Tara Wahoff

Geography
Culture has been influenced by France & Germany since the Middle
Ages
Luxembourg is a small countrymany people remain in the same city
they were born in.
This leads to close extended families. The parents are intimately
involved in their childrens lives and education.
People are friendly but extremely private.
Strong sense of community
High public trust in their government
ETHNICITY: Celtic base, French, German, Italian, Portuguese
LANGUAGE: French & German, Luxembourgish
RELIGION: mostly Roman Catholic


CULTURE





POPULATION 0.5 million
65% of population over the age of 15 have a paid job (About 59% in U.S.)
78% of the population ages 25-64 have a high school degree
Total expenditure on health per capita (2011) $6,876
Total expenditure on health % of GDP (2011) 7.7%
In general, studies show that people in Luxembourg are more satisfied
with their lives than other European countries.

General Health of Luxembourg
LIFE EXPECTANCY79 for males 84 females

Visit http://www.who.int/gho/countries/lux.pdf
provides a health profile for Luxembourg
One of the best in Europe
Funded health care-each citizen provided with basic
medical coverage
Provided by the state, Caisse de Maladie (State Health
Insurance)
Taxes are taken out of pay- employers pay half
Capstone is $6,625 euros a year
Dependent family is covered
Children are covered until age 27
Luxembourgs Health System
State Health Insurance
Decides medical fees & collects contributions
Reimbursements
Most doctors visits reimbursed 100%-prescription average 78%
Doctors must be affiliated with the State insurance to receive these
reimbursements
Doctors can be seen by appointment (rendezvous)
-they will make house calls at certain times

The citizens also have the option to take out supplementary insurance with a
non-profit health insurance agency or mutual associations affiliated to the
ministry of social security. These are known as mutelles. They pay the portion of
reimbursements that the Caisse does not cover. Many citizens take out private
insurance in addition to the Caisse de Maladie.
There are no private hospitals in Luxembourg.

Caisse de Maladie
1/3 deaths attributable to cardio vascular
disease
9% of deaths do to injuries
78% of deaths from non-communicable
diseases
High alcohol consumptions
Tobacco prevalence: 24% of population 20%
females 27% males
Cancer: about of deaths

Major Health Issues
Great burden on Luxembourgs population seems to be
neuropsychiatric conditions. They make up 30.4% of global
burden of disease. And it is the #1 leading group for DALYs.
The suicide rates are higher than the European average.
17.7 per 100,000 for males
4.3 per 100,000 for females
Depression/anxiety: 9% report to have or have had chronic
anxiety or depression, 7% undergoing medical treatment
Childrens mental health: 36% of children in a recent study
reported feeling sad at least 1 day of the week. 14% reported
feeling isolated. 9.4% reported feeling stressed.
Mental Health
Mental Health is viewed as a public priority in Luxembourg. 13% of
the overall health budget is devoted to mental health, which is the
highest among all European countries.
In 2005 the Ministry of Health ordered an in depth evaluation of the
mental health system in place. The National Psychiatric platform
was created.
In 2009 a Mental Health Plan was approved. The components
include:
-timelines for the implementation
-funding allocation for the implementation of half or more of the
items
-shift of services & resources to mental health facilities
-integration of mental health to primary care
Health Interventions for Mental Health
"Infant Mortality Rate." Kaiser Family Foundation. Kaiser Family Foundation, n.d. Web. 13
Nov 2013. <http://kff.org/global-indicator/infant-mortality-rate/>.
"Latest News from Luxembourg." ENSP. ENSP, n.d. Web. 13 Nov 2013.
<http://www.ensp.org/luxembourg>.
"Luxembourg-Mental Health Atlas." World Health Organization. WHO, n.d. Web. 13 Nov
2013. <http://www.who.int/mental_health/evidence/atlas/profiles/lux_mh_profile.pdf>.
. N.p.. Web. 13 Nov 2013. <http://www.who.int/countries/lux/en/>.
. N.p.. Web. 13 Nov 2013. <http://www.oecdbetterlifeindex.org/countries/luxembourg/>.
. N.p.. Web. 13 Nov 2013. <http://www.kwintessential.co.uk/resources/global -
etiquette/luxembourg.html>.
. N.p.. Web. 14 Nov 2013. <http://www.bls.gov/cps/minwage2012.htm>.
"Situation on Mental Health ." Mental Health Briefing Sheets. EMIP, n.d. Web. 13 Nov 2013.
<http://ec.europa.eu/health/archive/ph_determinants/life_style/mental/docs/luxembourg.p
df>.
References