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Accessing healthcare in times of economic growth and economic downturn

Evidence from Ireland

Bibliographic Data

ID12255384
AuthorsSimone M Schneider (0000-0002-0724-8282, Max Planck Institute for Social Law and Social Policy), Simone Schneider (0000-0003-3111-4038, Max Planck Institute for Social Law and Social Policy, corresponding author), Camilla Devitt (0000-0002-7210-3389, Trinity College Dublin, The University of Dublin, Ireland)
Year2017
Volume28
Issue4
Pages357-369
Publication date2017-12-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of European Social Policy (JOURNAL)
Journal identifiersISSN: 0958-9287 • E-ISSN: 1461-7269
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0958928717739240
OpenAlexW2782353574
LanguageEN
Citations received6
References cited20

This article examines the accessibility of healthcare in Ireland between 2003 and 2011 in the context of strong economic growth (2003–2007) and the subsequent financial crisis, which began in 2008. It investigates, in particular, changes in self-reported difficulties in accessing healthcare with regard to distance to health services, waiting times for appointments and the costs of seeing a doctor, and identifies particular risk factors that increase the likelihood of facing barriers in accessing health services. We conduct logistic regression analyses of cross-sectional data from the three rounds (2003, 2007, 2011) of the European Quality of Life Survey of 2682 individuals living in private households in Ireland. The study finds that the number of individuals reporting difficulties in accessing healthcare increased over time. Of particular concern are difficulties with the financial costs of covering doctor’s appointments, which started to increase dramatically prior to the economic crisis and continued to rise during the crisis, in particular for higher income groups. Difficulties with distance and waiting time declined gradually over time and appear unaffected by the financial crisis, at least until 2011. Subgroups that face significantly more difficulties are women, younger individuals, the full-/part-time employed and individuals with poor health status. Our findings contribute to the recent discussion on the effects of institutional barriers on accessing health services in the context of significant economic change

Business · Context (archaeology · Demographic economics · Economic growth · Economics · Financial crisis · Geography · Health care · Logistic regression · Quality (philosophy · Recession · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Medicine

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Unique citing works6
Citations per year0,86
Citation span2019 - 2026 (8)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 6

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