Austerity and families with disabled children: a European survey

Horridge, Karen; Dew, Rosie; Chatelin, Alain; Seal, Arnab; Macias, Lourdes Merio; Cioni, Giovanni; Kachmar, Oleh; Wilkes, Scott

doi:10.1111/dmcn.13978

Cited by 18 publications

(27 citation statements)

References 8 publications

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“…The dimensions that comprised the tangible aspects, specifically CR and TFM, obtained the lowest scores, whereas the dimensions related to the intervention of professionals, such as QS, I and TSI, showed higher valuations. These results show similarities with those obtained by Horridge et al [46], where the valuations of the professionals were lower in aspects related to the facilities and treatment rooms. These results could be due to the cutbacks to early childhood intervention centres and treatment equipment [47].…”

Section: Discussionsupporting

confidence: 90%

The Inventory of Quality in Early Intervention Centres for Service Providers: Preliminary Validating Study in a Spanish Sample

Jemes-Campaña

Romero-Galisteo

Labajos-Manzanares

et al. 2020

IJERPH

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Evaluating the service quality in early intervention (EI) from the perspective of professionals with knowledge in this area is essential for the improvement of EI centres. In this study, we aimed to test the reliability and validity of the adapted Inventory of Quality in Early Intervention Centres-P (IQEIC-P) in a sample of professionals who worked in EI centres. Three hundred and twenty-four professionals of 85 EI Spanish centres were recruited for this research. Various psychometric analyses were used to evaluate the factorial structure, the internal consistency, factorial validity and construct validity. A 5-dimension structure was obtained in the exploratory factor analysis (EFA). The results showed an adequate internal consistency (Cronbach's alpha values between 0.71 and 0.83, and composite reliability (CR) values higher than 0.70), as well as satisfactory convergent and discriminant validity (average variance extracted (AVE) values above 0.50). In the confirmatory factor analysis, good model fit indicators were observed. The IQEIC-P showed adequate psychometric properties, demonstrating to be a valid instrument for the evaluation of service quality in EI centres from the perspective of professionals. The benefits will influence the professionals themselves, and they will have a positive and direct impact on the families that are attended to in these centres.

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Section: Discussionsupporting

confidence: 90%

The Inventory of Quality in Early Intervention Centres for Service Providers: Preliminary Validating Study in a Spanish Sample

Jemes-Campaña

Romero-Galisteo

Labajos-Manzanares

et al. 2020

IJERPH

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“…Monetary Fund (IMF), 16 the European Union's Maastricht criteria, 17 or by analysing spending on families/children social protection in specific periods of time. 18,19 A before-after approach was used to compare Italy, Greece, France and the UK, 20 in terms of the ability of social benefits to reduce child poverty.…”

Section: Measures the Level Of Austerity Measures Was Assessed By Mementioning

confidence: 99%

“…18,19 A before-after approach was used to compare Italy, Greece, France and the UK, 20 in terms of the ability of social benefits to reduce child poverty. One cross-sectional study collected information on a survey to families of disabled children and professionals from 32 European countries, 17 while a followup of a cohort of children from Ireland reported on the consequences of reported reductions on welfare benefits, 21 and a qualitative study from Scotland provided information on the impact of austerity measures on families with disabled children. 22…”

Section: Measures the Level Of Austerity Measures Was Assessed By Mementioning

confidence: 99%

Austerity policy and child health in European countries: a systematic literature review

Rajmil

Hjern

Spencer

et al. 2020

Preprint

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Objectives : To analyse the impact of austerity measures taken by European governments as a response to the 2008 economic and financial crisis on social determinants and child health (SDCH), and child health outcomes (CHO). Methods : A systematic literature review was carried out in Medline (Ovid), Embase, Web of Science, PsycInfo, and Sociological abstracts in the last 5 years from European countries. Studies aimed at analysing the Great Recession, governments’ responses to the crisis, and its impact on SDCH were included. A narrative synthesis of the results was carried out. The risk of bias was assessed using the STROBE and EPICURE tools. Results : Fourteen studies were included, most of them with a low to intermediate risk of bias (average score 72.1%). Government responses to the crisis varied, although there was general agreement that Greece, Spain, Ireland and the United Kingdom applied higher levels of austerity. High austerity periods, compared to pre-austerity periods were associated with increased material deprivation, child poverty rates, and low birth weight. Increasing child poverty subsequent to austerity measures was associated with deterioration of child health. High austerity was also related to poorer access and quality of services provided to disabled children. An annual reduction of 1% on public health expenditure was associated to 0.5% reduction on Measles-Mumps-Rubella vaccination coverage in Italy. Conclusions : Countries that applied high level of austerity showed worse trends on SDCH and CHO. European governments must act urgently and reverse these austerity policy measures that are detrimental to family benefits and child protection.

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“…Austerity measures implemented by the most recent Brazilian governments has been threatening the hard‐earned achievements of the SUS in its pursuit to provide universal health care (Castro et al, ; Massuda et al, ; Souza et al, ). Similar detrimental effects of austerity measures in health care have been shown in other countries such as Cyprus (Petrou, ), Finland (Saltman & Teperi, ), Portugal (Morais Nunes, Cunha Ferreira, & Campos Fernandes, ), and in many other countries (Horridge et al, ; Ruckert & Labonté, ), even as evidence shows that local and national public health interventions are highly cost‐saving (Masters, Anwar, Collins, Cookson, & Capewell, ).…”

Section: Discussionmentioning

confidence: 52%

Enhancing citizenship through nursing care in Brazil: Patients' struggle against austerity policies

Silva

Ferreira

2020

Nursing Inquiry

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Interpersonal relations play a critical role in both the conception and dynamics of Brazilian citizenship. Under the influence of neoliberalism, patients must build strategies to access high‐quality health care services. This study aimed to analyze the role of interpersonal relations involved in the access to and delivery of health care services in Brazil amid the influence of austerity policies and the role of nurses in enhancing citizenship through nursing care. Thirty‐one patients in a public hospital in Rio de Janeiro, Brazil, participated in qualitative interviews. A lexical analysis was conducted to analyze the interview data using Alceste® software, version 2012. The results were interpreted in light of both theoretical constructs of the Brazilian citizenship and biological subcitizenship propositions. Two lexical classes revealed contents about strategies used by patients to access high‐quality health care. In the context of budget cuts due to austerity policies, cultural aspects of Brazilian citizenship have influenced access to high‐quality health care services by creating two distinct conditions. Some patients acted as super‐citizens, while others acted as subcitizens. Nurses across the globe must spearhead the struggle for universal and equitable health care access at all levels, without losing sight of wider sociocultural aspects.

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Austerity and families with disabled children: a European survey

Cited by 18 publications

References 8 publications

The Inventory of Quality in Early Intervention Centres for Service Providers: Preliminary Validating Study in a Spanish Sample

The Inventory of Quality in Early Intervention Centres for Service Providers: Preliminary Validating Study in a Spanish Sample

Austerity policy and child health in European countries: a systematic literature review

Enhancing citizenship through nursing care in Brazil: Patients' struggle against austerity policies

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