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

Abstract

Crise econômica e desigualdades nos sistemas de saúde dos países do Sul da Europa Crisis económica y desigualdades en los sistemas de salud en los países del sur de Europa

Indicadores hospitalares de acesso e efetividade e crise econômica: análise baseada nos dados do Sistema Único de Saúde, Brasil e estados da região Sudeste, 2009-2018

“…As with the effects observed in European countries in the 2008 crisis, barriers to access and compromised quality of health care, which will consequently increase social inequality, health and the use of health services 10,11,19 are a matter of concern. If the experience of European countries whose measures taken to address the crisis have caused declining social well-being -unemployment, labor market insecurity, impoverished population, and exclusion and social inequalities 10 , solutions focused on reducing Brazilian public spending on health may result in even more adverse effects on access to care and health of the population. They can also promote a profound reshaping of the private sector's role in several health activities 20 .…”

“…Recognizing the validity of the EC 95 and the many gaps and need for improvement in the SUS, in the context of fiscal crisis, it is reasonable to suppose the deterioration of some known deficiencies, such as regional inequalities, underfunding, and care quality issues. The crisis itself may focus on more significant people illness and higher demand for public health services due to job loss and private health insurance 10,11 . Also, the general environment of economic and social crisis intensifies competition among sectors for financial resources, highlighting projects oriented by the pursuit of equity or increased macro and microeconomic efficiency that postulates, among others, less tax, a more significant role of the private sector and fewer State actions.…”

The Impact of Austerity on the Portuguese National Health Service, Citizens’ Well-Being, and Health Inequalities

“…The reductions have directly affected patterns of health and services utilization of the Portuguese population. (WHO et al, 2018: 32) In order to analyze the consequences of crisis and austerity on inequalities, we may consider different dimensions: access to health care, increase in families' out-of-pocket health spending, reduction in public healthcare investment (Serapioni, 2017).…”

Políticas de saúde do Sul da Europa e desregulação das relações de trabalho: um olhar sobre Portugal

“…Integrating the Southern European countries in one of the variants of the "conservative-corporative" model, this typology of social State models was criticised by various authors 6,[13][14][15][16] who enhanced the importance of configuring a "fourth model", designated as "corporative". This last model is based on historical, socio-political facts, but also on the existence of authoritarian governments, on the influence of the Catholic church, and on the high party-political competition 17 . Furthermore, it is important to consider the professionalisation strategies by the doctors, when compared to other professional categories, with undeniable power to monopolise the labour market and avoiding the encroachment of their professional field and autonomy of the "medical act".…”