ArticleBMC health services research2017
Exploring public sector physicians' resilience, reactions and coping strategies in times of economic crisis; findings from a survey in Portugal's capital city area.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 27 citations in OpenAlex.
- The Impact of Polycrisis on Healthcare Systems-Analyzing Challenges and the Role of Social Epidemiology.Healthcare (Basel, Switzerland) · 2025Review
- Towards Resilient Healthcare Systems: A Framework for Crisis Management.International journal of environmental research and public health · 2024Review
- Physician resilience and perceived quality of care among medical doctors with training in psychosomatic medicine during the COVID-19 pandemic: a quantitative and qualitative analysis.BMC health services research · 2024Article
- Article
- The Impact of the COVID-19 Pandemic on Physicians' Working Hours and Earnings in São Paulo and Maranhão States, Brazil.International journal of environmental research and public health · 2022Article
- Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review.Iranian journal of public health · 2022Review
- Employee Perceptions About Participation in Decision-Making in the COVID Era and Its Impact on the Psychological Outcomes: A Case Study of a Cooperative in MONDRAGON (Basque Country, Spain).Frontiers in psychology · 2022Article
- Austerity, healthcare provision, and health outcomes in Spain.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- The Unlikely Saviour: Portugal's National Health System and the Initial Impact of the COVID-19 Pandemic?Development (Society for International Development) · 2020Review
- Article
- Empathy and Efficiency in Healthcare at Times of Austerity.Health care analysis : HCA : journal of health philosophy and policy · 2019Article
- Austerity measures and the transforming role of A&E professionals in a weakening welfare system.PloS one · 2019Article
- Stress, coping, and psychological resilience among physicians.BMC health services research · 2018Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence is accumulating on the impact of the recent economic crisis on health and health systems across Europe. However, little is known about the effect this is having on physicians - a crucial resource for the delivery of healthcare services. This paper explores the adaptation to the crisis of public sector physicians and their ability to keep performing their functions, with the objective of gaining a better understanding of health workers' resilience under deteriorating conditions.
methodsWe conducted a survey among 484 public primary care and hospital physicians in Portugal's capital city area and explored their perceptions of the crisis, adaptation and coping strategies. We used ordinal and logistic regression models to link changes in hours worked and intentions to migrate with physicians' characteristics and specific answers.
resultsWe found little evidence of physicians changing their overall allocation of working time before and after the crisis, with their age, types of specialisation, valuation of job flexibility and independence significantly associated with changes in public sector hours between 2010 and 2015. Being divorced, not Portuguese, of younger age, and working a high number of hours per week, were found to increase the probability of physicians considering migration, the same as having a poor opinion of recent government health policies. On the other hand, enjoying their current working environment, not wanting to disrupt provision of service, and leisure time were found to protect against scaling down public sector hours or considering migration.
conclusionsOur work on Portuguese physicians contributes to the debate on health workers' resilience, showing the value of understanding the influence of personal characteristics and opinions on their adaptation to changing circumstances, before designing policies to improve their working conditions and retention.
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