The Great Recession in Portugal: Impact on hospital care use

Perelman, Julian; Félix, Sónia; Santana, Rui

doi:10.1016/j.healthpol.2014.12.015

Cited by 29 publications

(41 citation statements)

References 27 publications

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“…This finding can be explained by the economic crisis that led to cutting funds to several sectors including health and, as a result, compromising the quality of care (14). In addition, payments to NHS hospitals during the crisis have been reduced, including reduction for payments for in-patient's admissions, day cases, and consultations (24). This reduction was most probably associated with a decrease in hospitals' efficiency and quality by shortening the length of stay, decreasing the number of admissions, or by replacing in-patient admissions by day cases in an attempt to compensate for the effects of the new austerity measures (24).…”

Section: Discussionmentioning

confidence: 99%

Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study

Shaaban¹,

Dias

Muggli³

et al. 2020

Front. Public Health

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Background: Thirty-day hospital readmission is receiving growing attention as an indicator of the quality of hospital care. Understanding factors associated with 30-day hospital readmission among HIV patients in Portugal is essential given the high burden cost of HIV hospitalizations in Portugal, a country suffering from financial constrains for almost 10 years. Objectives: We aimed to estimate the 30-day hospital readmission rates among HIV patients in Portugal and to identify its determinants using population-based data for Portuguese public hospitals.

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Section: Discussionmentioning

confidence: 99%

Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study

Shaaban¹,

Dias

Muggli³

et al. 2020

Front. Public Health

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“…The health policy response included an increase in employer and employee contribution rates either across the board or for specific population subgroups, increased or introduced user charges for health services, and medicines were subjected to increased out-of-pocket user charges, although the prices tend to decrease, accompanying an increase in the use of generics 25. This development had a negative impact on hospital care utilisation and no clear effect was evident on mortality figures 26. However, maternal and child health services remained free of charge even for non-documented migrants post-2008 when there was diminishing budgetary allocation for health.…”

Section: Discussionmentioning

confidence: 99%

Impact of the global financial crisis on low birth weight in Portugal: a time-trend analysis

et al. 2017

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BackgroundThe 2007–2008 global financial crisis had adverse consequences on population health of affected European countries. Few contemporary studies have studied its effect on perinatal indicators with long-lasting influence on adult health. Therefore, in this study, we investigated the impact of the 2007–2008 global financial crisis on low birth weight (LBW) in Portugal.MethodsData on 2 045 155 singleton births of 1995–2014 were obtained from Statistics Portugal. Joinpoint regression analysis was performed to identify the years in which changes in LBW trends occurred, and to estimate the annual per cent changes (APC). LBW risk by time period expressed as prevalence ratios were computed using the Poisson regression. Contextual changes in sociodemographic and economic factors were provided by their trends.ResultsThe joinpoint analysis identified 3 distinct periods (2 jointpoints) with different APC in LBW, corresponding to 1995–1999 (APC=4.4; 95% CI 3.2 to 5.6), 2000–2006 (APC=0.1; 95% CI −050 to 0.7) and 2007–2014 (APC=1.6; 95% CI 1.2 to 2.0). For non-Portuguese, it was, respectively, 1995–1999 (APC=1.4; 95% CI −3.9 to 7.0%), 2000–2007 (APC=−4.2; 95% CI −6.4 to −2.0) and 2008–2014 (APC=3.1; 95% CI 0.8 to 5.5). Compared with 1995–1999, all specific maternal characteristics had a 10–15% increase in LBW risk in 2000–2006 and a 20–25% increase in 2007–2014, except among migrants, for which LBW risk remained lower than in 1995–1999 but increased after the crisis. The increasing LBW risk coincides with a deceleration in gross domestic product growth rate, reduction in health expenditure, social protection allocation on family/children support and sickness.ConclusionsThe 2007–2008 global financial crisis was associated with a significant increase in LBW, particularly among infants of non-Portuguese mothers. We recommend strengthening social policies aimed at maternity protection for vulnerable mothers and health system maintenance of social equity in perinatal healthcare.

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“…22 Estas perceções também parecem ir ao encontro de estudos nesta área 23 e ao que foi defendido pelas entidades de Saúde, mas demonstram ser contrárias ao referido noutros estudos.…”

Section: Discussionunclassified

A Crise Económica em Médicos do Serviço Nacional de Saúde: Estudo Descritivo das Suas Perceções e Reações em Unidades de Saúde na Região da Grande Lisboa

et al. 2017

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RESUMOIntrodução: Na Europa, a evidência sobre o impacto da crise económica nos médicos ainda é escassa. Este estudo explora perceções, opiniões e estratégias de adaptação à crise económica por parte de médicos do setor público na área da Grande Lisboa em Portugal. Material e Métodos:Um inquérito foi aplicado a 484 médicos, selecionados aleatoriamente, no Hospital de São José de Lisboa (n = 302) e nos agrupamentos de centros de saúde primários de Cascais (n = 96) e Amadora (n = 86). Este trabalho baseia-se na análise estatística descritiva das respostas dadas pelos médicos inquiridos sobre as suas perceções do impacto da crise económica no mercado de serviços médicos (n = 484), das mudanças introduzidas no seu trabalho nos setores público (n = 346) e privado (n = 187), e nas suas intenções de migrar (n = 482). Resultados: Os médicos inquiridos percepcionaram um aumento da procura dos serviços, mas também uma redução de serviços oferecidos no público, relacionando estas situações com a crise e com um aumento da oferta no setor privado. Os médicos reportaram uma diminuição de salário no setor público (-30,5%), e um ligeiro aumento no número de horas de trabalho semanal neste setor (+ 2 horas). As respostas indicaram que a mediana das horas de trabalho e rendimentos no privado mantiveram-se constantes entre 2010 e 2015 (16 horas e €2000 mensais). O ajustamento no estilo de vida foi reportado como a principal consequência da crise. O gosto pela profissão médica, a independência e a flexibilidade do trabalho foram os fatores de alívio mais mencionados. Uma percentagem de 15% dos médicos inquiridos declarou considerar a emigração como uma opção para o futuro. Discussão: Segundo os médicos inquiridos, a crise trouxe mudanças importantes nas suas condições de trabalho e no mercado dos serviços médicos. Conclusão: À redução salarial e às piores condições de trabalho, correspondeu uma resposta baseada na motivação intrínseca da profissão. Palavras-chave: Médicos; Política de Saúde; Portugal; Recessão Económica; Saúde Pública ABSTRACT Introduction: In Europe, scant scientific evidence exists on the impact of economic crisis on physicians. This study aims at understanding the adjustments made by public sector physicians to the changing conditions, and their perceptions on the market for medical services in the Lisbon metropolitan area. Material and Methods: A random sample of 484 physicians from São José Hospital and health center groups in Cascais and Amadora, to explore their perceptions of the economic crisis, and the changes brought to their workload. This paper provides a descriptive statistical analysis of physicians' responses. Results: In connection to the crisis, our surveyed physicians perceived an increase in demand but a decrease of supply of public health services, as well as an increase in the supply of health services by the private sector. Damaging government policies for the public sector, and the rise of private services and insurance providers were identified as game changers for the sector. Physicians re...

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The Great Recession in Portugal: Impact on hospital care use

Cited by 29 publications

References 27 publications

Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study

Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study

Impact of the global financial crisis on low birth weight in Portugal: a time-trend analysis

A Crise Económica em Médicos do Serviço Nacional de Saúde: Estudo Descritivo das Suas Perceções e Reações em Unidades de Saúde na Região da Grande Lisboa

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