Recortes, austeridad y salud. Informe SESPAS 2014

Benedicto, Andreu Segura

doi:10.1016/j.gaceta.2014.02.009

Cited by 22 publications

(5 citation statements)

References 12 publications

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“…Numerous studies show that austerity measures introduced after the 2008 financial crisis, such as the reduction of public spending on healthcare, have a direct impact on healthcare provision [6,7] and the daily practice of healthcare staff [8][9][10]. In Spain, public spending on healthcare fell indeed by 1.4% in the period from 2008 to 2013 [11].…”

Section: Introductionmentioning

confidence: 99%

Austerity Measures and Underfunding of the Spanish Health System during the COVID-19 Pandemic—Perception of Healthcare Staff in Spain

Otero‐García

Mateos

Esperato³

et al. 2023

IJERPH

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Insufficient pandemic preparedness and underfunding of human and economic resources have conditioned the response to COVID-19 in Spain. This underfunding has continued since the austerity measures introduced during the 2009 financial crisis. This study aims to understand the perceptions of healthcare staff in Spain on the relationship between the funding of the health system and its capacity to respond to the COVID-19 pandemic. To this end, we carried out a thematic content analysis, based on 79 online semi-structured interviews with healthcare staff across the regions most affected by the COVID-19 first wave. Participants reported a lack of material resources, which had compromised the capacity of the health system before the pandemic. The lack of human resources was to be addressed by staff reorganisation, such as reinforcing hospital units to the detriment of primary health care. Staff shortages continued straining the COVID-19 response, even after material scarcities were later partially alleviated. Personnel shortages need to be adequately addressed in order to adequately respond to future health crises.

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Section: Introductionmentioning

confidence: 99%

Austerity Measures and Underfunding of the Spanish Health System during the COVID-19 Pandemic—Perception of Healthcare Staff in Spain

Otero‐García

Mateos

Esperato³

et al. 2023

IJERPH

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“…The impact of economic crises on populations' health depends on various factors, such as the institutional, cultural, and socioeconomic context of the society, the severity and duration of the crisis, and the responses articulated to combat it [1][2][3][4][5][6][7]. Crises may be accompanied by a higher prevalence of poor health or premature mortality, particularly in vulnerable population subgroups [8,9]. However, some research has described how recessions might improve health, at least in the short term, with a pro-cyclical worsening of mortality during periods of growth and improvement during recessions, mainly due to fewer traffic injuries and alcohol-related deaths [10].…”

Section: Introductionmentioning

confidence: 99%

Effect of the Financial Crisis on Socioeconomic Inequalities in Mortality in Small Areas in Seven Spanish Cities

Gotsens

Ferrando

Marí-Dell’Olmo

et al. 2020

IJERPH

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Background: The aim of this study was to analyze the trend in socioeconomic inequalities in mortality in small areas due to several specific causes before (2001–2004, 2005–2008) and during (2009–2012) the economic crisis in seven Spanish cities. Methods: This ecological study of trends, with census tracts as the areas of analysis, was based on three periods. Several causes of death were studied. A socioeconomic deprivation index was calculated for each census tract. For each small area, we estimated standardized mortality ratios, and controlled for their variability using Bayesian models (sSMR). We also estimated the relative risk of mortality according to deprivation in the different cities, periods, and sexes. Results: In general, a similar geographical pattern was found for the socioeconomic deprivation index and sSMR. For men, there was an association in all cities between the deprivation index and all-cause mortality that remained stable over the three periods. For women, there was an association in Barcelona, Granada, and Sevilla between the deprivation index and all-cause mortality in the third period. Patterns by causes of death were more heterogeneous. Conclusions: After the start of the financial crisis, socioeconomic inequalities in total mortality in small areas of Spanish cities remained stable in most cities, although several causes of death showed a different pattern.

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“…The government responded with public policies developed to reduce the deficit of public finances, putting other possible objectives -such as the economic growth or social protection policies -in the background. Paradoxically, the anti-crisis policies produced more unemployment and negative growth, as well as a significant increase of public debt (Benedicto, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Source:Antentas and Vivas, 2014;Ballester et al, 2014;Benedicto, 2014;Benmarhnia et al, 2014; Bernal-Delgado, Campillo-Artero and García-Armesto, 2014; Escribà-Agüir and Fons-Martinez, 2014; Flores, García-Gómez and Zunzunegui, 2014; García-Altés and Vicente Ortún, 2014; García Armesto et al, 2011; Gili, Campayo and Roca, 2014; Hernández Aguado and Lumbreras Lacarra, 2014;Larrañaga, Martín and Bacigalupe, 2014;Llácer, Fernández-Cuenca and Martínez-Navarro, 2014;Márquez-Calderón et al, 2014;Novo et al, 2014;Pérez et al, 2014;Rivadeneyra-Sicilia et al, 2014; Ruiz-Ramos et al, 2014;Sánchez-Martínez;Abellán-Perpiñána and Oliva-Moreno, 2014;Urbanos Garrido and Puig-Junoy, 2014;Vázquez, Vargas and Aller, 2014 …”

mentioning

confidence: 99%

Políticas de austeridade fiscal: tentativa de desmantelamento do Sistema Nacional de Salud da Espanha e resistência cidadã

2018

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Resumo Este ensaio de natureza teórica analisa os ajustes fiscais colocados em marcha na Espanha como resposta à crise financeira de 2008, suas implicações para o Sistema Nacional de Salud (SNS) e a consequente resistência cidadã. Elaboramos um estudo de caso tendo como fonte primária a narrativa de um ator social que participou da reforma espanhola. Utilizamos também fontes secundárias para coleta de dados socioeconômicos e a análise de 20 artigos publicados pelo Relatório Sespas 2014. O SNS formou-se por aumento progressivo da cobertura populacional, financiamento total por impostos e organização da rede por meio da Atenção Primária em Saúde (APS). As medidas de austeridade fiscal impuseram limitações de ordem orçamentária, reduziram a provisão de serviços, introduziram copagamentos e retrocederam o direito à saúde à meritocracia. A corrente crítica da economia política sinaliza que o propósito dos ajustes econômicos é a transferência regressiva de renda e riqueza. As Mareas Ciudadanas constituíram-se numa resposta cidadã com êxito em muitas lutas sociais contra a austeridade fiscal. A alternativa de resistência e superação pela via política se fez presente com vigor na Espanha e tem resistido ao desmantelamento do SNS.

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Recortes, austeridad y salud. Informe SESPAS 2014

Cited by 22 publications

References 12 publications

Austerity Measures and Underfunding of the Spanish Health System during the COVID-19 Pandemic—Perception of Healthcare Staff in Spain

Austerity Measures and Underfunding of the Spanish Health System during the COVID-19 Pandemic—Perception of Healthcare Staff in Spain

Effect of the Financial Crisis on Socioeconomic Inequalities in Mortality in Small Areas in Seven Spanish Cities

Políticas de austeridade fiscal: tentativa de desmantelamento do Sistema Nacional de Salud da Espanha e resistência cidadã

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