Impact of Economic Crisis in Primary Health Care (PHC)

A special issue of Diseases (ISSN 2079-9721).

Deadline for manuscript submissions: closed (15 November 2013) | Viewed by 6194

Special Issue Editor

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Guest Editor
Clinic of Social and Family Medicine, School of Medicine, University of Crete, 71003 Heraklion, Greece
Interests: primary health care and family medicine; quality management; migrant health; formulation of guidelines for management of common disease and chronic conditions; cardiovascular disease; gastroenterology and mental health
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Dear colleagues,

There is an ongoing interest in the medical literature on exploring the impact of the economic crisis on health in certain European countries that have been mostly affected including Greece, Spain, Portugal, Italy and Ireland. In general the impact of the economic crisis can be studied on the utilization of health care services and their quality, on health care outcomes on health care provision in vulnerable groups including immigrants and aging population and on health professional themselves, while it rising healthcare cost and contributing to the adoption of unhealthy lifestyles, and affecting continuity and patient The economic crisis impacts also on the physicians’ response to the increasing health needs of the population, workload, and professional or academic career. Although all those recognize impact of economic crisis on health and health care services little has been reported on its impact and the role of primary care in alleviating the burden from the society and families/patients. The Journal of Diseases invites researchers and health care practitioners to share either the research or opinion papers on the impact of the economic crisis on primary health care.

Dr. Christos Lionis
Guest Editor

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  • economic crisis
  • health care services
  • primary health care
  • multi-morbidity
  • quality of care
  • patient safety

Published Papers (1 paper)

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The Impact of Economic Crisis on Chronic Patients’ Self-Rated Health, Health Expenditures and Health Services Utilization
by Anastasios Skroumpelos, Elpida Pavi, Katerina Mylona and John Kyriopoulos
Diseases 2014, 2(2), 93-105; - 22 May 2014
Cited by 9 | Viewed by 5801
There is evidence that the economic crisis in Greece has substantially affected patients and health care services, with chronic patients forming a particularly vulnerable group. The aim of this study was to investigate whether and in what way the current economic environment has [...] Read more.
There is evidence that the economic crisis in Greece has substantially affected patients and health care services, with chronic patients forming a particularly vulnerable group. The aim of this study was to investigate whether and in what way the current economic environment has affected patients with selected chronic conditions. A cross sectional study was carried out with a sample size of 1200 patients suffering from hypertension, diabetes and chronic obstructive pulmonary disease (COPD). Following a large family income decrease (35.4%) in the last 3 years, chronic patients reported decreased spending for various expenditure categories in order to maintain their ability to finance their health care needs. Among the disease groups studied, statistically significant differences were found for self-rated heath (SRH), out-of pocket health expenditures, health services utilization and the perceived need for physician services. Although need for physician visits for issues related to the chronic condition has largely been reported as met, this was achieved by increased out-of-pocket expenditures and large family budget cuts for essential household goods and services. Austerity measures and reduction of public health expenditure by the state appear to have led to high private expenditures and to de jure or de facto insurance coverage loss for primary care services. Full article
(This article belongs to the Special Issue Impact of Economic Crisis in Primary Health Care (PHC))
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