Medical Supplies Shortages and Burnout among Greek Health Care Workers during Economic Crisis: a Pilot Study

Rachiotis, George; Kourousis, Christos; Kamilaraki, Maria; Symvoulakis, Emmanouil K.; Dounias, George; Hadjichristodoulou, Christos

doi:10.7150/ijms.7933

Cited by 72 publications

(73 citation statements)

References 16 publications

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“…Moreover, Greece has high variability in the distribution of pulmonologists, and therefore significantly different rates may be observed among regions, independent of population risk factors [35]. Interestingly, a positive correlation has been reported between COPD diagnosis and private care settings [35], probably due to the lack of equipment and/or specialised pulmonologists in the Greek public healthcare system [92]. In 2011 there were reports of a 40% reduction in public hospital budgets, while between 2009 and 2014 total health expenditure fell from 10.1% of the gross domestic product to 6%, a decrease of >25% [92][93][94][95].…”

Section: Secondary Prevention Of Copd In the Years Of Economic Crisismentioning

confidence: 99%

Impact of the financial crisis on COPD burden: Greece as a case study

et al. 2018

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Poverty and low socioeconomic status have been associated with chronic obstructive pulmonary disease (COPD). The current financial crisis has forced millions back into poverty. Greece is one of the countries hit the hardest, and is in the middle of a deep ongoing collapse. There have been early reports stating the apparent effects of the Greek downturn on respiratory health. This review summarises the overall impact of the financial crisis on COPD burden throughout the period of economic downturn by analysing the case study of Greece. In all levels of the healthcare system, current economic restrictions have reduced the capacity to prevent, diagnose and treat COPD in parallel with current higher detection rates of COPD. Remarkably, expenditure on healthcare has been reduced by >25%, resulting in major healthcare equipment shortages. Lower wages (by up to 20%) and higher co-payments of up to 25% of a drug's purchase price have led to patients struggling to afford inhaled medications. Treatment nonadherence has been reported, resulting in 11.5% more exacerbations and 14.1% more hospitalisations annually, while the mean cost per severe COPD exacerbation has been approximated as €2600. Greece is a noteworthy example illustrating how COPD burden, quality of care and patients' outcome can be affected by economic crisis.

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Section: Secondary Prevention Of Copd In the Years Of Economic Crisismentioning

confidence: 99%

Impact of the financial crisis on COPD burden: Greece as a case study

et al. 2018

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“…The inancial crisis, which began in 2007, 2008, had a negative impact on working conditions and people's health [58,59]. Most studies in this ield of interest supported an increased prevalence of mental health problems coinciding with the outbreak of the crisis [60]. Sometimes suicidal behaviors have been linked to economic reasons [61].…”

Section: Multivariate Analysismentioning

confidence: 99%

Suicidal Behaviors in Patients Admitted to Emergency Department for Psychiatric Consultation: A Comparison of the Migrant and Native Italian Populations Between 2008 and 2015

Gramaglia¹,

Gambaro²,

Bert³

et al. 2017

People's Movements in the 21st Century - Risks, Challenges and Benefits

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In recent decades, Italy has become a desirable destination for immigrants. In 2014, ive million people (8.2% of the population) were migrants (regular/irregular, documented/ undocumented). This study looks at psychiatric health, an important feature especially for irst-generation migrants and compares the new setlers with the native Italians. It should be noted that the organization of mental health services in Italy strongly relies on outpatient services, while the psychiatric wards, within the general hospitals, usually accommodate patients in acute phases of their disorder. Nonetheless, migrants' irst contact often happens in a psychiatry ward when they are in a severe and acute psychopathological condition. Research methods: Quantitative and qualitative; longitudinal research using oicial statistical and clinical data obtained from records of a public hospital as well as information obtained through professional interview. Results: In relation to mental health, we found that the migrant patients referred for psychiatric consultation to the emergency department (ED) seting were younger, less frequently treated by psychiatric outpatient services, more commonly going to the ED for self-injury and presenting with symptoms of substance abuse and alcohol-related disorders. The native Italian population was older, more frequently retired and/or invalid, more frequently already treated by psychiatric outpatient services for any kind of psychiatric symptoms.Conclusion: The comparison of the sociodemographic and clinical features of immigrants and Italians referred for psychiatric consultation in the ED highlighted some diferences.Implications are discussed in the light of the existing literature.

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“…Unemployment has more than tripled, and long-term unemployment reached 14.4% in 2012 [2]. Regarding healthcare, there have already been reports demonstrating the detrimental effects of this crisis [3][4][5]. A 47% rise in people who felt they did not receive appropriate healthcare has been reported and was linked to a rising inability to afford care [5].…”

Section: Introductionmentioning

confidence: 98%