If some services have insufficient capacity to respond to increased need for treatment or experience cutbacks, there may be additional costs (financial and human) as a consequence of patients failing to obtain timely and effective care. Worsening of access to health care services has been seen in Greece.(Kentikelenis et al. 2011)


Publications

Abasaeed R, Kranz AM, Rozier RG. The impact of the Great Recession on untreated dental caries among kindergarten students in North Carolina. J Am Dent Assoc. 2013 Sep;144(9):1038-46.

Abásolo I, Saez M, López-Casasnovas G, Financial crisis and income-related inequalities in the universal provision of a public service: the case of healthcare in Spain. Int J Equity Health 2017 Jul 24;16(1):134. doi: 10.1186/s12939-017-0630-y.

Baker R, Tarrant C. Access to general practice in times of austerity. Br J Gen Pract. 2013 Mar; 63(608): 116-7

Barradas CDS, Nunes JA. Facing austerity: the decline in health access and quality of care for patients with cancer in Portugal. Hist Cienc Saude Manguinhos. 2017 Oct-Dec;24(4):933-951. doi: 10.1590/S0104-59702017000500005

Bartfay WJ, Bartfay E, Wu T. Impact of the global economic crisis on the health of unemployed autoworkers. Can J Nurs Res. 2013 Sep;45(3):66-79.

Boukus ER, Cunningham PJ. Mixed signals: trends in Americans' access to medical care, 2007-2010. Track Rep. 2011 Aug;(25):1-6.

Brinkman HJ, de Pee S, Sanogo I, Subran L, Bloem MW. High food prices and the global financial crisis have reduced access to nutritious food and worsened nutritional status and health. J Nutr. 2010 Jan;140(1):153S-61S.

Buffel V, van de Straat V, Bracke P.Employment status and mental health care use in times of economic contraction: a repeated cross-sectional study in Europe, using a three-level model. Int J Equity Health. 2015 Mar 11;14(1):29

Burgard SA, Hawkins JM. Race/Ethnicity, educational attainment, and foregone health care in the United States in the 2007-2009 recession. Am J Public Health.  2014 Feb;104(2):e134-40.

Burke SA, Normand C, Barry S, Thomas S. From universal health insurance touniversal healthcare? The shifting health policy landscape in Ireland since theeconomic crisis. Health Policy. 2015 Dec 25 [Epub ahead of print]

Calzón Fernández S, Fernández Ajuria A, Martín JJ, Murphy MJ. The impact of the economic crisis on unmet dental care needs in Spain. J Epidemiol Community Health. 2015 Mar 20. doi:pii: jech-2014-204493. 10.1136/jech-2014-204493. [Epub ahead of print]

Chang NH, Huang CL, Yang YO. The effects of economic crises on health care. 2010 Aug;57(4):89-94. Chinese. 

Charonis A, Kyriopoulos I, Athanasakis K, Pavi E, Kyriopoulos J. The Intertemporal Changes Of Health Services Utilization During The Last Decade: The Case Of Austerity Inflicted On Greece. Value Health. 2015 Nov;18(7):A525-6. Epub 2015 Oct 20

Cimas M, Gullon P, Aguilera E, Meyer S, Freire JM, Perez-Gomez B. Healthcare coverage for undocumented migrants in Spain: Regional differences after Royal Decree Law 16/2012. Health Policy. 2016 Feb 17. [Epub ahead of print]

Corcoran P, Griffin E, Arensman E, Fitzgerald AP, Perry IJ.Impact of the economic recession and subsequent austerity on suicide and self-harm in Ireland: An interrupted time series analysis. Int J Epidemiol. 2015 Jun 16. [Epub ahead of print]

Da Costa FA, Pedro AR, Teixeira I, Bragança F, da Silva JA, Cabrita J. Primary non-adherence in Portugal: findings and implications. Int J Clin Pharm. 2015 Apr 2. [Epub ahead of print]

De Jong Gierveld J, Keating N, Fast JE. Determinants of Loneliness among Older Adults in Canada. Can J Aging. 2015 Jun;34(2):125-36. Epub 2015 Feb 24.

Doetsch J, Pilot E, Santana P, Krafft T. Potential barriers in healthcare access of the elderly population influenced by the economic crisis and the troika agreement: a qualitative case study in Lisbon, Portugal. Int J Equity Health 2017 Oct 25;16(1):184. doi: 10.1186/s12939-017-0679-7.

Domínguez-Rodríguez A, Méndez-Vargas C, Sánchez-Grande A, Avanzas P, Abreu-González P. Healthcare administration and the economic crisis: Apropos of a case. Gac Sanit. 2014 Jan 29 [Epub ahead of print] 

Duarte I, Santos CC, Freitas A, Rego G, Nunes R. Ethics, equity, and human dignity in access to health services: the case of cochlear implants in children and adolescentsdignity in access to health services: the case of cochlear implants in children and adolescents. Eur Arch Otorhinolaryngol. 2014 Oct 30. [Epub ahead of print]

Elstad JI. Income inequality and foregone medical care in Europe during The Great Recession: multilevel analyses of EU-SILC surveys 2008-2013. Int J Equity Health. 2016 Jul 7;15(1):101.

Elstad JI. Dental care coverage and income-related inequalities in foregone dental care in Europe during the great recession. Community Dent Oral Epidemiol 2017 Feb 21 [Epub ahead of print].

Garcia-Subirats I, Vargas I, Sanz B, Malmusi D, Ronda E, Ballesta M, Luisa Vázquez M, I M. Changes in access to health services of the immigrant and native-born population in Spain in the context of economic crisisnative-born population in Spain in the context of economic crisis. Int J Environ Res Public Health. 2014 Sep 30;11(10):10182-201.

Giotakos O, Tsouvelas G, Kontaxakis V. Suicide rates and mental health services in Greece. Psychiatrike. 2012 Jan-Mar;23(1):29-38. 

Gottret P, Gupta V, Sparkes S, Tandon A, Moran V, Berman P. Protecting pro-poor health services during financial crises: lessons from experience. Adv Health Econ Health Serv Res. 2009;21:23-53. Review.

Gustafsdottir SS, Fenger K, Halldorsdottir S, Bjarnason T. Social justice, access and quality of healthcare in an age of austerity: users' perspective from rural Iceland. Int J Circumpolar Health 2017;76(1):1347476. doi: 10.1080/22423982.2017.1347476.

Kaplan-Mayer G. Diabetes and the downturn. Getting care during tough times. Diabetes Self Manag. 2009 May-Jun;26(3):8, 11-3.

Karanikolos M, Gordeev VS, Mackenbach JP, McKee M. Access to care in the Baltic States: did crisis have an impact? Eur J Public Health. 2015 Nov 4. [Epub ahead of print]

Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D, Mackenbach JP, McKee M. Financial crisis, austerity, and health in Europe. Lancet. 2013 Apr 13;381(9874):1323-31. doi: 10.1016/S0140-6736(13)60102-6.

Karanikolos M, Kentikelenis A. Health inequalities after austerity in Greece. Int J Equity Health. 2016;15:83.

Kert S, Švab I, Sever M, Makivić I, Pavlič DR. A cross-sectional study of socio-demographic factors associated with patient access to primary care in Slovenia. Int J Equity Health. 2015 Apr 21;14(1):39. [Epub ahead of print]

Kentikelenis A, Karanikolos M, Papanicolas I, Basu S, McKee M, Stuckler D. Health effects of financial crisis: omens of a Greek tragedy. Lancet 2011; 378(9801): 1457-8.

Kentikelenis A, Karanikolos M, Reeves A, McKee M, Stuckler D. Greece's health crisis: from austerity to denialism. Lancet. 2014 Feb 22;383(9918):748-53.

Kyriopoulos II, Zavras D, Skroumpelos A, Mylona K, Athanasakis K, Kyriopoulos J. Barriers in access to healthcare services for chronic patients in times of austerity: an empirical approach in Greece. Int J Equity Health. 2014 Jul 25;13:54. 

Klein GR, Parcells BW, Levine HB, Dabaghian L, Hartzband MA. The economic recession and its effect on utilization of elective total joint arthroplasty. Am J Orthop (Belle Mead NJ). 2013 Nov;42(11):499-504.

Madureira-Lima J, Reeves A, Clair A, Stuckler D. The Great Recession and inequalities in access to health care: a study of unemployment and unmet medical need in Europe in the economic crisis. Int J Epidemiol 2017 Sep 18. doi: 10.1093/ije/dyx193 [Epub ahead of print].

Mammas IN, Theodoridou M, Koutsaftiki C, Bertsias G, Sourvinos G, Spandidos DA. Vaccination status against human papillomavirus among female adolescents and financial crisis: the ELEFTHERIA study. J PediatrAdolesc Gynecol. 2015 Dec 24.. [Epub ahead of print]

Martín Martín R, Sánchez Bayle M, Gancedo Garcí¬a C, Teruel de Francisco MC, Coullaut López A. Families of the economic crisis in paediatric Primary Care clinics: descriptive observational study. An Pediatr (Barc). 2015 Sep 21. [Epub ahead of print]

Maynard A. Health Care Rationing: Doing It Better in Public and Private Health Care Systems. J Health Polit Policy Law. 2013 Aug 23. [Epub ahead of print]

McBride T, Kemper L. Impact of the recession on rural America: rising unemployment leading to more uninsured in 2009. Rural Policy Brief. 2009 Jun;(2009 6):1-4.

Mortensen K, Chen J. The great recession and racial and ethnic disparities in health services use. JAMA Intern Med. 2013 Feb 25;173(4):315-7.

Nazarko L, Board M, Garrett D. How might the recession affect acute and community services for older people? Nurs Older People. 2009 May;21(4):16.

O'Toole TP, Buckel L, Redihan S, DeOrsey S, Sullivan D. Staying healthy during hard times: the impact of economic distress on accessing care and chronic disease management. Med Health R I. 2012 Nov;95(11):363-6.

Papadakaki M, Lionis C, Saridaki A, Dowrick C, de Brún T, O'Reilly-de Brún M, O'Donnell CA, Burns N, van Weel-Baumgarten E, van den Muijsenbergh M, Spiegel W, MacFarlane A. Exploring barriers to primary care for migrants in Greece in times of austerity: Perspectives of service providers. Eur J Gen Pract 2017 Dec;23(1):128-134. doi: 10.1080/13814788.2017.1307336.

Pereira PL, Casanova AP, Sanz-Barbero B. A Before and After" in the Use of Emergency Services in Spain? The Impact of the Economic Crisis." Int J Health Serv. 2016 Mar 11. [Epub ahead of print]

Polyzos SA, Kountouras J. Trying to treat diabetes in Greek crisis. Int J Clin Pract. 2012 May;66(5):515.

Porthé V, Vargas I, Sanz-Barbero B, Plaza-Espuña I, Bosch L, Vázquez ML. Changes in access to health care for immigrants in Catalonia during the economic crisis: Opinions of health professionals and immigrant users. Health Policy. 2016 Sep 19. [Epub ahead of print]

Reeves A, Basu S, McKee M, Marmot M, Stuckler D. Austere or not? UK coalition government budgets and health inequalities. J R Soc Med. 2013 Nov;106(11):432-6. 

Reeves A, McKee, Mackenbach J, Whitehead M, Stuckler D. Public pensions and unmet medical need among older people: cross-national analysis of 16 European countries, 2004-2010. J Epidemiol Community Health 2017;71(2):174-180.

Roehr B. Recession has not affected access to prescription drugs in US. BMJ. 2011 Dec 20;343:d8242.

Sakellariou D, Rotarou ES. The effects of neoliberal policies on access to healthcare for people with disabilities. Int J Equity Health 2017 Nov 15;16(1):199. doi: 10.1186/s12939-017-0699-3.

Sveinsdottir EG, Wang NJ . Dentists' views on the effects of changing economic conditions on dental services provided for children and adolescents in Iceland. Community Dent Health. 2014 Dec;31(4):219-23.

Svaljek S. The recent health reform in Croatia: True reforms or just a fundraising exercise? Health Policy 2013 Oct 3 [Epub ahead of print].

Stafyla E, Kerenidi T, Gerogianni I, Geitona M, Danill Z, Gourgoulianis K. The pharmacological cost of COPD during Greek economic crisis. Int J Chron Obstruct Pulmon Dis 2017;12:461-466.

Tavares LP, Zantomio F. Inequity in healthcare use among older people after 2008: The case of southern European countries. Health Policy 2017 Oct;121(10):1063-1071. doi: 10.1016/j.healthpol.2017.08.011 [Epub ahead of print 2017 Sep 18].

Towne SD, Probst JC, Hardin JW, Bell BA, Glover S. Differences in the Effects of the Great Recession on Health Outcomes among Minority Working-Age Adults. J Racial Ethn Health Disparities. 2015 Mar;2(1):43-52.

Tsiligianni IG. COPD patients trapped in the financial crisis in rural Crete. Lancet Respir Med. 2013 Dec;1(10):e31-2. doi: 10.1016/S2213 2600(13)70227-3. Epub 2013 Dec 2.

Tsiligianni IG, Papadokostakis P, Prokopiadou D, Stefanaki I, Tsakountakis N, Lionis C. Impact of the financial crisis on adherence to treatment of a rural population in Crete, Greece. Qual Prim Care. 2015;22(5):238-44.

Urbanos-Garrido R.[Inequality in access to health care services. Policy recommendations aimed at achieving equity]. Gac Sanit. 2016 Mar 19. [Epub ahead of print] Spanish.

Vargas Bustamante A, Chen J. The Great Recession and Health Spending among Uninsured U.S. Immigrants: Implications for the Affordable Care Act Implementation. Health Serv Res. 2014 Jun 24.

Vázquez ML, Vargas I, Jaramillo DL, Porthe V, López-Fernández LA, Vargas H, Bosch L, S-Hernández S, Azarola AR. Was access to health care easy for immigrants in Spain? The perspectives of health personnel in Catalonia and Andalusia. Health Policy. 2016 Jan 18. [Epub ahead of print]

Zavras D, Zavras AI, Kyriopoulos II, Kyriopoulos J. Economic crisis, austerity and unmet healthcare needs: the case of Greece. BMC Health Serv Res. 2016;16:309.