Austeridad y privatización sanitaria en época de crisis: ¿existen diferencias entre las comunidades autónomas?

Bacigalupe, Amaia; Martín, Unai; Font, Raquel; González-Rábago, Yolanda; Bergantiños, Noemi

doi:10.1016/j.gaceta.2015.10.003

Cited by 43 publications

(18 citation statements)

References 7 publications

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“…31 Regions governed by the socialist party would be expected to speed up the implementation of the reform, as some previous research has documented (Costa-Font, 2010). 32 According to Bacigalupe et al (2016), there is no evidence of a link between socialist support in a region and a higher investment in public healthcare services, or vice versa, a positive relationship between conservative regions and privatizations of public hospitals (i.e., Andalusia and Extremadura, which are regions with left-wing governments, have experienced a major decrease in healthcare resources between 2008 and 2013 and a moderate increase (Andalusia) or big increase (Extremadura) in privatizations. By contrast, Murcia, which has a right-wing government, has recorded a moderate reduction in public healthcare resources and a decrease in privatized facilities).…”

Section: Dealing With the Endogeneity Of Saad Variablesmentioning

confidence: 99%

Does long-term care subsidization reduce hospital admissions and utilization?

Costa‐Font

Jiménez-Martín

Vilaplana

2018

Journal of Health Economics

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We use quasi-experimental evidence on the expansion of the public subsidization of long-term care to examine the causal effect of a change in caregiving affordability on the delivery of hospital care. More specifically, we examine a reform that both introduced a new caregiving allowance and expanded the availability of publicly funded home care services, on both hospital admissions (both on the internal and external margin) and length of stay. We find robust evidence of a reduction in both hospital admissions and utilization among both those receiving a caregiving allowance and, albeit less intensely, among beneficiaries of publicly funded home care, which amounts to 11% of total healthcare costs. These effects were stronger when regions had an operative regional health and social care coordination plan in place. Consistently, a subsequent reduction in the subsidy, five years after its implementation, is found to significantly attenuate such effects. We investigate a number of potential mechanisms, and show a number of falsification and robustness checks.

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Section: Dealing With the Endogeneity Of Saad Variablesmentioning

confidence: 99%

Does long-term care subsidization reduce hospital admissions and utilization?

Costa‐Font

Jiménez-Martín

Vilaplana

2018

Journal of Health Economics

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“…Austerity policies and privatization of services implemented during this period have actually led to an increase in social inequalities both in the use of health services and in health status itself 39 .…”

Section: Spainmentioning

confidence: 99%

Crise econômica e desigualdades nos sistemas de saúde dos países do Sul da Europa

Serapioni

2017

Cad. Saúde Pública

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“…As regards social protection (retirement pension, sickness or disability benefit, unemployment benefit, measures to protect families and prevent social exclusion), this gap was 87% [18]. A recent study detected major differences in austerity measures during the recession [19]; whilst in the Basque Country policies for austerity and privatisation were almost non-existent, the trend in other regions such as La Rioja, Madrid and the Balearic Islands was clearly in the opposite direction.…”

Section: Introductionmentioning

confidence: 99%

Socio-economic factors linked with mental health during the recession: a multilevel analysis

Ruiz-Pérez

Bermúdez-Tamayo

Rodríguez‐Barranco

2017

Int J Equity Health

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BackgroundPeriods of financial crisis are associated with higher psychological stress among the population and greater use of mental health services. The objective is to analyse contextual factors associated with mental health among the Spanish population during the recession.MethodologyCross-sectional, descriptive study of two periods: before the recession (2006) and after therecession (2011-2012). The study population comprised individuals aged 16+ years old, polled for the National Health Survey. There were 25,234 subjects (2006) and 20,754 subjects (2012). The dependent variable was psychic morbidity. Independent variables: 1) socio-demographic (age, socio-professional class, level of education, nationality, employment situation, marital status), 2) psycho-social (social support) and 3) financial (GDP per capita, risk of poverty, income per capita per household), public welfare services (health spending per capita), labour market (employment and unemployment rates, percentage of temporary workers). Multilevel logistic regression models with mixed effects were constructed to determine change in psychic morbidity according to the variables studied.ResultsThe macroeconomic variables associated with worse mental health for both males and females were lower health spending per capita and percentage of temporary workers. Among women, the risk of poor mental health increased 6% for each 100€ decrease in healthcare spending per capita. Among men, the risk of poor mental health decreased 8% for each 5-percentage point increase in temporary workers.ConclusionsHigher rates of precarious employment in a region have a negative effect on people’s mental health; likewise lower health spending per capita. Policies during periods of recession should focus on support and improved conditions for vulnerable groups such as temporary workers. Healthcare cutbacks should be avoided in order to prevent increased prevalence of poor mental health.Electronic supplementary materialThe online version of this article (doi:10.1186/s12939-017-0518-x) contains supplementary material, which is available to authorized users.

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Austeridad y privatización sanitaria en época de crisis: ¿existen diferencias entre las comunidades autónomas?

Abstract: The three classifications will enable analysis of the mediating effect of policies of austerity and privatization in the relationship between the economic crisis and health in the Spanish context.

Cited by 43 publications

References 7 publications

Does long-term care subsidization reduce hospital admissions and utilization?

Does long-term care subsidization reduce hospital admissions and utilization?

Crise econômica e desigualdades nos sistemas de saúde dos países do Sul da Europa

Socio-economic factors linked with mental health during the recession: a multilevel analysis

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