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

International Journal for Equity in Health
Julia DoetschThomas Krafft

Abstract

The recent economic and financial crisis in Portugal urged the Portuguese Government in April 2011 to request financial assistance from the troika austerity bail out program to get aid for its government debt. The troika agreement included health reforms and austerity measures of the National Health Service (NHS) in Portugal to save non-essential health care costs. This research aimed to identify potential barriers among the elderly population (aged 65 and above) to healthcare access influenced by the economic crisis and the troika agreement focussing on the Memorandum of Understanding on Specific Economic Policy Conditionality (MoU) in Lisbon metropolitan area, Portugal. The qualitative study is including 13 semi-structured interviews of healthcare experts, municipality authority, health care providers, negotiator of the troika agreement, hospital managers, health economists and elderly. A content analysis was performed to evaluate the interviews applying Nvivo2011 software. The barriers identified were clustered towards the five areas of the 'Conceptual framework on health care access' by Levesque et al. (Int J Equity Health 12:18, 2013). Healthcare access for the elderly was found inadequate in four areas of the framework: a...Continue Reading

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Citations

Jul 28, 2019·International Journal of Environmental Research and Public Health·Adriana LoureiroRicardo Almendra
Jul 7, 2020·Frontiers in Public Health·Darcy Jones McMaughanMatthew Lee Smith
Jan 27, 2019·International Journal of Health Services : Planning, Administration, Evaluation·Alexandre Morais NunesAdalberto Campos Fernandes
Mar 9, 2019·International Journal of Biometeorology·Ricardo AlmendraPaula Santana
Nov 17, 2019·International Journal of Environmental Research and Public Health·Gisela M OliveiraEsmeralda Barreira
Feb 6, 2020·Cadernos de saúde pública·Micaela AntunesCarlota Quintal
Nov 21, 2020·International Journal of Environmental Research and Public Health·Claudia CostaPaula Santana
Feb 13, 2021·International Journal of Environmental Research and Public Health·Morgan WeilandEva Pilot
May 9, 2021·International Journal for Equity in Health·Anthony CuValéry Ridde
Jun 22, 2021·European Journal of Ageing·Šime SmolićPetra Međimurec
Jan 15, 2022·Journal of Religion and Health·Ali JadidiMohammadreza Razavi

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Software Mentioned

Euro
EUROSTAT
Nvivo2011

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