Crisis as a serendipity for change in Cyprus' healthcare services

Petrou, Panagiotis

doi:10.3111/13696998.2015.1049179

Cited by 16 publications

(11 citation statements)

References 9 publications

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“…The situation is further aggravated in Cyprus; after being pushed to the verge of bankruptcy, this country is now facing radical healthcare reforms toward the implementation of a new scheme of Health Insurance. [11][12] The British and Cypriot case studies report also on different experience of diabetes care. In the former SDM is already in place at a national level, and we can draw from people direct experience 2 ; in the latter people are new to it, although there could be room for future implementation.…”

Section: Introductionmentioning

confidence: 99%

Implementing shared-decision-making for diabetes care across country settings: What really matters to people?

Tinelli

Petrou²,

Samoutis

et al. 2017

Health Policy

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(Word number: 250)Diabetes is one of the leading causes of mortality, disability and expenditure worldwide. Growing evidence of improved outcomes (patient/professional satisfaction and some evidence on controlled weight, blood glucose and blood pressure) supports shareddecision-making (SDM) as an effective primary care intervention for diabetes. However, only a few countries have actually adopted it (e.g. UK). In other European countries there is awareness that patients play a crucial role in decision-making, and SDM policies could be considered as innovative strategies to promote the actual implementation of patient rights legislation and strengthen primary care (e.g. Cyprus). Objective of this research was to inform the development and testing of a tool to value patients' preferences for SDM model across different European settings: UK, where SDM is already in place at a national level, and we can draw from people direct experience; Cyprus, where people are new to it, although there could be room for future implementation. In doing so the study used a discrete-choice-experiment (DCE) survey. The DCE survey presents a series of choices involving alternative services on offer, described by their particular characteristics. It allows to: identify the characteristics of the health care service that respondents value; the relative values that they attach to these; and the trade-offs between them (e.g. how long patients are willing to wait to receive detailed and accurate information about their care). Data collection is under way and findings will be available for discussion at the meeting. They will inform the development of a larger European programme of research.

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Section: Introductionmentioning

confidence: 99%

Implementing shared-decision-making for diabetes care across country settings: What really matters to people?

Tinelli

Petrou²,

Samoutis

et al. 2017

Health Policy

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“…The conclusion is robust under all grouping conditions. The financial crisis exacerbated the impact of the economic recession on the inhibition of personal health care expenditures [24]. During economic recession, residents reduced personal expenditures on health care, which ultimately affected people's health.…”

Section: Discussionmentioning

confidence: 99%

“…Excessively high out-of-pocket medical payment can lead to catastrophic expenditure [4,21,22]. Even for countries with tax-based universal health insurance systems, we do not have sufficient evidence to show the impact of economic recession on health care payments [23][24][25][26][27].…”

Section: Literature Reviewmentioning

confidence: 99%

Will the Economic Recession Inhibit the Out-of-Pocket Payment Willingness for Health Care?

Zheng

Huang

Jiang

2020

IJERPH

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We used an individual regression and panel data regression method to analyze the samples of 60 countries from 2000 to 2016 to study the impact of the economic recession on residents’ out-of-pocket payment willingness for health care. Although we found an increase in the willingness during the economic recession in most countries, we couldn’t find significant evidence of a positive relationship between the economic recession and such willingness. We discovered that the relationship differentiates in different countries, which mainly depends on the differences in the medical systems and degree of economic development. By controlling individual differences in countries, we found that the economic recession inhibited the out-of-pocket payment willingness for health care. Especially after the impact of the financial crisis in 2008, the cumulative effect of the economic recession and the aftershock of financial crisis was discovered, which significantly inhibited residents’ willingness. In addition, we verified that the economic recession inhibited the out-of-pocket payment willingness by reducing employee compensation in specific types of countries.

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“…46 The main health-care reform measures taken concerned establishing user charges (ie, co-payments), rationalising diagnostic examinations, and introducing guidelines to minimise waste of health resources. 47 In Greece, austerity measures aimed directly at the reduction of the health-care expenditure to GDP ratio without a structured plan for reform. 48 Notably, Greece holds the second-highest rank among EU countries for the highest number of doctors per 1000 inhabitants, indicating the availability of a medical workforce that is not efficiently utilised.…”

Section: Discussionmentioning

confidence: 99%

The burden of disease in Greece, health loss, risk factors, and health financing, 2000–16: an analysis of the Global Burden of Disease Study 2016

Tyrovolas¹,

Kassebaum²,

Stergachis³

et al. 2018

The Lancet Public Health

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SummaryBackgroundFollowing the economic crisis in Greece in 2010, the country's ongoing austerity measures include a substantial contraction of health-care expenditure, with reports of subsequent negative health consequences. A comprehensive evaluation of mortality and morbidity is required to understand the current challenges of public health in Greece.MethodsWe used the results of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 to describe the patterns of death and disability among those living in Greece from 2000 to 2010 (pre-austerity) and 2010 to 2016 (post-austerity), and compared trends in health outcomes and health expenditure to those in Cyprus and western Europe. We estimated all-cause mortality from vital registration data, and we calculated cause-specific deaths and years of life lost. Age-standardised mortality rates were compared using the annualised rate of change (ARC). Mortality risk factors were assessed using a comparative risk assessment framework for 84 risk factors and clusters to calculative summary exposure values and population attributable fraction statistics. We assessed the association between trends in total, government, out-of-pocket, and prepaid public health expenditure and all-cause mortality with a segmented correlation analysis.FindingsAll-age mortality in Greece increased from 944·5 (95% uncertainty interval [UI] 923·1–964·5) deaths per 100 000 in 2000 to 997·8 (975·4–1018) in 2010 and 1174·9 (1107·4–1243·2) in 2016, with a higher ARC after 2010 and the introduction of austerity (2·72% [1·65 to 3·74] for 2010–16) than before (0·55% [0·24 to 0·85] for 2000–10) or in western Europe during the same period (0·86% [0·54 to 1·17]). Age-standardised reduction in ARC approximately halved from 2000–10 (−1·61 [95% UI −1·91 to −1·30]) to 2010–16 (−0·87% [–2·03 to 0·20]), with post-2010 ARC similar to that in Cyprus (−0·86% [–1·4 to −0·36]) and lower than in western Europe (−1·14% [–1·48 to −0·81]). Mortality changes in Greece coincided with a rapid decrease in government health expenditure, but also with aggregate population ageing from 2010 to 2016 that was faster than observed in Cyprus. Causes of death that increased were largely those that are responsive to health care. Comparable temporal and age patterns were noted for non-fatal health outcomes, with a somewhat faster rise in years lived with disability since 2010 in Greece compared with Cyprus and western Europe. Risk factor exposures, especially high body-mass index, smoking, and alcohol use, explained much of the mortality increase in Greek adults aged 15–49 years, but only explained a minority of that in adults older than 70 years.InterpretationThe findings of increases in total deaths and accelerated population ageing call for specific focus from health policy makers to ensure the health-care system is equipped to meet the needs of the people in Greece.FundingBill & Melinda Gates Foundation.

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Crisis as a serendipity for change in Cyprus' healthcare services

Cited by 16 publications

References 9 publications

Implementing shared-decision-making for diabetes care across country settings: What really matters to people?

Implementing shared-decision-making for diabetes care across country settings: What really matters to people?

Will the Economic Recession Inhibit the Out-of-Pocket Payment Willingness for Health Care?

The burden of disease in Greece, health loss, risk factors, and health financing, 2000–16: an analysis of the Global Burden of Disease Study 2016

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