Evidence map›Paper›PMID 27460938›Full record

ArticleBMC health services research2016

Economic crisis, austerity and unmet healthcare needs: the case of Greece.

Dimitris Zavras, Athanasios I Zavras, Ilias-Ioannis Kyriopoulos, John Kyriopoulos

Abstract read
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

52 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  18. A multilevel perspective on goals, barriers, and facilitators of school-based asthma management.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022
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  20. Spatio-Temporal Variation of Lung Cancer in Crete, 1992-2013. Economic or Health Crisis?International journal of environmental research and public health · 2022
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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

4 authors.

Dimitris ZavrasDepartment of Health Economics, National School of Public Health, 196 Alexandras Avenue, 11521, Athens, Greece.
Athanasios I ZavrasDepartment of Pediatric Dentistry, Goldman School of Dental Medicine, Boston University, 100 E Newton Street, Suite 706, Boston, MA, 02118, USA.
Ilias-Ioannis KyriopoulosDepartment of Health Economics, National School of Public Health, 196 Alexandras Avenue, 11521, Athens, Greece. i.kyriopoulos@lse.ac.uk.
John KyriopoulosDepartment of Health Economics, National School of Public Health, 196 Alexandras Avenue, 11521, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe programme for fiscal consolidation in Greece has led to income decrease and several changes in health policy. In this context, this study aims to assess how economic crisis affected unmet healthcare needs in Greece.

methodsTime series analysis was performed for the years 2004 through 2011 using the EU-SILC database. The dependent variable was the percentage of people who had medical needs but did not use healthcare services. Median income, unemployment and time period were used as independent variables. We also compared self-reported unmet healthcare needs drawn from a national survey conducted in pre-crisis 2006 with a similar survey from 2011 (after the onset of the crisis). A common questionnaire was used in both years to assess unmet healthcare needs, including year of survey, gender, age, health status, chronic disease, educational level, income, employment, health insurance status, and prefecture. The outcome of interest was unmet healthcare needs due to financial reasons. Ordinary least squares, as well as logistic regression analysis were conducted to analyze the results.

resultsUnmet healthcare needs increased after the enactment of austerity measures, while the year of participation in the survey was significantly associated with unmet healthcare needs. Income, educational level, employment status, and having insurance, private or public, were also significant determinants of unmet healthcare needs due to financial reasons.

conclusionsThe adverse economic environment has significantly affected unmet health needs. Therefore health policy actions and social policy measures are essential in order to mitigate the negative impact on access to healthcare services and health status.

Indexed as

Health Services Needs and DemandChronic DiseaseEconomic RecessionEmploymentFemaleGreeceHealth PolicyHealth ServicesHealth Services AccessibilityHumansIncomeMalePersonal SatisfactionSelf ReportSocial ClassSurveys and QuestionnairesAusterityDemandEconomic crisisGreeceHealthcareUnmet healthcare needsUtilization

Identifiers

PMID27460938
PMCPMC4962475

What OpenQuestion holds

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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.