Planetary Health Requires Tapestry Thinking—Overcoming Silo Mentality

The drug budget silo mentality: the French case.

OBJECTIVES The objectives of this study were to give a review of the complex system of budgetary constraints to which the French health-care system has been committed since 1996 and to evaluate the consequences on drug policy and on efficient use of pharmaceuticals. METHODS Literature review, legal texts analysis, and interviews with policy makers and companies managers were performed. RESU...

The drug budget silo mentality in Europe: an overview.

This supplement engages some of the leading health economists in Europe to analyze how the policies in their respective health-care systems to control and influence pharmaceutical spending are likely to influence the overall performance of their systems, with respect to both cost control and the production of population health. Six countries were selected to provide a representative mix of publ...

Moving beyond the drug budget silo mentality in Europe.

The drug budget silo mentality: the Dutch case.

This article provides a broad outline of developments in the Dutch health-care policy related to the costs, budgeting, and reimbursement of pharmaceuticals. In-hospital drugs costs are part of hospital budgets, whereas for the main part of costs, nonhospital drugs, no strict budget exists. The government sets a goal for the annual cost increase of nonhospital drugs, but has only limited means t...

Breaking down the Silo Mentality in Global Mental Health: The New Role for the Schools of Public Health.

What resources are needed? How can progress towards these goals be monitored? What should be the priorities for mental health research? Three questions about the future of global mental health that have arisen from the work of the Global Mental Health Group (WHO 2007) are still pending. This situation we are facing ten years after the initiative was launched brings us to the critical question o...