A Crise Económica em Médicos do Serviço Nacional de Saúde: Estudo Descritivo das Suas Perceções e Reações em Unidades de Saúde na Região da Grande Lisboa

Rego, Inês; Russo, Giuliano; Gonçalves, Luzia; Perelman, Julian; Barros, Pedro Pita

doi:10.20344/amp.7690

Cited by 3 publications

(1 citation statement)

References 14 publications

(21 reference statements)

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“…In European countries, evidence of the impact of the economic crisis on doctors is still scarce (Rego et al, 2017). Although research in the field of sociology of health provides conditions for reflection on the impacts of the economic crisis on doctors, and because "the increase in the legal power attributed by political power to hospital managers affects medical autonomy", doctors are central figures in the functioning of public hospitals and are "responsible for defining and implementing health-care provision" (Correia, 2012); however, the consequences that this brings to their behaviour have not yet been examined.…”

Section: Introductionmentioning

confidence: 99%

Budgetary restrictions and ethical behaviours in a hospital context – evidence from general surgeons

Silva

Sousa

2021

EJMS

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Purpose The purpose of this paper is to study how budgetary constraints can have ethical implications on patient treatment options. Design/methodology/approach By applying a qualitative methodological approach (interviews) and participant observation, this paper studies the behaviour of surgeons in scenarios of financial restriction. Findings The empirical findings show that despite the conflict between the economy and the leges artis, surgeons maintain the ethical and deontological principles of their profession with fair rules of orientation. Practical implications The importance of this study can be realised by its continuity. One of the authors is already implicated on a wider research to investigate the influence of the economic scarcity of resources on general surgeons’ ethical behaviours. Social implications This paper is a contribution to understanding the rules that restrain the activities of surgeons. Politicians sometimes do not have a full understanding of the pressures that the medical profession faces in their day-to-day activities. Currently, with the addition of problems relate to COVID-19, politicians and populations seem to better understand the importance of the Serviço Nacional de Saúde (SNS), This paper hopes that this understanding will be not only a conjectural moment. Originality/value In conjunction with the economic recession that began in the first decade of this century, health institutions have long faced budgetary constraints that condition their material and human resources and correspondingly shape the scope of health professional activities. Until now, it has not been studied the impact of economic crises on the ethical behaviour of Portuguese surgeons. Therefore, this research is a first step and a useful contribution to understanding the rules that can restrain (or not) the ethical conduct of these health professionals.

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Section: Introductionmentioning

confidence: 99%

Budgetary restrictions and ethical behaviours in a hospital context – evidence from general surgeons

Silva

Sousa

2021

EJMS

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Inequity in healthcare use among older people after 2008: The case of southern European countries

Tavares

Zantomio

2017

Health Policy

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Despite the sizeable cuts in public healthcare spending, part of the austerity measures recently undertaken in Southern European countries, little attention has been devoted to monitoring distributional aspects of healthcare usage. This study aims at measuring socioeconomic inequities in primary and secondary healthcare experienced some time after the crisis onset in Italy, Spain and Portugal. The analysis, based on data drawn from the Survey of Health, Ageing and Retirement in Europe (SHARE), focuses on older people, who generally face significantly higher healthcare needs, and whose health appeared to have worsened in the aftermath of the crisis. The Horizontal Inequity indexes reveal remarkable socioeconomic inequities in older people's access to secondary healthcare in all three countries. In Portugal, the one country facing most severe healthcare budget cuts and where user charges apply also to GP visits, even access to primary care exhibits a significant pro-rich concentration. If reducing inequities in older people's access to healthcare remains a policy objective, austerity measures maybe pulling the Olive belt countries further away from achieving it.

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2008 economic crisis impact on perinatal and infant mortality in Southern European countries

Doetsch

Almendra

Severo

et al. 2023

J Epidemiol Community Health

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IntroductionThe study of crisis events provides important lessons to prepare for upcoming events. The Great Recession’s impact on perinatal health in Europe can provide relevant insights into the healthcare and social protection systems’ response to the protection of the health of the most vulnerable groups.ObjectiveTo assess time trends and international disparities in perinatal mortality rates (PMR) and infant mortality rates (IMR), following the Great Recession, and their association with socioeconomic indicators in Portugal, Greece, Italy and Spain.MethodsAssociations were assessed through generalised linear models for all four countries. A Poisson joinpoint regression model was applied to explore PMR and IMR trend changes between 2000 and 2018. Country disparities were analysed using mixed-effects multilevel models.ResultsIMR and PMR have decreased overall in the four selected countries between 2000 and 2018. Still, whereas in Spain, Italy and Portugal the decreasing pace was attenuated after 2009, in Greece a positive trend was found after the 2008 crisis. IMR and PMR were significantly associated with socioeconomic indicators in all four countries. National disparities in the evolution of IMR and PMR were significantly associated with most socioeconomic indicators between 2000 and 2018.ConclusionOur results confirm the impact of the Great Recession on PMR and IMR trends in all four countries, taking recurring associations between macroeconomic cycles, variations in mortality trends, macroeconomic volatility and stagnation of IMR and PMR into account. The association with socioeconomic indicators stresses the need to strengthen social protection and healthcare systems to better protect the population’s health from the earliest days.

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A Crise Económica em Médicos do Serviço Nacional de Saúde: Estudo Descritivo das Suas Perceções e Reações em Unidades de Saúde na Região da Grande Lisboa

Cited by 3 publications

References 14 publications

Budgetary restrictions and ethical behaviours in a hospital context – evidence from general surgeons

Budgetary restrictions and ethical behaviours in a hospital context – evidence from general surgeons

Inequity in healthcare use among older people after 2008: The case of southern European countries

2008 economic crisis impact on perinatal and infant mortality in Southern European countries

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