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Studying Healthcare Affordability during an Economic Recession: The Case of Greece
International Journal of Environmental Research and Public Health ( IF 4.614 ) Pub Date : 2020-10-24 , DOI: 10.3390/ijerph17217790
Dimitris Zavras

The significant deterioration of economic prosperity in Greece during the economic crisis decreased patients’ ability to pay. Thus, the objective of this study is to determine the factors affecting healthcare affordability in Greece during an economic recession. This study used data from the European Union Statistics on Income and Living Conditions (EU-SILC) 2016. The sample consisted of 18,255 households. Healthcare affordability was regressed on geographic characteristics as well as several variables that refer to the households’ financial condition. Region of residence, ability to make ends meet, and capacity to cope with unexpected financial expenses were found to be statistically significant. Using sample sizes of 1000 and 1096 adults, respectively, the European Quality of Life Surveys (EQLS) of 2007 and 2016 were also used as data sources. Economic crisis was expressed with a dummy variable: (1) 0: 2007, and (2) 1: 2016. Difficulty in responding to healthcare costs was regressed on survey year and several demographic, socioeconomic, and health characteristics, revealing that individuals were more likely to face difficulties in responding to healthcare costs during the economic crisis. These results confirm the mechanism on the basis of which economic crises affect healthcare access: primarily through the effects of demand-side barriers.

中文翻译:

经济衰退期间的医疗保健负担能力研究:以希腊为例

在经济危机期间,希腊经济繁荣的严重恶化降低了患者的支付能力。因此,本研究的目的是确定经济衰退期间影响希腊医疗保健负担能力的因素。这项研究使用了《 2016年欧盟收入和生活状况统计》(EU-SILC)中的数据。该样本包括18,255个家庭。医疗保健的承受能力根据地理特征以及涉及家庭财务状况的几个变量进行回归。发现居住地区,维持收入的能力以及应付意外财务支出的能力在统计学上具有重要意义。分别使用1000名和1096名成年人的样本量,还将2007年和2016年的欧洲生活质量调查(EQLS)用作数据来源。经济危机用虚拟变量表示:(1)0:2007,和(2)1:2016。在调查年份以及一些人口,社会经济和健康特征上,对医疗保健费用做出响应的难度有所降低,这表明个人的健康状况更高。在经济危机期间可能难以应对医疗费用。这些结果证实了经济危机影响医疗保健获取的机制:主要是通过需求方壁垒的影响。
更新日期:2020-10-28
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