ArticleAIMS public health2024
Negative effects of high public debt on health systems facing pandemic crisis: Lessons from COVID-19 in Europe to prepare for future emergencies.
Article in AIMS public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gini coefficient, GDP per capita and COVID-19 mortality: a systematic review of ecologic studies.BMC public health · 2025Pooled it
- Economic impact of initiation of home mechanical ventilation: a budget impact analysis from the Netherlands.BMJ open respiratory research · 2026Article
- Remittances, political economy and public health expenditure: evidence from Africa.Health policy and planning · 2026Article
- The urban infection susceptibility index and its application in cities of China.Biosafety and health · 2026Article
- Crisis-driven innovation in the Republic of Korea's in vitro diagnostics industry: a pandemic case study.Osong public health and research perspectives · 2026Article
- Building a health system resilience framework: national, state, regional, and local perspectives.Lancet regional health. Americas · 2026Review
- Healthcare resource utilization and cost burden of COVID-19 according to vaccination status in adults in Ontario, Canada, 2021-2023.PloS one · 2026Article
- Assessing vaccine coverage and delivery strategies for influenza and COVID-19 among Italian healthcare workers: A 2015-2023 case study.Human vaccines & immunotherapeutics · 2025Article
- Long-term outcomes of mild coronavirus disease 2019: Pulmonary function, exercise capacity, and quality of life.The Journal of international medical research · 2025Article
- Does public indebtedness matter in the effect of public health expenditure on human longevity in Sub-Saharan Africa countries? Evidence from dynamic panel threshold regression.Health economics review · 2025Article
- Healthcare Expenditure and COVID-19 in Europe: Correlation, Entropy, and Functional Data Analysis-Based Prediction of Hospitalizations and ICU Admissions.Entropy (Basel, Switzerland) · 2025Article
- Article
- Assessment of the efficiency and effectiveness of health care systems in European Union countries before and during the COVID-19 pandemic.Frontiers in public health · 2025Article
- Mortality involving and not involving COVID-19 among vaccinated vs. unvaccinated in England between Apr 21 and May 23.F1000Research · 2025Article
- Health behavior and disease self-management indicators in patients with cardiovascular diseases using a health app: Findings from an RCT.AIMS public health · 2025Article
- Structural imbalance of medical resources amid population mobility and digital empowerment: a study of national and port-developed provinces in China.Frontiers in public health · 2025Article
- Medium-term immunogenicity of three doses of BNT162b2 and CoronaVac in Hong Kong neuromuscular disease patients.Human vaccines & immunotherapeutics · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The investigation goal here was to analyze how the level of public debt affects preparedness of health systems to face emergencies. In particular, this study examined the negative effects of high public debt on health systems of European countries in the presence of the COVID-19 pandemic crisis. Empirical evidence revealed that European countries with a lower level of government debt as a percentage of GDP both in 2009 and 2019 (the period before the arrival of the pandemic) had lower COVID-19 fatality rates compared to countries with higher levels of public debt. The explanation is that high levels of public debt in countries trigger budget constraints that limit their ability to allocate resources to healthcare systems (e.g., health expenditures and investments), weakening health system performance and causing systemic vulnerability and lower preparedness during emergencies, such as with the COVID-19 pandemic. Implications of health policies are suggested to improve strategies of crisis management.
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