Evidence map›Paper›PMID 29141634›Full record

ArticleInternational journal for equity in health2017

The effects of neoliberal policies on access to healthcare for people with disabilities.

Dikaios Sakellariou, Elena S Rotarou

Open access · goldAbstract readComparative Study
In one paragraph

Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
13.8field-weighted citation impact, top 1% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The Political Economy of Health Inequality.International journal of social determinants of health and health services · 2026
    Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Re-thinking the Concept of Cultural Competency in Nursing Care of Older Adults.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025
    Article
  9. Review
  10. Review
  11. Article
  12. Review
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  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. SSM - population health · 2021
    Article
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

2 authors at 2 institutions in 2 countries.

Dikaios SakellariouSchool of Healthcare Sciences, Cardiff University, Eastgate House, Newport Road 35-43, Cardiff, CF24 0AB, UK. sakellarioud@cardiff.ac.uk.ORCID 0000-0002-2668-2834
Elena S RotarouDepartment of Economics, University of Chile, Diagonal Paraguay 257, Office 1506, 8330015, Santiago, Chile.
Cardiff University · GBUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neoliberal reforms lead to deep changes in healthcare systems around the world, on account of their emphasis on free market rather than the right to health. People with disabilities can be particularly disadvantaged by such reforms, due to their increased healthcare needs and lower socioeconomic status. In this article, we analyse the impacts of neoliberal reforms on access to healthcare for disabled people. This article is based on a critical analytical review of the literature and on two case studies, Chile and Greece. Chile was among the first countries to introduce neoliberal reforms in the health sector, which led to health inequalities and stratification of healthcare services. Greece is one of the most recent examples of countries that have carried out extensive changes in healthcare, which have resulted in a deterioration of the quality of healthcare services. Through a review of the policies performed in these two countries, we propose that the pathways that affect access to healthcare for disabled people include: a) Policies directly or indirectly targeting healthcare, affecting the entire population, including disabled people; and b) Policies affecting socioeconomic determinants, directly or indirectly targeting disabled people, and indirectly impacting access to healthcare. The power differentials produced through neoliberal policies that focus on economic rather than human rights indicators, can lead to a category of disempowered people, whose health needs are subordinated to the markets. The effects of this range from catastrophic out-of-pocket payments to compromised access to healthcare. Neoliberal reforms can be seen as a form of structural violence, disproportionately affecting the most vulnerable parts of the population - such as people with disabilities - and curtailing access to basic rights, such as healthcare.

Indexed as

PoliticsChileDelivery of Health CareGreeceHealth Care ReformHealth PolicyHealth Services AccessibilityHumansPersons with DisabilitiesSocioeconomic FactorsAccess to healthcareAusterityChileGreeceHealthcareHealth systemsNeoliberalismStructural adjustment programmes

Identifiers

PMID29141634
PMCPMC5688676
OpenAlexW2769683458

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.