Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review

Sánchez-Recio, Raquel; Ágreda, Juan Pablo Alonso Pérez De; Rabanaque, María José; Palacio, Isabel Aguilar

doi:10.18502/ijph.v51i3.8925

Cited by 2 publications

(2 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Worldwide systematic reviews also highlight that the rate of healthcare use declined following the COVID-19 pandemic 23 and economic downturn. 24…”

Section: Barriers To Healthcare Use and Accessmentioning

confidence: 99%

Mental health prevalence, healthcare use and access between 2018 and 2022 in Sri Lanka: an analysis of survey data

Deivanayagam,

Ní Chobhthaigh,

Devakumar

et al. 2024

Global Health Research

View full text Add to dashboard Cite

Background Sri Lanka has suffered four decades of violent conflict, a tsunami, terrorist attacks and an economic crisis, with unknown mental health consequences. People living with mental health difficulties may experience individual, interpersonal, social or structural barriers to help-seeking. These may include stigma, lack of knowledge, denial, fear of societal repercussions, language, acceptability/appropriateness of care, lack of family support, availability of medication, lack of transport and financial barriers. It is possible that several of these factors may have manifested during the challenging time period for Sri Lankans at which this study took place. Methods Using a sample of 4030 respondents from two waves of a nationally representative survey, this study assessed the changes in the prevalence of mental health conditions, and subsequent changes in rates of healthcare usage and access, among adults in Sri Lanka between 2018 and 2022. This spanned a period of crisis and unrest, inclusive of the Easter Sunday attacks in 2019, anti-Muslim riots, the coronavirus disease 2019 pandemic and lockdown measures, as well as the current economic crisis that started in late 2021. Descriptive analyses were conducted to assess the demographic and socioeconomic characteristics of the cohort, and to quantify the prevalence of mental health difficulties within the cohort at each wave. Regression analyses examined the changes in prevalence of mental health difficulties over time. Cross-sectional descriptive analyses examined rates of healthcare use and access among those experiencing mental health difficulties, and regression analyses compared use and access for those experiencing different levels of mental health difficulties, adjusting for age, sex, education, socioeconomic status, ethnicity, religion, region and language. Results We found that 2.9% of Sri Lankans experienced high mental health difficulties during 2018–9 and 6.1% in 2021–2. There was a statistically significant increase in prevalence between 2018–9 and 2021–2 (β = 0.23, 95% confidence interval 0.20 to 0.26; p < 0.05). This rise was disproportionately higher amongst older adults, those in the lowest socioeconomic classes, and those not from a minority ethnic group. The gap between inpatient use for those living with the highest and lowest levels of mental health difficulties widened across the study period, though the outpatient use gap remained stable. Finally, while those with high mental health difficulties reported high levels of unmet need for health care, when compared to those with the lowest levels of mental health difficulty, the difference was not found to be significant, likely due to a restricted sample size. Future work and limitations It would be beneficial for future studies to investigate issues with measuring mental health, applicability and the cultural safety of mental health measures. Conclusions We explored mental health in Sri Lankans during critical time periods when the country experienced various traumatic events. The lessons learnt from how mental health and healthcare access and use were measured in this study allows us to strengthen methods for future studies, allowing for robust longitudinal analyses of healthcare use and access for those experiencing common mental health difficulties. Funding This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Global Health Research programme as award number 17/63/47. A plain language summary of this article is available on the NIHR Journals Library website https://doi.org/10.3310/HJWA5078.

show abstract

“…Worldwide systematic reviews also highlight that the rate of healthcare use declined following the COVID-19 pandemic 23 and economic downturn. 24…”

Section: Barriers To Healthcare Use and Accessmentioning

confidence: 99%

Mental health prevalence, healthcare use and access between 2018 and 2022 in Sri Lanka: an analysis of survey data

Deivanayagam,

Ní Chobhthaigh,

Devakumar

et al. 2024

Global Health Research

View full text Add to dashboard Cite

show abstract

“…Easy access to and use of required healthcare services are essential for good quality of life and the resolution of health problems [ 21 ]. Specifically, since healthcare services are the main policy that can resolve health inequalities in older adults, they should be thoroughly modified [ 12 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Factors affecting unmet healthcare needs in female baby boomers: Andersen model application in Korea

Park

Chung

2023

PLoS ONE

View full text Add to dashboard Cite

This study aimed to measure unmet healthcare needs and investigate the factors affecting them in female baby boomers (individuals born between 1955 and 1963) using the Korea Health Panel Data 2017 from February to June 2017 by the Korea Institute for Health and Social Affairs and the National Health Insurance Corporation. The data were analyzed using descriptive statistics, chi-square test, t-test, and multiple logistic regression using SPSS WIN 25.0 program. The results showed that the proportion of unmet healthcare needs was 11.1%, and the primary reason for unmet healthcare needs was the lack of visitation time. Female baby boomers experienced more unmet healthcare needs when they had no spouse (1.63 times), eating problems (2.33 times), and stress (1.31 times). This study is significant because it measured the unmet healthcare needs of women in the baby boomer generation and identified the factors influencing unmet healthcare needs. The study’s results can help provide essential data to decrease the unmet healthcare needs of female baby boomers.

show abstract

Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review

Cited by 2 publications

References 60 publications

Mental health prevalence, healthcare use and access between 2018 and 2022 in Sri Lanka: an analysis of survey data

Mental health prevalence, healthcare use and access between 2018 and 2022 in Sri Lanka: an analysis of survey data

Factors affecting unmet healthcare needs in female baby boomers: Andersen model application in Korea

Contact Info

Product

Resources

About