Does austerity drives healthcare accessibility?
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/34648 |
Resumo: | The financial crisis may impact on healthcare systems, and challenge healthcare accessibility by increasing the percentage of patients with unmet medical needs due to the cost, the distance, and waiting lists. In order to analyze if austerity drives healthcare accessibility, we take annual data at country level, for Germany, United Kingdom, Spain, France, Italy, Ireland, Greece, and Portugal, from 2005 to 2011 (n=56). The countries were clustered according to the external intervention during financial crisis. We consider a period ex-ante and another one ex-post crisis, and assess the difference in averages, by using the t Student test. This is followed by a correlation analysis by calculating Spearman’s coefficient, to assess if there is an association between the unemployment rate and the percentage of patients with unmet medical needs, considering the educational levels and income quintiles, regarding each one of the clusters. We found that during austerity there is an increase in the percentage of patients with unmet medical needs due to excessive cost, except for Germany and United Kingdom, but a decrease in the percentage of patients with unmet medical needs due to the distance and waiting lists. These figures were higher for low income and educational levels. For the cluster of France, Italy and Spain, the healthcare accessibility improves with increasing unemployment rates; but for Greece, Ireland and Portugal there is no association between accessibility and unemployment rate. |
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Does austerity drives healthcare accessibility?Austeridade conduz acessibilidade à assistência médica?AccessibilityHealthcare systemEconomic crisisHealthcareHealthcare costsWaiting listsAcessibilidadeSistema de saúdeAusteridadeCuidados de saúdeTaxas moderadorasListas de esperaThe financial crisis may impact on healthcare systems, and challenge healthcare accessibility by increasing the percentage of patients with unmet medical needs due to the cost, the distance, and waiting lists. In order to analyze if austerity drives healthcare accessibility, we take annual data at country level, for Germany, United Kingdom, Spain, France, Italy, Ireland, Greece, and Portugal, from 2005 to 2011 (n=56). The countries were clustered according to the external intervention during financial crisis. We consider a period ex-ante and another one ex-post crisis, and assess the difference in averages, by using the t Student test. This is followed by a correlation analysis by calculating Spearman’s coefficient, to assess if there is an association between the unemployment rate and the percentage of patients with unmet medical needs, considering the educational levels and income quintiles, regarding each one of the clusters. We found that during austerity there is an increase in the percentage of patients with unmet medical needs due to excessive cost, except for Germany and United Kingdom, but a decrease in the percentage of patients with unmet medical needs due to the distance and waiting lists. These figures were higher for low income and educational levels. For the cluster of France, Italy and Spain, the healthcare accessibility improves with increasing unemployment rates; but for Greece, Ireland and Portugal there is no association between accessibility and unemployment rate.Em presença da crise económica pode ter ocorrido uma adaptação dos sistemas de saúde com impacto na acessibilidade. Com o objetivo de avaliar esta hipótese foram recolhidos dados anuais para oito países europeus – Alemanha, Reino Unido, Espanha, França, Itália, Irlanda, Grécia e Portugal – entre 2005 e 2011. Os países foram agrupados em três grupos, de acordo com a tipologia de intervenção externa. Foi considerado um período anterior e outro posterior à crise, e avaliada a diferença nas médias, através do teste t de Student, para as variáveis relacionadas com a percentagem de doentes que manifestou necessidades médicas não satisfeitas devido ao custo excessivo dos cuidados de saúde, da distância, ou das listas de espera. Depois procedeu-se a uma análise de correlação recorrendo ao cálculo do coeficiente de Spearman, entre as variáveis associadas à acessibilidade e a taxa de desemprego. Foi observado um aumento de doentes com necessidades médicas não satisfeitas por custo excessivo, durante a austeridade, exceto para a Alemanha e Reino Unido. Os valores identificados foram mais elevados para os segmentos de rendimentos mais baixos, e de níveis de instrução elementares. Foi observado que para a França, Itália e Espanha a acessibilidade aumenta com o desemprego; contudo não foi encontrada associação para a Grécia, Irlanda e Portugal.Veritati - Repositório Institucional da Universidade Católica PortuguesaPortela, Maria da Conceição ConstantinoFernandes, Adalberto Campos2021-09-03T14:19:59Z2014-12-012014-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/34648eng2316-371210.5585/rgss.v3i2.130info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-09-06T12:33:57Zoai:repositorio.ucp.pt:10400.14/34648Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-09-06T12:33:57Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Does austerity drives healthcare accessibility? Austeridade conduz acessibilidade à assistência médica? |
title |
Does austerity drives healthcare accessibility? |
spellingShingle |
Does austerity drives healthcare accessibility? Portela, Maria da Conceição Constantino Accessibility Healthcare system Economic crisis Healthcare Healthcare costs Waiting lists Acessibilidade Sistema de saúde Austeridade Cuidados de saúde Taxas moderadoras Listas de espera |
title_short |
Does austerity drives healthcare accessibility? |
title_full |
Does austerity drives healthcare accessibility? |
title_fullStr |
Does austerity drives healthcare accessibility? |
title_full_unstemmed |
Does austerity drives healthcare accessibility? |
title_sort |
Does austerity drives healthcare accessibility? |
author |
Portela, Maria da Conceição Constantino |
author_facet |
Portela, Maria da Conceição Constantino Fernandes, Adalberto Campos |
author_role |
author |
author2 |
Fernandes, Adalberto Campos |
author2_role |
author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Portela, Maria da Conceição Constantino Fernandes, Adalberto Campos |
dc.subject.por.fl_str_mv |
Accessibility Healthcare system Economic crisis Healthcare Healthcare costs Waiting lists Acessibilidade Sistema de saúde Austeridade Cuidados de saúde Taxas moderadoras Listas de espera |
topic |
Accessibility Healthcare system Economic crisis Healthcare Healthcare costs Waiting lists Acessibilidade Sistema de saúde Austeridade Cuidados de saúde Taxas moderadoras Listas de espera |
description |
The financial crisis may impact on healthcare systems, and challenge healthcare accessibility by increasing the percentage of patients with unmet medical needs due to the cost, the distance, and waiting lists. In order to analyze if austerity drives healthcare accessibility, we take annual data at country level, for Germany, United Kingdom, Spain, France, Italy, Ireland, Greece, and Portugal, from 2005 to 2011 (n=56). The countries were clustered according to the external intervention during financial crisis. We consider a period ex-ante and another one ex-post crisis, and assess the difference in averages, by using the t Student test. This is followed by a correlation analysis by calculating Spearman’s coefficient, to assess if there is an association between the unemployment rate and the percentage of patients with unmet medical needs, considering the educational levels and income quintiles, regarding each one of the clusters. We found that during austerity there is an increase in the percentage of patients with unmet medical needs due to excessive cost, except for Germany and United Kingdom, but a decrease in the percentage of patients with unmet medical needs due to the distance and waiting lists. These figures were higher for low income and educational levels. For the cluster of France, Italy and Spain, the healthcare accessibility improves with increasing unemployment rates; but for Greece, Ireland and Portugal there is no association between accessibility and unemployment rate. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-12-01 2014-12-01T00:00:00Z 2021-09-03T14:19:59Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/34648 |
url |
http://hdl.handle.net/10400.14/34648 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2316-3712 10.5585/rgss.v3i2.130 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817547015956987904 |