000117154 001__ 117154
000117154 005__ 20240319080956.0
000117154 0247_ $$2doi$$a10.18502/ijph.v51i3.8925
000117154 0248_ $$2sideral$$a128658
000117154 037__ $$aART-2022-128658
000117154 041__ $$aeng
000117154 100__ $$0(orcid)0000-0002-0078-0663$$aSánchez Recio, R.$$uUniversidad de Zaragoza
000117154 245__ $$aUnderstanding the effect of economic recession on healthcare services: a systematic review
000117154 260__ $$c2022
000117154 5060_ $$aAccess copy available to the general public$$fUnrestricted
000117154 5203_ $$aBackground: We aimed to examine the available evidence about the impact of the crisis on the use of healthcare services in Europe. Methods: We developed a systematic review of scientific literature for the period 2008-2017. The researchers searched three databases Medline/PubMed, Scopus and Web of Knowledge. For manual searching, several spe-cialized journals of related scope as well as the finalized articles'' reference list were searched. Descriptive and thematic analyses were carried out. PRISMA quality criteria and the recommendations of the Centre for Reviews and Dissemination were followed. Results: Of 3, 685 studies, 35 met inclusion criteria. Regarding “Effects of the social structure” healthcare accessibility inequalities increased by socioeconomic levels, especially in unemployed, people with low educational levels and migrants. Regarding “Healthcare effect”, the impact of the recession was observed in unmet needs, pharmaceutical spending containment, reduction of hospital beds, and privatization of services. Conclusion: Austerity policies have contributed to increasing inequalities in the use of health services during the economic downturn. In the current economic climate, new management and health planning strategies such as hospitalisation at home, new models of integrated care and pharmaceutical management are needed to help achieve greater equity and equality in health.
000117154 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000117154 590__ $$a1.4$$b2022
000117154 592__ $$a0.358$$b2022
000117154 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b155 / 180 = 0.861$$c2022$$dQ4$$eT3
000117154 593__ $$aPublic Health, Environmental and Occupational Health$$c2022$$dQ3
000117154 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b179 / 207 = 0.865$$c2022$$dQ4$$eT3
000117154 594__ $$a2.2$$b2022
000117154 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000117154 700__ $$0(orcid)0000-0002-6688-2435$$aAlonso Pérez de Ágreda, J. P.$$uUniversidad de Zaragoza
000117154 700__ $$0(orcid)0000-0002-6671-5661$$aRabanaque, M. J.$$uUniversidad de Zaragoza
000117154 700__ $$0(orcid)0000-0001-7293-701X$$aAguilar Palacio, I.$$uUniversidad de Zaragoza
000117154 7102_ $$11011$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Medic.Prevent.Salud Públ.
000117154 773__ $$g51, 3 (2022), 495-507$$pIRAN J PUBLIC HEALTH$$tIRAN J PUBLIC HEALTH$$x2251-6085
000117154 8564_ $$s1072594$$uhttps://zaguan.unizar.es/record/117154/files/texto_completo.pdf$$yVersión publicada
000117154 8564_ $$s2359315$$uhttps://zaguan.unizar.es/record/117154/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000117154 909CO $$ooai:zaguan.unizar.es:117154$$particulos$$pdriver
000117154 951__ $$a2024-03-18-13:37:40
000117154 980__ $$aARTICLE