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Studying Healthcare Affordability during an Economic Recession: The Case of Greece

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  • Dimitris Zavras

    (Department of Public Health Policy, School of Public Health, University of West Attica, 11521 Athens, Greece)

Abstract

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.

Suggested Citation

  • Dimitris Zavras, 2020. "Studying Healthcare Affordability during an Economic Recession: The Case of Greece," IJERPH, MDPI, vol. 17(21), pages 1-21, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7790-:d:434137
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    References listed on IDEAS

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    1. Anthony J. Culyer, 2014. "The Dictionary of Health Economics, Third Edition," Books, Edward Elgar Publishing, number 14772.
    2. Quan-Hoang Vuong & Tung-Manh Ho & Hong-Kong Nguyen & Thu-Trang Vuong, 2018. "Healthcare consumers’ sensitivity to costs: a reflection on behavioural economics from an emerging market," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-10, December.
    3. Billy Thomas, 2014. "Health and Health Care Disparities: The Effect of Social and Environmental Factors on Individual and Population Health," IJERPH, MDPI, vol. 11(7), pages 1-16, July.
    4. Martin Salm, 2009. "Does job loss cause ill health?," Health Economics, John Wiley & Sons, Ltd., vol. 18(9), pages 1075-1089, September.
    5. Rachel Meltzer & Alex Schwartz, 2016. "Housing Affordability and Health: Evidence From New York City," Housing Policy Debate, Taylor & Francis Journals, vol. 26(1), pages 80-104, January.
    6. Bender, Keith A. & Theodossiou, Ioannis, 2009. "Controlling for endogeneity in the health-socioeconomic status relationship of the near retired," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 38(6), pages 977-987, December.
    7. Marjorie A. Rosenberg & Paul H. Johnson, Jr. & Ian G. Duncan, 2010. "Perspectives Articles: Exploring Stakeholder Perspectives on What Is Affordable Health Care," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 13(2), pages 251-263, September.
    8. Salm, M., 2009. "Does job loss cause ill health?," Other publications TiSEM 314436db-9957-4912-ba47-9, Tilburg University, School of Economics and Management.
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