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Health care in post‐crisis South Europe

Inequalities in access and reform trajectories

Bibliographic Data

ID11198517
AuthorsMaria Petmesidou (0000-0002-0075-8431, Department of Social Policy Democritus University of Thrace Komotini Greece, corresponding author), Ana M Guillén (0000-0003-4425-7695, Universidad de Oviedo), Emmanuele Pavolini (0000-0002-3308-1551, Department of Political Science, Communication and International Relations University of Macerata Macerata Italy)
Year2020
Volume54
Issue5
Pages666-683
Publication date2020-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Policy and Administration (JOURNAL)
Journal identifiersISSN: 0144-5596 • E-ISSN: 1467-9515
PublisherWiley (PUBLISHER • GB)
DOI10.1111/spol.12563
OpenAlexW2999117733
LanguageEN
Citations received6
References cited23

The European debt crisis stimulated debate about the future of national health systems. The objective of this article is to contribute to this debate by examining any changes in the scope and content of universal coverage and underlying pattern of solidarity in South Europe. Access to health care provides the vantage point for our analysis. Inequalities in access are scrutinized along a number of dimensions by using data from various sources. Our main conclusions clearly show that the public health care systems in Italy and, particularly, in Spain weathered the crisis pretty well and retained their universalistic features. Nonetheless, rising supplemental private coverage (of an “occupational‐mutualist” type) adversely impacts access, but it is unclear how this will unfold in the near future. Tackling fragmentation through expansion and equalization of coverage, though for a comparatively “lean” basket of provisions, has been the focus of reforms in Portugal and Greece. This keeps private spending high and sustains inequalities, whereas any prospects for a stronger variant of universalism remain an open question

Debt · Development economics · Economic growth · Economics · Health care · Inequality · Political science · Scope (computer science · Solidarity · Universalism · Employment and Welfare Studies · Finance · Global Health Care Issues · Social Policy and Reform Studies

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Unique citing works6
Citations per year1,5
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 6

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