The United States: right to health obligations in the context of disparity and reform

Yamin, Alicia Ely; Carmalt, Jean Connolly

doi:10.1093/acprof:oso/9780199661619.003.0017

Cited by 2 publications

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“…The improvements in affordability in Greece requires interventions at the national level in terms of resource allocation, because accessibility overlaps with availability and includes affordability [90]; poor geographic availability of healthcare services impacts affordability [91].…”

Section: Discussionmentioning

confidence: 99%

Studying Healthcare Affordability during an Economic Recession: The Case of Greece

Zavras

2020

IJERPH

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The significant deterioration of economic prosperity in Greece during the economic crisis decreased patients’ ability to pay. Thus, the objective of this study is to determine the factors affecting healthcare affordability in Greece during an economic recession. This study used data from the European Union Statistics on Income and Living Conditions (EU-SILC) 2016. The sample consisted of 18,255 households. Healthcare affordability was regressed on geographic characteristics as well as several variables that refer to the households’ financial condition. Region of residence, ability to make ends meet, and capacity to cope with unexpected financial expenses were found to be statistically significant. Using sample sizes of 1000 and 1096 adults, respectively, the European Quality of Life Surveys (EQLS) of 2007 and 2016 were also used as data sources. Economic crisis was expressed with a dummy variable: (1) 0: 2007, and (2) 1: 2016. Difficulty in responding to healthcare costs was regressed on survey year and several demographic, socioeconomic, and health characteristics, revealing that individuals were more likely to face difficulties in responding to healthcare costs during the economic crisis. These results confirm the mechanism on the basis of which economic crises affect healthcare access: primarily through the effects of demand-side barriers.

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Section: Discussionmentioning

confidence: 99%

Studying Healthcare Affordability during an Economic Recession: The Case of Greece

Zavras

2020

IJERPH

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“…Based on quantitative and qualitative research performed with the WHO Council on the Economics of Health for All, 9 this article proposes an analytical framework that examines the mechanism for legal recognition, as well as elements included in the textual formulation of the right to health. Our framework uses three stages of analysis.…”

Section: Introductionmentioning

confidence: 99%

Analysing governments’ progress on the right to health

Ely Yamin,

Bottini Filho,

Gianella Malca

2024

Bull World Health Organ

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Objective To examine the influence of varying articulations of the right to health under domestic constitutions, legislation and jurisprudence on the scope of legal protection for health. Methods We investigated legal recognition of the right to health, by conducting a three-level search. First, we searched databases containing constitutional texts. Second, we did a thematic analysis of those constitutional texts with explicit constitutional recognition of health rights, employing NVivo for coding. For the 54 World Health Organization (WHO) Member States without explicit constitutional provisions, we explored statutory paths, judicial constructions and instances where both methods contributed to the acknowledgement of health rights. Lastly, we confirmed evidence of jurisprudence constructing a right to health based on a combination of domestic law and international human rights norms incorporated directly into the text. Findings We identified 140 WHO Member States with a constitutionalized right to health. Our analysis suggests there are notable variations in the legal scope of protection for health, including breadth of entitlements and the possibility of enforcing these rights through the legal system. We also highlight the critical importance of constitutional acknowledgement, legislative measures, and judicial interpretations in shaping the legal entitlements to health-care services, affecting their accessibility and financial support. Conclusion The analysis offers insights for policy-makers to assess different approaches to health-related entitlements, with implications for health financing and the evaluation of Member States' strides towards universal access to comprehensive care. This analysis also illuminates how distinct formulations of the right to health have varied effects on reducing health disparities.

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The United States: right to health obligations in the context of disparity and reform

Cited by 2 publications

References 0 publications

Studying Healthcare Affordability during an Economic Recession: The Case of Greece

Studying Healthcare Affordability during an Economic Recession: The Case of Greece

Analysing governments’ progress on the right to health

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