Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal

Health Policy

Volumn 120, Issue 7, 2016, Pages 833-839

  Legido Quigley, Helena ^a,g   Karanikolos, Marina ^b   Hernandez Plaza, Sonia ^c,d   de Freitas, Cláudia ^d,e   Bernardo, Luís ^f   Padilla, Beatriz ^d   Sá Machado, Rita ^g   Diaz Ordaz, Karla ^g   Stuckler, David ^h   McKee, Martin ^g  

^a NATIONAL UNIVERSITY OF SINGAPORE   (Singapore)

^b EUROPEAN OBSERVATORY ON HEALTH SYSTEMS AND POLICIES   (United Kingdom)

^c UNIVERSITY OF GRANADA   (Spain)

^d INSTITUTO UNIVERSITÁRIO DE LISBOA ISCTE IUL   (Portugal)

^e UNIVERSITY OF PORTO   (Portugal)

^f HUMBOLDT UNIVERSITY   (Germany)

^g LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^h UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

Access to care; Austerity; Co payments; Economic crisis; Portugal

Indexed keywords

EUROPEAN UNION; FAMILY; GOVERNMENT; HEALTH CARE ACCESS; HOSPITAL; HUMAN; PORTUGAL; RESPONSIBILITY; STATISTICS; UNEMPLOYMENT; ADOLESCENT; ADULT; AGED; COST; ECONOMIC RECESSION; ECONOMICS; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH SERVICE; HOSPITAL ADMISSION; MALE; MIDDLE AGED; ORGANIZATION AND MANAGEMENT; STATISTICS AND NUMERICAL DATA; VERY ELDERLY;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; COST SHARING; ECONOMIC RECESSION; FEMALE; HEALTH POLICY; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; MALE; MIDDLE AGED; PORTUGAL; QUALITY OF HEALTH CARE; WAITING LISTS;

EID: 84973862231     PISSN: 01688510     EISSN: 18726054     Source Type: Journal    
DOI: 10.1016/j.healthpol.2016.04.009     Document Type: Article

References (50)

1. [1] European Commission, Eurostat database. 2016.
2. [2] IMF, World economic outlook October 2014. Legacies, clouds, uncertainties. 2014, International Monetary Fund, Washington.
3. [3] Eurostat, Self-perceived health by sex, age and labour status. 2015 [last update: 27.03.15].
4. [4] Portugal Go, IMF, EC ECB, Portugal: memorandum of understanding on specific economic policy conditionality. 2011.
5. [5] Sakellarides, C., Castelo-Branco, L., Barbosa, P., Azevedo, H., The impact of the financial crisis on the health system and health in Portugal. 2014, World Health Organization, Geneva.
6. [6] OPSS, Relatório de Primavera 2012 – Crise e Saúde Um País em Sofrimento. 2012, Observatório Português dos Sistemas de Saúde, Coimbra.
7. [7] Hespanha, P., Ferreira, S., Pacheco, V., O Estado Social. Crise e Reformas. A anatomia da crise: identificar os problemas para construir as alternativas. 2013, Centro de Estudos Sociais da Universidade de Coimbra, Coimbra, 191–210.
8. [8] Barros, P.P., Machado, S.R., Simoes, A.J.de, Portugal. Health system review. Health Systems in Transition 13:4 (2011), 1–156.
9. [9] OECD, Health at a glance: Europe 2014. 2014, OECD Publishing, Paris.
10. [10] WHO, Europe WROf, (eds.) European health for all database, 2015, World Health Organization, Copenhagen.
11. [11] OECD, Health at a glance 2015. OECD indicators. 2015, OECD Publishing, Paris.
12. [12] OPSS, Relatório de Primavera 2013 – Duas Faces da Saúde. Coimbra. 2013.
13. [13] OPSS, Relatório de Primavera 2014 – Síndroma de Negação. Coimbra. 2014.
14. [14] ACSS, Taxas moderadoras – atualização de dados a 1 de agosto de 2014. 2014 http://www.acss.min-saude.pt/DownloadsePublica%C3%A7%C3%B5es/TabelaseImpressos/TaxasModeradoras/TaxasModeradorasAtualiza%C3%A7%C3%A3odedados/tabid/664/language/pt-PT/%20Default.aspx (accessed 31.01.2015).
15. [15] ERS, O Novo Regime Jurídico das Taxas Moderadoras. 2013, Entidade Reguladora da Saúde, Porto.
16. [16] European Commission, The economic adjustment programme for Portugal. 2011, European Commission, Brussels.
17. [17] Kentikelenis, A., Karanikolos, M., Reeves, A., McKee, M., Stuckler, D., Greece's health crisis: from austerity to denialism. Lancet 383:9918 (2014), 748–753.
18. [18] Eurostat, Cross-sectional European Union Statistics on Income and Living Conditions (EU-SILC), 2010 and 2012 users’ database. 2014, European Commission, Luxembourg.
19. [19] Karanikolos, M., Gordeev, V.S., Mackenbach, J.P., McKee, M., Access to care in the Baltic States: did crisis have an impact?. European Journal of Public Health, 2015.
20. [20] da Costa, F.A., Pedro, A.R., Teixeira, I., Braganca, F., da Silva, J.A., Cabrita, J., Primary non-adherence in Portugal: findings and implications. International Journal of Clinical Pharmacy 37:4 (2015), 626–635.
21. [21] Leopold, C., Zhang, F., Mantel-Teeuwisse, A.K., Vogler, S., Valkova, S., Ross-Degnan, D., et al. Impact of pharmaceutical policy interventions on utilization of antipsychotic medicines in Finland and Portugal in times of economic recession: interrupted time series analyses. International Journal for Equity in Health, 13, 2014, 53.
22. [22] Gomes, C., Metade dos médicos dizem que doentes faltam mais às consultas devido a custos. Jornal Médico, 2014.
23. [23] Ramos, P., Almeida, A., The impact of an increase in user costs on the demand for emergency services: the case of Portuguese hospitals. Health Economics, 2015.
24. [24] Hernández-Plaza, S., Padilla, B., Final Report Summary – PSYSPOCUC – Meeting the healthcare needs of culturally diverse populations: a psycho-sociopolitical approach to cultural competence in health professionals. Marie Curie Actions FP7-PEOPLE-2010-IEF (Ref. 272976), 7th Research Framework Programme, 2014, European Commission, Brussels.
25. [25] Lusa, A., Enfermeiros portugueses no Reino Unido aumentaram 500%. Notícias ao Minuto, 2014 (04.12.14).
26. [26] ACSS, Balanço Social Global do Ministério da Saúde e do Serviço Nacional de Saúde (SNS). 2013, 2014, Administração Central do Sistema de Saúde/Ministério da Saúde, Lisboa.
27. [27] Correia, T., Dussault, G., Pontes, C., The impact of the financial crisis on human resources for health policies in three southern-Europe countries. Health Policy (Amsterdam, Netherlands), 2015.
28. [28] Eurostat, Statistics database. 2015, European Commission.
29. [29] Madeira, M., Tentativas de suicídio aumentam com a crise. Público, 2013 07 01.13.
30. [30] WHO, Preventing suicide: a global imperative. 2014, World Health Organization, Geneva.
31. [31] Santana, P., Costa, C., Cardoso, G., Loureiro, A., Ferrao, J., Suicide in Portugal: spatial determinants in a context of economic crisis. Health & Place 35 (2015), 85–94.
32. [32] DGS, Portugal. Saúde Mental em números – 2014. 2014, Direcção-Geral da Saúde, Ministério da Saúde, Lisboa.
33. [33] Augusto, G.F., Mental health in Portugal in times of austerity. Lancet Psychiatry 1:2 (2014), 109–110.
34. [34] Almeida, J.M.C.d., Xavier, M., Estudo Epidemiológico Nacional de Saúde Mental – 1 Relatório. 2013, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisboa.
35. [35] Gusmão, R., Xavier, M., Heitor, M.J., Bento, A., de Almeida, J.M.C., Depressive disorder burden: global epidemiological issues and information needs in Portugal. Acta Médica Portuguesa 18:2 (2005), 129–146.
36. [36] ONDR, Prevenir a Doença Acompanhar e Reabilitar o Doente. Lisboa. 2013.
37. [37] DGS, Portugal. Doenças Respiratórias em números – 2014. 2014, Direcção-Geral da Saúde. Ministério da Saúde, Lisboa.
38. [38] Mazik, A., Gergonne, B., Nielsen, J., Wuillaume, F., Vistanen, J., Fouillet, A., Excess mortality among the elderly in 12 European countries, February and March 2012. Eurosurveillance, 17(14), 2012.
39. [39] Nunes, B., Building a mortality baseline to monitor and estimate excess mortality associated with influenza epidemics and other events in Portugal. 2012, ECDC.
40. [40] DGS, Portugal. Infeção VIH SIDA e Tuberculose em números – 2013. 2013, Direcção-Geral da Saúde, Ministério da Saúde, Lisboa.
41. [41] DGS, Portugal. Infeção VIH, SIDA e Tuberculose em números – 2015. 2015, Direcção-Geral da Saúde, Ministério da Saúde, Lisboa.
42. [42] DGS, Natalidade, Mortalidade Infantil, Fetal e Perinatal 2009/2013. 2014, Direcção-Geral de Saúde, Ministério da Saúde, Lisboa.
43. [43] Lusa, A., Violência contra profissionais de saúde mais que duplicou em 2014. Público, 2015 24.02.15.
44. [44] Pita Barros, P., Lourenço, A., Moura, A., Correia, F., Silvério, F., Gomes, J.P., Políticas Públicas em Saúde: 2011–2014 Avaliação do Impacto. 2015, Nova Healthcare Initiative – Research/Universidade Nova de Lisboa, Portugal.
45. [45] Davlouros, P., Gizas, V., Stavrou, K., Raptis, G., Alexopoulos, D., DES thrombosis related to antiplatelet therapy noncompliance: a consequence of the Greek financial crisis. International Journal of Cardiology 168:4 (2013), 4497–4499.
46. [46] Dominguez-Rodriguez, A., Mendez-Vargas, C., Sanchez-Grande, A., Avanzas, P., Abreu-Gonzalez, P., [Healthcare administration and the economic crisis: apropos of a case]. Gaceta Sanitaria/SESPAS 28:4 (2014), 342–343.
47. [47] Legido-Quigley, H., Montgomery, C.M., Khan, P., Atun, R., Fakoya, A., Getahun, H., et al. Integrating tuberculosis and HIV services in low- and middle-income countries: a systematic review. Tropical Medicine & International Health: TM&IH 18:2 (2013), 199–211.
48. [48] Kentikelenis, A., Bailouts, austerity and the erosion of health coverage in Southern Europe and Ireland. European Journal of Public Health 25:3 (2015), 365–366.
49. [49] Morgan, D., Astolfi, R., Health spending growth at zero: which countries, which sectors are most affected?. 2013, OECD Publishing, Paris.
50. [50] OECD, OECD reviews of health care quality: Portugal 2015. 2015, OECD.