Inequalities in mental health care: much beyond an access dilemma

Meeting with people talking

In this symposium, organised as in celebration of the EsCHER Eddy Van Doorslaer award 2023, the pivotal findings of the paper awarded set the stage for a discussion on inequalities during mental health treatment. Bringing research, policy and practice together the panelists will discuss potential causes and solutions

Speaker
Eddy Van Doorslaer, Francisca Vargas Lopes, Philipe Delespaul, Laura Shields-Zeeman, Rudy Douven
Date
Thursday 6 Mar 2025, 12:30 - 14:00
Type
Symposium
Room
Serre
Building
Erasmus Pavilion
Registration Add to calendar

Eddy Van Doorslaer Research Excellence Award recognizes excellent research in the broad field of Health Economics. The publication awarded for 2023 edition, by Francisca Vargas Lopes and co-authors in The Lancet Psychiatry, describes how inequalities favouring patients with higher income persist through the different stages of mental health treatment, beyond the point of access, widening the mental health gap. These findings, pivotal in quantifying the problem at the international level, bring in new questions about the causes and solutions of the uncovered disparities.

Following the brief presentation of the findings from 'Income inequalities beyond access to mental health care: a Dutch nationwide record-linkage cohort study of baseline disease severity, treatment intensity, and mental health outcomes', three panelists with vast experience in mental health research, policy and practice will embark on a discussion about the hypotheses behind the findings, and how these results can be followed up by more investigation and/or action. There will be time for questions by the audience.

Programme

Time 
12:30Coffee and Welcome - EsCHER
12.40Award - Eddy Van Doorslaer, ESHPM
12.50Presentation of the study findings – Francisca Vargas Lopes, ESHPM
13.10

Roundtable bringing research, policy and practice together to find solutions

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'This article builds on the strong Rotterdam tradition of pathbreaking research on equity in healthcare that was initiated by Eddy Van Doorslaer. It is well written and is relevant for both the health economics literature and mental health care policy, in the Netherlands and beyond. It takes three leaps that advance the literature. First, it harnesses the power of linked administrative data that provide population coverage and detailed control for need, while reducing measurement error. Second, it delivers rare evidence on socioeconomic inequity in the underexplored area of mental healthcare. Third, it goes beyond the mere measurement of inequity in access to that care to provide detailed evidence of socioeconomic disparities, not only in the extent of treatment but also in the change in mental health following treatment. And last but not least: the results are startling. Poorer patients obtain less mental health care after adjusting for their greater need, and their mental health improves much less than that of richer patients.'

  • This symposium is supported by the Erasmus Centre for Health Economics Rotterdam (EsCHER). EsCHER is a leading centre for health economics. It attracts high-quality students, staff, visitors and funds. It also provides excellent research, education and job candidates and actively engages with the public, policymakers and other healthcare stakeholders. We organise events, award ceremony for excellent research and offer scholarship. With more than 100 health economists, EsCHER plays a prominent role in developing and applying methods that contribute to more effective, evidence-based policies and more equitable and efficient healthcare systems.

More information

Physical event only. No fee but registration required and limited capacity. For queries contact vargaslopes@eshpm.eur.nl

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