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Review
. 2022 Mar;51(3):495-507.
doi: 10.18502/ijph.v51i3.8925.

Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review

Raquel Sánchez Recio  1   2 , Juan Pablo Alonso Pérez De Ágreda  2   3 , María José Rabanaque  1   2 , Isabel Aguilar Palacio  1   2
Affiliations
Review

Understanding the Effect of Economic Recession on Healthcare Services: A Systematic Review

Raquel Sánchez Recio et al. Iran J Public Health. 2022 Mar.

Abstract

Background: 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 specialized 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.

Keywords: Economic recession; Healthcare systems; Inequalities; Inequities; Systematic review.

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Conflict of interest statement

Conflict of interest The authors declare that there is no conflict of interests.

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References

    1. Parmar D, Stavropoulou C, Ioannidis JPA. (2016). Health outcomes during the 2008 financial crisis in Europe: systematic literature review. BMJ, 354:i4588. - PMC - PubMed
    1. Marmot M, Bell R. (2012). Fair society, healthy lives. Public Health, 126 Suppl 1:S4–S10. - PubMed
    1. Rajmil L, de Sanmamed M-JF, Choonara I, et al. (2014). Impact of the 2008 economic and financial crisis on child health: a systematic review (2014). Int J Environ Res Public Health, 11(6):6528–46. - PMC - PubMed
    1. Suhrcke M, Stuckler D, Suk JE, et al. (2011). The impact of economic crises on communicable disease transmission and control: a systematic review of the evidence. PLoS One, 6(6):e20724. - PMC - PubMed
    1. Hessel P, Vandoros S, Avendano M. (2014). The differential impact of the financial crisis on health in Ireland and Greece: a quasi-experimental approach. Public Health, 128(10):911–9. - PMC - PubMed

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