of a (then) flourishing field by examining the marginalisation of older people in societies. In the same year, the second statement responds to the first with a humanist individualist perspective on the education of older people. It provides a different view on why they choose to learn, the goals for their education, and the role of teachers in enacting said educational goals. Two decades later, the third statement is born. This time, it invigorated a critical but culturalist-leaning perspective. It engages with the focal points in the previous statements and remains loyal to Freirean ideals in the face of an increasingly individualistic and globalised world. Over time, the three statements of principles fuelled a polarising debate around central questions in the education of older people.In this methodologically rich thesis composed of four articles, I recommend and draft a fourth and late modern statement of the principles of educational gerontology, which overcomes agency/structure dualisms characterising the debate surrounding the current principles. First, this thesis confirms that leisure and liberal arts education empowers older people. Second, it attributes to the motives for learning in older age a reflexive ontological security nature that may go hand in hand with that of non-conscious class struggles. Third, it challenges the logic of emancipation embedded in critical educational gerontology and refutes the assumption that older learners are naïve. Finally, it envisages the teachers’ role as emancipators from a less coercive departure point.
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  • Mufic, Johanna, 1991- (författare)
  • “Quality Problems” in Swedish Municipal Adult Education : The Micropolitics of Quality Construed in the Audit Society
  • 2022
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The aim of this thesis was to analyze and critically scrutinize how quality is construed in an audit process in Swedish Municipal Adult Education (MAE) and the discursive effects. Drawing on adult education policy documents and observations of a quality audit process, as well as the Swedish Schools Inspectorate’s (SSI) Day, this study also contributes to the uncharted field of how the micropolitics of “quality” is being produced in the Audit society within adult education. By applying Carol Bacchi’s post-structural, Foucault-influenced ‘What’s the “problem” represented to be?’ approach, it became possible to analyze the politics of “quality” on a micro level. The results indicate that quality seems to be construed as a ‘lack’ or a ‘problem’ in Swedish MAE policy and during the quality audit that SSI carried out in MAE. Moreover, principals, teachers and heads of education seem to be held responsible for this lack as the increased need for flexibility and individualization is stressed as a solution to the ‘quality problem’. There also seems to be an ambiguity of how quality should be addressed, defined, audited, and produced in MAE, as the SSI seem to struggle with making quality measurable for it to be auditable. The analysis shed light on two different logics that underpin the way that quality is construed; on the one hand, it is construed as something elusive that can be used to pinpoint quality in teaching and schools. And on the other hand, it is construed as something quantitative and limiting that has effects on what can be said and done in MAE. There also seems to be a hierarchy between different ‘problems’ during the SSI’s audit of MAE which also have consequences for what can be said and done about quality in this context.
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8.
  • Andersson, Fredrik N G, et al. (författare)
  • Sverige på väg mot en djup kris
  • 2016
  • Ingår i: Dagens Industri. - 0346-640X.
  • Tidskriftsartikel (populärvet., debatt m.m.)
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9.
  • Andersson, Fredrik N G, et al. (författare)
  • Riksbanken feltolkar lagen i sin syn på inflationsmålet
  • 2016
  • Ingår i: Dagens nyheter (DN debatt). - 1101-2447. ; , s. 6-6
  • Tidskriftsartikel (populärvet., debatt m.m.)abstract
    • Mot lagens anda. Riksbanken tycks ha feltolkat sitt uppdrag. Riksbankslagen erbjuder flexibilitet, trots det håller Riksbanken fast vid 2-procentmålet till nästan vilket pris som helst. Dessutom bryter man mot lagens anda när man köper statsobligationer för mångmiljardbelopp, skriver Fredrik NG Andersson, Andreas Bergh och Anders Olshov.
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  • Andersson, Staffan, 1969-, et al. (författare)
  • Avslutning: Vad kan vi lära oss?
  • 2010
  • Ingår i: Korruption, maktmissbruk och legitimitet. - Stockholm : Norstedts Förlag. ; , s. 260-275
  • Bokkapitel (refereegranskat)
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