Crise e austeridade no Sul da Europa: impacto nas economias e sociedades

Serapioni, Mauro; Hespanha, Pedro

doi:10.4000/eces.4068

Cited by 15 publications

(21 citation statements)

References 11 publications

(8 reference statements)

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“…On the other hand, results are directly related to the specific socioeconomic impact of the crisis in Greece (eg, very high unemployment rate) 69. Though the selected four countries were of the most affected by sustained declines in GDP between 2008 and 2013 among EU countries, Greece was by far the worst where GDP per capita reduced by 23.6% between 2009 and 2014 71 72…”

Section: Discussionmentioning

confidence: 99%

“…Austerity measures were either officially and strictly (Portugal, Greece) or unofficially and less strictly (Spain) imposed by Troika (Portugal, Greece, Spain) or self-imposed (Italy) 50. Greece, Portugal and Spain applied austerity measures (signed bailout in Greece and Portugal and not-signed bailout in Spain) and received debt aid in return 21 73. Italy self-imposed similar structural reforms 21 73.…”

Section: Discussionmentioning

confidence: 99%

“…As the Great Recession severely affected the economic situation of multiple EU countries when linked to the implementation of austerity measures (online supplemental tables 1 and 2),14 21–29 investigating the experiences of different member states may deliver valuable lessons for policy makers aiming for improving resilience strategies for healthcare systems 3. Though it is difficult to assess and measure healthcare systems’ performance and resilience,30 31 perinatal indicators (IMR and PMR) are central measures to observing healthcare quality and the responsiveness of a healthcare system 30 32 33…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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“…The Troika agreed with Cyprus, Greece, Ireland, and Portugal on specific economic adjustment programs that also included measures to reduce government spending in the healthcare sector to control deficits [4][5][6][7]. Besides the countries mentioned above, other countries such as Italy and Estonia also applied austerity measures to reduce public spending on healthcare, albeit at different levels, even though the Troika did not impose austerity upon these countries [8,9]. These applied austerity measures can be understood as part of the predominant neoliberal policy scheme when placing it into a broader perspective.…”

Section: Introductionmentioning

confidence: 99%

A scoping review on the impact of austerity on healthcare access in the European Union: rethinking austerity for the most vulnerable

Doetsch

Schlösser

Barros

et al. 2023

Int J Equity Health

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Background There is consensus that the 2008 financial and economic crisis and related austerity measures adversely impacted access to healthcare. In light of the growing debt caused by the COVID-19 crisis, it is uncertain whether a period of austerity will return. Objective This study aims to provide a structured overview of the impact of austerity policies in the EU-28 zone, applied in response to the Great Recession, on access to health care for the adult population, using the five access dimensions by Levesque et al. (2013). Methods This study followed the PRISMA extension for Scoping Reviews guideline. Medline (PubMed) and Web of Science were searched between February 2021 and June 2021. Primary studies in the English language published after the 1st of January 2008 reporting on the possible change in access to the healthcare system for the adult population induced by austerity in an EU28 country were included. Results The final search strategy resulted in 525 articles, of which 75 studies were reviewed for full-text analysis, and a total of 21 studies were included. Results revealed that austerity policy has been primarily associated with a reduction in access to healthcare, described through four main categories: i) Increase in rates of reported unmet needs (86%); ii) Affordability (38%); iii) Appropriateness (38%); iv) and Availability and Accommodation (19%). Vulnerable populations were more affected by austerity measures than the general population when specific safeguards were not in place. The main affected adult vulnerable population groups were: patients with chronic diseases, elderly people, (undocumented) migrants, unemployed, economically inactive people and individuals with lower levels of education or socioeconomic status. Conclusion Austerity measures have led to a deterioration in access to healthcare in the vast majority of the countries studied in the EU-28 zone. Findings should prompt policymakers to rethink the fiscal agenda across all policies in times of economic crisis and focus on the needs of the most vulnerable populations from the health perspective.

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“…The effects of fiscal rigidity measures produced changes in European policy trends [4,5] and weakened the living conditions of citizens in European countries, particularly in southern Europe [6,7]. Several studies have highlighted the consequences of the crisis on Mediterranean countries, such as fiscal austerity impacts [8], GDP decrease and worsening socioeconomic impacts [9], and labour market impacts [10]. The financial efforts increased the obligations of these countries with the banking systems, not contributing structurally to public budget balance, leading to more rigid consequences in the economic and social recovery of these countries [11,12].…”

Section: Introductionmentioning

confidence: 99%

The Impacts of Socioeconomic Crisis in Portugal on Social Protection and Social Work Practices

Casquilho-Martins

2021

Sustainability

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The effects of the international crisis brought economic and financial risks, as well as consequences for human, social and sustainable development. This study aims to analyse the effects of social intervention with families since the 2008 crisis in Portugal. Through a qualitative approach, we conducted semi-structured interviews with social workers (23), to identify the main impacts of the crisis and the adopted social intervention practices. We highlight a new increase in social problems and the growth of vulnerable groups facing an unprepared social protection system. The Portuguese case reveals that the effects of austerity have shown a decline in the welfare and benefits system, leading to worsened social problems, such as increased poverty and unemployment, as well as social inequalities. Social Work was required to respond to these consequences, although organisational contexts and austerity measures constrained practitioners’ autonomy. By reflecting on this critical period, we seek to contribute to better social protection and assistance models in the face of the current and future crisis. In this sense, Social Work practice ensures a means to guarantee fundamental rights and social justice, preparing social workers and social intervention for new challenges in crisis contexts.

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Crise e austeridade no Sul da Europa: impacto nas economias e sociedades

Cited by 15 publications

References 11 publications

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

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

A scoping review on the impact of austerity on healthcare access in the European Union: rethinking austerity for the most vulnerable

The Impacts of Socioeconomic Crisis in Portugal on Social Protection and Social Work Practices

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