Impact of economic crisis and other demographic and socio-economic factors on self-rated health in Greece

Zavras, Dimitris; Tsiantou, V.; Pavi, Elpida; Mylona, K.; Kyriopoulos, John

doi:10.1093/eurpub/cks143

Cited by 166 publications

(147 citation statements)

References 26 publications

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“…The finding that self-rated health deteriorated between 2012 and 2013 is supported by published literature on the negative effect of crises on health [5,13]. It is interesting that this deterioration was found unanimously for all chronic patient groups under study.…”

Section: Discussionsupporting

confidence: 68%

“…Still, it included a number of questions based on a previously used questionnaire in a national survey [5]. The previous 6-months period for assessing health care utilization was chosen in order to minimize recall bias.…”

Section: Study Limitations and Study Strengthsmentioning

confidence: 99%

“…The economic crisis has been found to affect self-reported health status [5], and the incidence of acute myocardial infractions [6], major depression [7] and suicide attempts [8].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Economic Crisis on Chronic Patients’ Self-Rated Health, Health Expenditures and Health Services Utilization

et al. 2014

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Abstract:There is evidence that the economic crisis in Greece has substantially affected patients and health care services, with chronic patients forming a particularly vulnerable group. The aim of this study was to investigate whether and in what way the current economic environment has affected patients with selected chronic conditions. A cross sectional study was carried out with a sample size of 1200 patients suffering from hypertension, diabetes and chronic obstructive pulmonary disease (COPD). Following a large family income decrease (35.4%) in the last 3 years, chronic patients reported decreased spending for various expenditure categories in order to maintain their ability to finance their health care needs. Among the disease groups studied, statistically significant differences were found for self-rated heath (SRH), out-of pocket health expenditures, health services utilization and the perceived need for physician services. Although need for physician visits for issues related to the chronic condition has largely been reported as met, this was achieved by increased out-of-pocket expenditures and large family budget cuts for essential household goods and services. Austerity measures and reduction of public health expenditure by the state appear to have led to high private expenditures and to de jure or de facto insurance coverage loss for primary care services.

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Section: Discussionsupporting

confidence: 68%

Section: Study Limitations and Study Strengthsmentioning

confidence: 99%

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The Impact of Economic Crisis on Chronic Patients’ Self-Rated Health, Health Expenditures and Health Services Utilization

et al. 2014

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“…Early reports from Greece have demonstrated a negative effect of the financial crisis on respiratory health, resulting in increases in poor self-rated health [60], all-cause mortality [1, 5, 10, 61], outbreaks of infectious diseases [1,12], restrictions in access to healthcare [1,11,12,60,62] and mortality due to adverse events during medical treatment [61]. In terms of the number of years of life lost due to premature death in Greece, international reports found that from 2010 to 2015 COPD rose from the seventh to the fifth leading cause of premature death.…”

Section: Respiratory Mortality In Greece Amid An 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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“…1 Recession affects health by worsening health-related quality of life; [2][3][4] increasing the incidence of some communicable diseases; 5 and exacerbating mental ill health 2,5-9 and increasing suicide rates. 5,6 This impact is not direct, and can be buffered by the degree of social protection that the state offers.…”

Section: Introductionmentioning

confidence: 99%

Effects of the economic crisis and social support on health-related quality of life: first wave of a longitudinal study in Spain

Fernández

Garcia-Alonso²,

Royo-Pastor³

et al. 2015

Br J Gen Pract

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Impact of economic crisis and other demographic and socio-economic factors on self-rated health in Greece

Cited by 166 publications

References 26 publications

The Impact of Economic Crisis on Chronic Patients’ Self-Rated Health, Health Expenditures and Health Services Utilization

The Impact of Economic Crisis on Chronic Patients’ Self-Rated Health, Health Expenditures and Health Services Utilization

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

Effects of the economic crisis and social support on health-related quality of life: first wave of a longitudinal study in Spain

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