Impact of the financial crisis on health research financing: towards a new model?

Combe, Caroline Gans

doi:10.1586/erp.09.31

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…The fiscal crisis in Europe impacted on health and healthcare in multiple ways (6). Health systems were mainly affected by the public budget cuts and the health workforce decrease (10)(11)(12)(13).…”

Section: Discussionmentioning

confidence: 99%

Healthcare access for cancer patients in the era of economic crisis. Results from the HOPE III study

Souliotis

Agapidaki

Papageorgiou

2015

Forum of Clinical Oncology

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Section: Discussionmentioning

confidence: 99%

Healthcare access for cancer patients in the era of economic crisis. Results from the HOPE III study

Souliotis

Agapidaki

Papageorgiou

2015

Forum of Clinical Oncology

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“…The fiscal crisis in Europe had a great impact on health services in a variety of ways (Karanikolos et al, 2013). Health-care systems were mainly affected by public budget cuts and a lack of financial and human resources (Cylus et al, 2012;Economou et al, 2008;Combe, 2009). On the other hand, cost sharing has shifted to households and has hampered access, especially for patients with low incomes and high frequency of health-care services utilization (Hellenic Statistical Authority, 2019).…”

Section: Discussionmentioning

confidence: 99%

HIV patient access to healthcare services in post-austerity era in Greece

Tsiakalakis

Golna²,

Dedes

et al. 2021

IJHRH

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Purpose The ten-year economic crisis and the ensuing fiscal adjustment that Greece experienced between 2009 and 2018 has had a major impact on patient access to health-care services and resulted in an increase in unmet population health needs. The present study aims to assess the impact of economic crisis and ensuing austerity on HIV patient access to health-care services. Design/methodology/approach A cross-sectional study was carried out between February and April 2019 to assess barriers in access to HIV care faced by people living with HIV. A total of 329 HIV positive individuals participated in the study. An online, self-reporting questionnaire was developed and adapted to the specific clinical and societal characteristics of HIV. Findings A total of 94.2% of respondents were male and 67.80% lived in Athens. Most of them were diagnosed with HIV-1 10 years ago. Out of the total respondents, 37.40% reported obstacles in accessing HIV care over the past year. A total of 24.30% reported they were not tested for viral load in the past six months and received a result. Individuals, who self-evaluate their financial status as very bad or bad, were more likely to be unaware of their viral load (55.60%) than those with better financial status (33.5%) (P < 0.01). Only 33.3% of uninsured participants were aware of their viral load, and this figure rose to 63.30% (P <0.01) amongst insured participants. Originality/value The ten-year economic crisis that Greece experienced in the period 2009–2018 had significant effects on the quality of services of the National Health System. This study attempts to fill the research gap regarding the impact of one of the severest economic crises during the past century with complex social extensions, in one of the most vulnerable patient groups. In this context, the study assesses barriers to access to optimal care of people living with HIV in Greece after a decade of austerity and the variables that impact on such access.

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Providing a model for financing the treatment costs during biological crises using the fiscal space development approach

Yaghoubi,

Vahedi Idehlo,

mehdizadeh

et al. 2023

Health Econ Rev

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Background Expanding fiscal space for health can be defined as providing additional budgetary resources for health, which is highly important during biological crises. This study aimed to provide a model for financing the treatment costs during biological crises using the development of the fiscal space approach. Methods This study employed a descriptive mixed-method design, consisting of three stages. In the first stage, a systematic review of relevant literature was conducted using multiple databases, including Scopus, PubMed, and Google Scholar. A total of 45 studies that met the inclusion criteria were selected. In the second stage, a panel of 14 experts identified five primary and 32 secondary strategies using an open questionnaire. Any additional strategies not identified during the literature review were added if a consensus was reached by experts. In the final stage, the Best Worst Method (BWM) was used to prioritize the identified strategies and sub-strategies based on their feasibility, effectiveness, quick yield, and fairness. Results Five strategies and fifty sub-strategies were identified. The most important strategies were the increase in health sector-specific resources (0.3889), increase in efficiency of health expenditures (0.2778), structural reforms (0.1111), health sector-specific grants and foreign aid (0.1667), and conducive macroeconomic conditions (0.05556). The most important sub-strategies were establishing and increasing earmarked taxes for the health sector (0.0140), expanding Universal Health Coverage (UHC) plans (0.0103), attracting the participation of non-governmental organizations (NGOs) and charitable organizations in the health sector (0.0096), integrating basic social insurance funds (0.0934), and tax exemptions for economic activists in the health sector (0.009303) during the crisis. Conclusion This study identified five main strategies and 50 sub-strategies for financing the treatment costs during biological crises. The most important strategies were increasing health sector-specific resources, improving efficiency of health expenditures, and implementing structural reforms. To finance health expenditures, harmful and luxury goods taxes can be increased and allocated to the health sector during crises. UHC plans should be improved and expanded, and the capacity of NGOs and charitable organizations should be better utilized during crises.

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Impact of the financial crisis on health research financing: towards a new model?

Cited by 3 publications

References 5 publications

Healthcare access for cancer patients in the era of economic crisis. Results from the HOPE III study

Healthcare access for cancer patients in the era of economic crisis. Results from the HOPE III study

HIV patient access to healthcare services in post-austerity era in Greece

Providing a model for financing the treatment costs during biological crises using the fiscal space development approach

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