Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review
Background: We aimed to examine the available evidence about the impact of the crisis on the use of healthcare services in Europe. Methods: We developed a systematic review of scientific literature for the period 2008-2017. The researchers searched three databases Medline/PubMed, Scopus and Web...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2022-03-01
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| Series: | Iranian Journal of Public Health |
| Subjects: | |
| Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/23223 |
| _version_ | 1828396346649870336 |
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| author | Raquel Sánchez Recio Juan Pablo Alonso Pérez De Ágreda María José Rabanaque Isabel Aguilar Palacio |
| author_facet | Raquel Sánchez Recio Juan Pablo Alonso Pérez De Ágreda María José Rabanaque Isabel Aguilar Palacio |
| author_sort | Raquel Sánchez Recio |
| collection | DOAJ |
| description |
Background: We aimed to examine the available evidence about the impact of the crisis on the use of healthcare services in Europe.
Methods: We developed a systematic review of scientific literature for the period 2008-2017. The researchers searched three databases Medline/PubMed, Scopus and Web of Knowledge. For manual searching, several specialized journals of related scope as well as the finalized articles' reference list were searched. Descriptive and thematic analyses were carried out. PRISMA quality criteria and the recommendations of the Centre for Reviews and Dissemination were followed.
Results: Of 3,685 studies, 35 met inclusion criteria. Regarding “Effects of the social structure” healthcare accessibility inequalities increased by socioeconomic levels, especially in unemployed, people with low educational levels and migrants. Regarding “Healthcare effect”, the impact of the recession was observed in unmet needs, pharmaceutical spending containment, reduction of hospital beds, and privatization of services.
Conclusion: Austerity policies have contributed to increasing inequalities in the use of health services during the economic downturn. In the current economic climate, new management and health planning strategies such as hospitalisation at home, new models of integrated care and pharmaceutical management are needed to help achieve greater equity and equality in health.
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| first_indexed | 2024-12-10T08:28:26Z |
| format | Article |
| id | doaj.art-e48728001cfa481a8333a092e2ad379a |
| institution | Directory Open Access Journal |
| issn | 2251-6085 2251-6093 |
| language | English |
| last_indexed | 2024-12-10T08:28:26Z |
| publishDate | 2022-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Public Health |
| spelling | doaj.art-e48728001cfa481a8333a092e2ad379a2022-12-22T01:56:11ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932022-03-0151310.18502/ijph.v51i3.8925Understanding the Effect of Economic Recession on Healthcare Services: A Systematic ReviewRaquel Sánchez Recio0Juan Pablo Alonso Pérez De Ágreda1María José Rabanaque2Isabel Aguilar Palacio31. Department of Microbiology, Preventive Medicine and Public Health, University of Zaragoza, Zaragoza, Aragon, Spain 2. Aragon Health Services Research Group (GRISSA), Zaragoza, Aragon, Spain1. Aragon Health Services Research Group (GRISSA), Zaragoza, Aragon, Spain 2. Public Health Surveillance Service, Government of Aragon, Zaragoza, Aragon, Spain1. Department of Microbiology, Preventive Medicine and Public Health, University of Zaragoza, Zaragoza, Aragon, Spain 2. Aragon Health Services Research Group (GRISSA), Zaragoza, Aragon, Spain1. Department of Microbiology, Preventive Medicine and Public Health, University of Zaragoza, Zaragoza, Aragon, Spain 2. Aragon Health Services Research Group (GRISSA), Zaragoza, Aragon, Spain Background: We aimed to examine the available evidence about the impact of the crisis on the use of healthcare services in Europe. Methods: We developed a systematic review of scientific literature for the period 2008-2017. The researchers searched three databases Medline/PubMed, Scopus and Web of Knowledge. For manual searching, several specialized journals of related scope as well as the finalized articles' reference list were searched. Descriptive and thematic analyses were carried out. PRISMA quality criteria and the recommendations of the Centre for Reviews and Dissemination were followed. Results: Of 3,685 studies, 35 met inclusion criteria. Regarding “Effects of the social structure” healthcare accessibility inequalities increased by socioeconomic levels, especially in unemployed, people with low educational levels and migrants. Regarding “Healthcare effect”, the impact of the recession was observed in unmet needs, pharmaceutical spending containment, reduction of hospital beds, and privatization of services. Conclusion: Austerity policies have contributed to increasing inequalities in the use of health services during the economic downturn. In the current economic climate, new management and health planning strategies such as hospitalisation at home, new models of integrated care and pharmaceutical management are needed to help achieve greater equity and equality in health. https://ijph.tums.ac.ir/index.php/ijph/article/view/23223Systematic reviewEconomic recessionHealthcare systemsInequitiesInequalities |
| spellingShingle | Raquel Sánchez Recio Juan Pablo Alonso Pérez De Ágreda María José Rabanaque Isabel Aguilar Palacio Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review Iranian Journal of Public Health Systematic review Economic recession Healthcare systems Inequities Inequalities |
| title | Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review |
| title_full | Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review |
| title_fullStr | Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review |
| title_full_unstemmed | Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review |
| title_short | Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review |
| title_sort | understanding the effect of economic recession on healthcare services a systematic review |
| topic | Systematic review Economic recession Healthcare systems Inequities Inequalities |
| url | https://ijph.tums.ac.ir/index.php/ijph/article/view/23223 |
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