Overall mortality trends in Greece during the first period of austerity and the economic crisis (2009-2015).

IF 0.3 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Hippokratia Pub Date : 2022-07-01
K N Fountoulakis, N K Fountoulakis, P N Theodorakis, K Souliotis
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Abstract

Objectives: The economic crisis and the resulting austerity in Greece led to a drastic reduction in healthcare spending, which has been assumed to have impacted people's health. This paper discusses official standardized mortality rates in Greece between 2000 and 2015.

Methods: This study was designed to analyze population-level data and collected data from the World Bank, the Organisation for Economic Co-operation and Development, Eurostat, and the Hellenic Statistics Authority. Separate linear regression models were developed for the periods before and after the crisis and were compared.

Results: Standardized mortality rates do not support a previously reported assumption of a specific and direct negative effect of austerity on global mortality. Standardized rates continued to decrease linearly, and their correlation to economic variables changed after 2009. Total infant mortality rates show an overall rising trend since 2009, but the interpretation is unclear because of the reduction in the absolute number of deliveries.

Conclusions: The mortality data from the first six years of the financial crisis in Greece and the decade that preceded do not support the assumption that budget cuts in health are related to the dramatic worsening of the overall health of the Greek people. Still, data suggest an increase in specific causes of death and the burden on a dysfunctional and unprepared health system that is working in an overstretched manner trying to meet needs. The dramatic acceleration of the aging of the population constitutes a specific challenge for the health system. HIPPOKRATIA 2022, 26 (3):98-104.

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希腊在紧缩和经济危机第一阶段(2009-2015年)的总体死亡率趋势。
目标:希腊的经济危机和由此产生的紧缩导致医疗支出大幅减少,人们认为这影响了人们的健康。本文讨论了2000年至2015年间希腊的官方标准化死亡率。方法:本研究旨在分析人口水平数据,并收集了世界银行、经济合作与发展组织、欧盟统计局和希腊统计局的数据。分别为危机前后建立了线性回归模型,并进行了比较。结果:标准化死亡率不支持先前报道的紧缩对全球死亡率产生具体和直接负面影响的假设。2009年后,标准化利率继续线性下降,与经济变量的相关性发生了变化。自2009年以来,婴儿总死亡率总体呈上升趋势,但由于分娩绝对次数的减少,这一解释尚不清楚。结论:希腊金融危机前六年和前十年的死亡率数据不支持这样一种假设,即卫生预算削减与希腊人民整体健康状况的急剧恶化有关。尽管如此,数据表明,特定死亡原因的增加,以及功能失调和毫无准备的卫生系统的负担,该系统正以过度紧张的方式努力满足需求。人口老龄化的急剧加速对卫生系统构成了具体挑战。海马2022,26(3):98-104。
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来源期刊
Hippokratia
Hippokratia MEDICINE, GENERAL & INTERNAL-
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Hippokratia journal is a quarterly issued, open access, peer reviewed, general medical journal, published in Thessaloniki, Greece. It is a forum for all medical specialties. The journal is published continuously since 1997, its official language is English and all submitted manuscripts undergo peer review by two independent reviewers, assigned by the Editor (double blinded review process). Hippokratia journal is managed by its Editorial Board and has an International Advisory Committee and over 500 expert Reviewers covering all medical specialties and additionally Technical Reviewers, Statisticians, Image processing Experts and a journal Secretary. The Society “Friends of Hippokratia Journal” has the financial management of both the printed and electronic edition of the journal.
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