IDEAS home Printed from https://ideas.repec.org/a/jes/wpaper/y2014v6i4p75-91.html
   My bibliography  Save this article

The Aftermath Of The Economic Crisis: Healthcare Systems’ Inequalities In Europe

Author

Listed:
  • Silvia PALASCA

    () (Alexandru Ioan Cuza University of Iasi, Faculty of Economics and Business Administration, Doctoral School of Economics and Business Administration, Romania)

  • Sebastian ENEA

    () (Romanian Academy, Iasi Branch)

Abstract

During an economic downturn the non-productive sectors (education, health, and social services) are the most exposed to sudden policy changes, as a result of austerity measures. This article aims to assess the impact of the late 2000’s crisis on some European countries’ healthcare systems in order to highlight the link between the breakdown of the economic context and the negative outcomes on a social level. In this regard, a panel data analysis was employed, focusing on out-of-pocket health expenses as an estimation of a nation’s wellbeing and healthcare development level. The cross-time results indicated a clear collapse of all national healthcare systems in 2009 while the cross-section effects implied that the twenty three countries could be divided in three groups according to their healthcare policy, especially regarding health insurance. Thus, countries should pay more attention to the private insurances component of the healthcare systems as the others are defenseless against business cycle fluctuations.

Suggested Citation

  • Silvia PALASCA & Sebastian ENEA, 2014. "The Aftermath Of The Economic Crisis: Healthcare Systems’ Inequalities In Europe," CES Working Papers, Centre for European Studies, Alexandru Ioan Cuza University, vol. 6(4), pages 75-91, December.
  • Handle: RePEc:jes:wpaper:y:2014:v:6:i:4:p:75-91
    as

    Download full text from publisher

    File URL: http://ceswp.uaic.ro/articles/CESWP2014_VI4_PAL.pdf
    Download Restriction: no

    References listed on IDEAS

    as
    1. Cavagnero, Eleonora & Bilger, Marcel, 2010. "Equity during an economic crisis: Financing of the Argentine health system," Journal of Health Economics, Elsevier, vol. 29(4), pages 479-488, July.
    2. Cutler, David M. & Knaul, Felicia & Lozano, Rafael & Mendez, Oscar & Zurita, Beatriz, 2002. "Financial crisis, health outcomes and ageing: Mexico in the 1980s and 1990s," Journal of Public Economics, Elsevier, vol. 84(2), pages 279-303, May.
    3. Belli, Paolo & Gotsadze, George & Shahriari, Helen, 2004. "Out-of-pocket and informal payments in health sector: evidence from Georgia," Health Policy, Elsevier, vol. 70(1), pages 109-123, October.
    4. Mikael Svensson, 2010. "Economic upturns are good for your heart but watch out for accidents: a study on Swedish regional data 1976-2005," Applied Economics, Taylor & Francis Journals, vol. 42(5), pages 615-625.
    5. O'Donnell, Owen & van Doorslaer, Eddy & Rannan-Eliya, Ravi P. & Somanathan, Aparnaa & Adhikari, Shiva Raj & Akkazieva, Baktygul & Harbianto, Deni & Garg, Charu C. & Hanvoravongchai, Piya & Herrin, Ale, 2008. "Who pays for health care in Asia?," Journal of Health Economics, Elsevier, vol. 27(2), pages 460-475, March.
    6. de Belvis, Antonio Giulio & Ferrè, Francesca & Specchia, Maria Lucia & Valerio, Luca & Fattore, Giovanni & Ricciardi, Walter, 2012. "The financial crisis in Italy: Implications for the healthcare sector," Health Policy, Elsevier, vol. 106(1), pages 10-16.
    7. Pietro Folino-Gallo & Simona Montilla & Mario Bruzzone & Nello Martini, 2008. "Pricing and reimbursement of pharmaceuticals in Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(3), pages 305-310, August.
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    economic crisis; healthcare; out-of-pocket payments; social inequalities; panel data;

    JEL classification:

    • C23 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Models with Panel Data; Spatio-temporal Models
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:jes:wpaper:y:2014:v:6:i:4:p:75-91. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Alupului Ciprian). General contact details of provider: http://edirc.repec.org/data/csjesro.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.