Evidence map›Paper›PMID 27457098›Full record

ArticleInternational journal for equity in health2016

"You have to keep fighting": maintaining healthcare services and professionalism on the frontline of austerity in Greece.

Angeliki Kerasidou, Patricia Kingori, Helena Legido-Quigley

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
10.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 42 citations in OpenAlex.

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  12. The need for empathetic healthcare systems.Journal of medical ethics · 2020
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  16. Moral Distress and Austerity: An Avoidable Ethical Challenge in Healthcare.Health care analysis : HCA : journal of health philosophy and policy · 2019
    Article
  17. Empathy and Efficiency in Healthcare at Times of Austerity.Health care analysis : HCA : journal of health philosophy and policy · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Angeliki KerasidouThe Ethox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK. angeliki.kerasidou@ethox.ox.ac.uk.ORCID 0000-0001-9344-3297
Patricia KingoriThe Ethox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Helena Legido-QuigleySaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
University of Oxford · GBNational University of Singapore · SG

Funding

Wellcome TrustWellcome Trust 104107/Z/14/Z
6 · The paper itself

Abstract

backgroundGreece has been severely affected by the 2008 global economic crisis and its health system was, and still is, among the national institutions most shaped by its effects.

methodsIn 2014, this qualitative study examined these changes through in-depth interviews with 22 frontline healthcare professionals in five different locations in mainland Greece. These interviews with nurses, doctors and pharmacists explored perceptions of austerity and how ideas of professionalism were challenged and revised by these measures.

resultsParticipants reported working conditions characterised by dramatic increases in public hospital admissions alongside decreases in personnel, consumables, materials, and also many hospital closures. Many drew on analogies of war and fighting to describe the effects of healthcare reforms on their working lives and professional conduct. Despite accounts of deteriorating conditions and numerous challenges, healthcare professionals presented themselves as making every effort to meet patients' needs, while battling to resist guidelines which they perceived diminished their roles to production-line operatives.

conclusionsParticipants considered it their duty to defend their professional ethos and serve patients without compromising standards, even if this meant liberal interpretation and implementation of regulations. These professionals regarded themselves on the frontline of healthcare provision but also the frontline defence in a war on their professional standards from austerity.

Indexed as

PerceptionFinancial StatementsGreeceHealth PersonnelHealth ResourcesHospitalizationHumansProfessionalismQualitative ResearchQuality of Health CareAusterityGreeceHealthcareHealthcare system reformsMedical professionalismProfessionalismQualitative

Identifiers

PMID27457098
PMCPMC4960903
OpenAlexW2485462613

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.