Impact of the economic crisis on the health of older persons in Spain: research clues based on an analysis of mortality. SESPAS report 2014

Benmarhnia, Tarik; Zunzunegui, Marı́a Victoria; Llácer, Alicia; Béland, François

doi:10.1016/j.gaceta.2014.02.016

Cited by 32 publications

(23 citation statements)

References 5 publications

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“…Por su parte, en relación a la población mayor, (Benmarhnia et al, 2014) sugieren que del análisis de las series mensuales de mortalidad por edad y sexo de personas de 60 y más años desde 1995 a finales de 2012, la mortalidad parece descender a una velocidad inferior a la previsible ante la ausencia de la crisis, siendo mayor el posible impacto en mujeres que en varones. Sin embargo, con una serie temporal más larga (36 años, 1981-2016) y un análisis metodológicamente riguroso de la mortalidad por tramos quinquenales de edad, desde los 60 años, utilizando regresión segmentada (Joint-Point regression), Márquez et al (2018) encuentran que la tendencia decreciente de la mortalidad se ha estancado o ralentizado en varones de 60 a 69 años, en menor medida en hombres de 70 a 79 y no se aprecian cambios de tendencia notables en edades avanzadas (80 años y más).…”

Section: Problemas De Salud En Grupos Seleccionadosunclassified

Crisis económica y salud: lecciones aprendidas y recomendaciones para el futuro

Oliva‐Moreno

Peña

López-Valcarcel

et al. 2019

CICE

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La reciente crisis económica vivida en España, pese al sufrimiento y pérdida de bienestar ocasionadas, no parece haber afectado de una manera severa, al menos a corto plazo, a la mortalidad y la salud autopercibida de la población general. No obstante, sí se ha producido un impacto negativo sobre la salud mental, especialmente entre los varones. Asimismo, hay grupos vulnerables de población cuya salud ha empeorado durante este periodo, intensificándose las desigualdades sociales en la misma. Dada la alarmante evolución observada en los indicadores sociales de desigualdad de rentas y tasas de pobreza y riesgo de exclusión social, conviene ser cautos con los resultados identificados en el corto plazo y vigilantes sobre la evolución de la salud de la población en el medio y largo plazo, a la vez que se extraen las conclusiones oportunas sobre las políticas e intervenciones a implementar en futuras situaciones de crisis.

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Section: Problemas De Salud En Grupos Seleccionadosunclassified

Crisis económica y salud: lecciones aprendidas y recomendaciones para el futuro

Oliva‐Moreno

Peña

López-Valcarcel

et al. 2019

CICE

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“…An analysis of monthly mortality series by age and sex of persons aged 60 years and over, from 1995 to the end of 2012, concluded that "the observed mortality seems to be decreasing at a slower rate than what would have been expected in the absence of the crisis; there has been an increase in winter mortality; and the impact of the crisis has been greater for female than for male mortality" [43]. The economic conditions imposed by the crisis, thus, would be affecting, in particular, vulnerable population groups such as the elderly and the very young.…”

Section: Has the Economic Crisis Reduced Fairness In The Healthcare Smentioning

confidence: 99%

Economic Crisis, Austerity Policies, Health and Fairness: Lessons Learned in Spain

López-Valcarcel

Pérez

2016

Appl Health Econ Health Policy

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This paper reviews economic and medical research publications to determine the extent to which the measures applied in Spain to control public health spending following the economic and financial crisis that began in 2008 have affected healthcare utilization, health and fairness within the public healthcare system. The majority of the studies examined focus on the most controversial cutbacks that came into force in mid-2012. The conclusions drawn, in general, are inconclusive. The consequences of this new policy of healthcare austerity are apparent in terms of access to the system but no systematic effects on the health of the general population are reported. Studies based on indicators of premature mortality, avoidable mortality or self-perceived health have not found clear negative effects of the crisis on public health. The increased demands for co-payment provoked a short-term cutback in the consumption of medicines, but this effect faded after 12-18 months. No deterioration in the health of immigrants after the onset of the crisis was unambigously detected. The impact of the recession in the general population in diseases associated with mental health is well documented, although the high levels of unemployment are identified as direct causes, and therefore it is social policies rather than measures affecting the healthcare system that would be primarily responsible. In addition, some health problems have a clear social dimension, which seems to have become more acute during the crisis, affecting in particular the most vulnerable population groups and the most disadvantaged social classes, thus widening the inequality gap. 3 Key points for decision makers Some health problems have a clear social dimension, which seems to have become more acute during the crisis  The public health system has borne a disproportionate share of the burden of spending cuts provoked by the crisis, but it has managed to avoid irreversible deterioration. The most tangible consequences of healthcare spending cuts and austerity measures concern problems of access to health care, both for specific population groups (undocumented immigrants) and for patients in general (longer waiting lists). The studies have common limitations: use of cross-sectional data and no consideration of lags between the cause (economic recession) and its effects (mortality, morbidity). In order to better estimate the effects of the crisis on health population, up-to-date data of cohorts from clinical records and registries would be needed. No attempt has been made in Spain so far to reform the health system with a view to achieving its long-term sustainability, in response to the 2008 recession and for preventing future recessions

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“…ISSN: 2254 -3376 DOI: http://dx.doi.org/10. 17993/3cemp.2016.050428.58-74 Estamos de acuerdo con Benmarhnia et al (2014) en que las políticas que disminuyan los ingresos de las personas mayores aumentaran la pobreza y supondrán deterioros de la calidad de su alimentación, y disminuciones de su participación social y actividad física, con consecuencias negativas para su capacidad funcional y con un previsible aumento de la dependencia.…”

Section: C Empresa (Edición Núm 28) Vol5 -Nºunclassified

Políticas de envejecimiento: ¿un dilema sin resolver?

Paz

2016

3C Empresa

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Impact of the economic crisis on the health of older persons in Spain: research clues based on an analysis of mortality. SESPAS report 2014

Abstract: Greater awareness is required of the association of cancer with overweight and sexually transmitted diseases. The recommendations given by health professionals on cancer prevention are key to increasing the population's awareness of risk factors for cancer.

Cited by 32 publications

References 5 publications

Crisis económica y salud: lecciones aprendidas y recomendaciones para el futuro

Crisis económica y salud: lecciones aprendidas y recomendaciones para el futuro

Economic Crisis, Austerity Policies, Health and Fairness: Lessons Learned in Spain

Políticas de envejecimiento: ¿un dilema sin resolver?

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