Health effects of financial crisis: omens of a Greek tragedy

Kentikelenis, Alexander; Karanikolos, Marina; Papanicolas, Irene; Basu, Sanjay; McKee, Martin; Stuckler, David

doi:10.1016/s0140-6736(11)61556-0

Cited by 524 publications

(408 citation statements)

References 5 publications

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“…Physicians could recognize the value of non-FFS and salary payments for a large portion of care (e.g., estimated up to 50% for standard care by participating physicians), whereas other stakeholders could acknowledge the continuing value of FFS and salary for care, which is less predictable. Recent across-theboard cuts in Greece have led to dramatic health consequences for its citizens [27]. We should learn from this by reforming healthcare in a balanced way, making care typology a linking pin of central importance.…”

Section: Resultsmentioning

confidence: 99%

Healthcare payment reforms across western countries on three continents: Lessons from stakeholder preferences when asked to rate the supportiveness for fulfilling patients’ needs

et al. 2013

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Objective. To test the hypothesis that care typology -being complex and highly unpredictable versus being clear-cut and highly predictable -guides healthcare payment preferences of physicians, policy makers, healthcare executives, and researchers.Data Sources/Study Setting. We collected survey data from 942 stakeholders across Canada, Europe, Oceania, and the United States. Forty-eight international societies invited their members to participate in our study. Study Design.Cross-sectional analysis of stakeholder survey data linked to four scenarios of care typology: primary prevention, trial-and-error care, standard care and network care.Principal Findings. We identified two "extremes": (1) dominant preferences of physicians, who embraced fee for service (FFS), even when this precludes the advantages of other payment systems associated with a minimal risk of harm (OR 1.85 for primary prevention; OR 1.89 for standard care, compared to non-physicians); and (2) the dominant preferences of healthcare executives and researchers, who supported quality bonus or adjustment (OR 1.92) and capitation (OR 2.05), respectively, even when these could cause harm. Conclusions.Based on explorative findings, we can cautiously state that payment reform will prove to be difficult as long as physicians, healthcare executives, and researchers misalign payment systems with the nature of care. Replication studies are needed to (dis)confirm our findings within representative subsamples per area and stakeholder group.

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Section: Resultsmentioning

confidence: 99%

Healthcare payment reforms across western countries on three continents: Lessons from stakeholder preferences when asked to rate the supportiveness for fulfilling patients’ needs

et al. 2013

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“…The financial crisis in Greece was accompanied by lowered labor demand, reduced family incomes, higher debt, significant cuts in the funding of health-care systems, and tightened access to health-care services (International Monetary Fund, 2013;Kentikelenis et al, 2014). Public spending on health was reduced by 24.3% in real terms (OECD, 2013), and hospital budgets were cut by more than 40%, whereas demand increased by approximately 25% (Kentikelenis et al, 2011). The percentage of the population living on or below the poverty line has increased by 25% during the period 2010-2013, and the unemployed comprised a large proportion of the groups at high risk of poverty (Bank of Greece, 2014).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: A longitudinal study before and during the financial crisis

Drydakis

2015

Social Science & Medicine

226

255

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“…According to data from the UN (The United Nations Statistics Division (UNSD) of the Department of Economic and Social Affairs (DESA) 2014), the unemployment rate in Spain increased for both men and women from 9.63 % in the first quarter in 2008 to 26.03 % in the fourth quarter in 2013. Kentikelenis et al (2011Kentikelenis et al ( , 2012 showed similar effects for Greece, reporting not only an increase in suicide, but also in psychiatric morbidity. The cross-sectional studies of Bobak et al (1998Bobak et al ( , 2000 have provided empirical evidence for Russia that following the abrupt transition to democracy and capitalism in the 1990s, rising income inequality, a deteriorating social safety net, and increasing levels of material hardship have resulted in greater psychosocial stress among the population; and that this stress in turn led to higher levels of morbidity and premature deaths.…”

Section: Economic Impact On Mortalitymentioning

confidence: 64%

Impact of Economic Conditions and Crises on Mortality and its Predictability

Bohk

Rau

2016

Social Demography Forschung an Der Schnittstelle Von Soziologie Und Demografie

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To investigate how economic conditions and crises affect mortality and its predictability in industrialized countries, we review the related literature, and we forecast mortality developments in Spain, Hungary, and Russia-three countries which have recently undergone major transformation processes following the introduction of radical economic and political reforms. The results of our retrospective mortality forecasts from 1991 to 2009 suggest that our model can capture major changes in long-term mortality trends, and that the forecast errors it generates are usually smaller than those of other well-accepted models, like the Lee-Carter model and its coherent variant. This is because our approach is capable of modeling (1) dynamic shifts in survival improvements from younger to older ages over time, as well as (2) substantial changes in long-term trends by optionally complementing the extrapolated mortality trends in a country of interest with those of selected reference countries. However, the forecasting performance of our model is limited (like that of every model): e.g., if mortality becomes extremely volatile-as was the case in Russia after the dissolution of the Soviet Union-generating a precise forecast will depend more on luck than on methodology and expert judgment. In general, we conclude that, on their own, recent economic changes appear to have minor effects on life expectancy in industrialized countries, but that the effects of these changes are greater if they occur in conjunction with other major social and political changes. Keywords

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Health effects of financial crisis: omens of a Greek tragedy

Cited by 524 publications

References 5 publications

Healthcare payment reforms across western countries on three continents: Lessons from stakeholder preferences when asked to rate the supportiveness for fulfilling patients’ needs

Healthcare payment reforms across western countries on three continents: Lessons from stakeholder preferences when asked to rate the supportiveness for fulfilling patients’ needs

The effect of unemployment on self-reported health and mental health in Greece from 2008 to 2013: A longitudinal study before and during the financial crisis

Impact of Economic Conditions and Crises on Mortality and its Predictability

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