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4.

Erratum a: Protocolo del estudio sobre el efecto de la crisis económica en la mortalidad, la salud reproductiva y las desigualdades en salud en España./ [Erratum to: Study protocol on the effect of the economic crisis on mortality and reproductive health and health inequalities in Spain].

Pérez, Glòria; Gotsens, Mercè; Palència, Laia; Marí-Dell'Olmo, Marc; Domínguez-Berjón, M Felicitas; Rodríguez-Sanz, Maica; Puig, Vanessa; Bartoll, Xavier; Gandarillas, Ana; Martín, Unai; Bacigalupe, Amaia; Díez, Elia; Ruiz, Miguel; Esnaola, Santiago; Calvo, Montserrat; Sánchez, Pablo; Luque Fernández, Miguel Ángel; Borrell, Carme
| Idioma(s): Español
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5.

El efecto de la crisis económica sobre la salud en España según el nivel educativo y la relación con la actividad: ¿importa también la duración de la crisis?/ The effect of the economic crisis on health in Spain according to educational level and employment status: Does the duration of the crisis also matter?

Spijker, Jeroen; Gumà, Jordi
| Idioma(s): Español
RESUMEN El objetivo del trabajo es explorar el posible efecto que la crisis económica ha tenido sobre la salud de la población nacida en España en edad adulta previa a la jubilación (entre 30 y 59 años). Específicamente, a partir de los datos de la European Union Statistics on Income and Living Conditions (EU-SILC) para los años 2006, 2010 y 2014 analizamos diferencias en la salud autopercibida según su perfil socioeconómico y la posición que ocupan en el hogar. Nuestros resultados muestran que la salud de los hombres y las mujeres tienen niveles de asociación similares con ciertos factores (por ejemplo, nivel educativo) y diferenciados con otros (la salud de la mujer es ligeramente más sensible al nivel de los ingresos del hogar, mientras la salud de los hombres a su propio estado de empleo). Finalmente, mientras que en el primer periodo se observan mejoras sustanciales en la salud autopercibida en casi todos los grupos socioeconómicos, en el segundo periodo no hay casi ningún cambio e incluso, para algunos hombres con un perfil más desfavorecido (inactivos con educación baja), la salud empeoró. ABSTRACT The objective of this study is to explore the possible impact of the economic crisis on the health of the Spanish-born population not of retirement age (between 30 and 59 years). Specifically, using data from the European Union Statistics on Income and Living Conditions (EU-SILC) for the years 2006, 2010 and 2014, we analyze differences in self-perceived health by socioeconomic profile and position occupied in the household. According to our results, the health of men and women show similar levels of association with certain factors (such as education) and different levels with others (women's health is more sensitive to household income level while men's is more sensitive to employment status). Finally, while substantial improvements in self-perceived health were observed during the first period in almost all socioeconomic groups, during the second period there was almost no change, and for the most disadvantaged men (inactive in the labor market and with low educational levels), health worsened.
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6.

Enfoque para el análisis de la crisis económica global y la salud/ Approach for analyzing of the global economic crisis and health

Franco Giraldo, Álvaro
| Idioma(s): Español
CONTEXTO: Se parte de reconocer varias áreas para el análisis de la crisis global en relación con la salud. Luego se centra en el análisis de algunos aspectos relativos a la crisis económica, en las alternativas políticas para mitigar la crisis financiera y en la identificación de los indicadores de salud más sensibles a los vaivenes de la economía. OBJETIVO: proponer algunas bases para analizar la crisis financiera del 2008 y sus efectos sobre la salud en el mundo. METODOLOGÍA: Se basó en el análisis de los posibles efectos de la crisis económica sobre la salud luego de considerar cuatro ejes esenciales: las condiciones de vida y los determinantes de la salud, los indicadores socio-demográficos y las variaciones epidemiológicas, el gasto público total y el gasto en salud, y el monitoreo de las políticas encaminadas a mitigar la crisis. CONCLUSIÓN: La primera crisis de la globalización del actual siglo tendrá serias implicaciones sobre la salud y debe llevar al replanteamiento del sistema económico mundial, basándose en el control del Estado y en la regulación de los mercados. Para evitar los efectos negativos sobre el ambiente y la salud, se propone enfrentar las influencias de los determinantes globales, estimular las políticas públicas que inviertan en salud, reforzar acciones de legislación en salud internacional y, finalmente, establecer y poner en marcha un sistema de monitoreo de la crisis y su efecto en la salud. CONTEXT: It begins by recognizing several areas for analysis of the global crisis in relation to health. It then focuses on the analysis of some aspects of the economic crisis, policy alternatives to mitigate the financial crisis and the identification of health indicators more sensitive to the vagaries of the economy. OBJECTIVE: To propose some basis for analyzing the financial crisis of 2008 and its effects on health in the world. METHODOLOGY: it based on the analysis of the possible effects of the economic crisis on health after consider four essential axes: the conditions of life and health determinants, indicators of socio-demographic and epidemiological changes, the total public expenditure and spending on health and monitoring of policies to mitigate the crisis. CONCLUSION: The first crisis of globalization of the present century will have serious health implications and should lead to rethinking the global economic system based on State control and regulation of the markets. To avoid adverse effects on the environment and health, it is proposed addressing the determinants of global influences, to stimulate public policies that invest in health, boost action in international health legislation, and finally, to establish and implement a crisis system monitoring and its effect on health.
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8.

A fuzzy set approach to economic crisis, austerity and public health. Part I. European countries' conformity to ideal types during the economic downturn.

Saltkjel, Therese; Ingelsrud, Mari Holm; Dahl, Espen; Halvorsen, Knut
| Idioma(s): Inglés
AIMS: This is the first part of a two-part paper that takes an explorative approach to assess crisis and austerity in European countries during the Great Recession. The ultimate aim of this two-part paper is to explore the "crisis-austerity" thesis by Stuckler and Basu and assess whether it is the interplay between austerity and crisis, rather than the current economic crisis per se, that can led to deterioration in population health. In Part I of this paper we offer one way of operationalizing crisis severity and austerity. We examine countries as specific configurations of crisis and policy responses and classify European countries into "ideal types." METHODS: Cases included were 29 countries participating in the European Union Statistics on Income and Living Conditions (EU-SILC) surveys. Based on fuzzy set methodology, we constructed two fuzzy sets, "austerity" and "severe crisis." Austerity was measured by changes in welfare generosity; severe crisis was measured by changes in gross domestic product (GDP) per capita growth. RESULTS: In the initial phase of the Great Recession, most countries faced severe crisis combined with no austerity. From 2010-2011 onward, there was a divide between countries. Some countries consistently showed signs of austerity policies (with or without severe crisis); others consistently did not. CONCLUSIONS: The fuzzy set ideal-type analysis shows that the European countries position themselves, by and large, in configurations of crisis and austerity in meaningful ways that allow us to explore the "crisis-austerity" thesis by Stuckler and Basu. This exploration is the undertaking of Part II of this paper.
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9.

A crise econômica e a atenção primária à saúde no SUS da cidade do Rio de Janeiro, Brasil/ The economic crisis and primary health care in the SUS of Rio de Janeiro, Brazil

Melo, Eduardo Alves; Mendonça, Maria Helena Magalhães de; Teixeira, Márcia
| Idioma(s): Portugués
Resumo Este artigo aborda a crise na atenção primária à saúde do sistema público de saúde da cidade do Rio de Janeiro, a partir de 2018. Tal município teve forte expansão da atenção primária desde 2009, adotando Organizações Sociais para a contratação de profissionais e gerenciamento dos serviços, qualificando a infraestrutura das unidades e priorizando a medicina de família e comunidade, além de adotar práticas gerenciais como normatizações de ofertas, avaliação e remuneração por desempenho, "marketing", dentre outras. Diante da recente crise econômica, a decisão do gestor municipal foi de reduzir equipes de saúde da família, considerando a atual Política Nacional de Atenção Básica e argumentando ser possível otimizar recursos (fazendo mais com menos). Neste processo, enfrentou resistências, que não foram suficientes para freá-lo. Pela ressonância desta cidade (segunda maior do Brasil e com destaque na imprensa nacional) e tomando como base documentos públicos e formulações sobre a gestão, a crise expressa na atenção básica deste município foi problematizada em torno das implicações da adoção de Organizações Sociais na sustentabilidade dos serviços, da condução dos processos de gestão e suas racionalidades bem como da atuação política de agentes sociais em defesa do SUS e da atenção primária em particular. Abstract This paper addresses the primary health care crisis of Rio de Janeiro public health system as of 2018. This municipality has experienced a robust primary care expansion since 2009, adopting Social Organizations for recruiting professionals and managing services, qualifying the infrastructure of units and prioritizing family and community medicine, as well as adopting management practices such as standardized offers, evaluation and pay-for-performance compensation, marketing, among others. Given the recent economic crisis, the municipal manager decided to reduce family health teams, considering the current National Policy of Primary Care and arguing that it is possible to optimize resources (doing more with less). In this process, he faced resistance that was not enough to stop him. Due to the resonance of this city (second largest in Brazil and prominent in the national press) and based on public documents and formulations on management, the crisis expressed in the primary health care of this city was debated around the implications of the adoption of Social Organizations in the sustainability of health services, conducting management processes and their rationalities, as well as the political action of social agents advocating for the SUS and primary care in particular.
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10.

Perceptions of Spanish nurses on economic crisis and the impacts on health care system/ Percepciones de enfermeras españolas acerca de la crisis económica y sus impactos en el sistema sanitario/ Percepções de enfermeiras espanholas sobre a crise econômica e os impactos no sistema de saúde

David, Helena Maria Scherlowski Leal; Martínez-Riera, José Ramón; Acioli, Sonia; Costa, Maria Fernanda de Lima da
;
| Idioma(s): Inglés
ABSTRACT Objective: to analyze the perceptions of Spanish nurses regarding the country's economic crisis situation, and its impacts on nursing work, health system and population's health. Methods: qualitative approach, with data collection using an internet-based questionnaire and individual in-depth interviews. Data were analyzed according to Thematic-Categorical Content Analysis, supported by Historical and Dialectical Materialism perspective. Results: the categories produced discuss themes as: cutbacks in health care and the consequences of workforce non-replacement and work overload; salary impact; care model changes; negative impacts on population health. The impact on population health and work was discussed, especially regarding vulnerable groups, as well as in assistance model reconfiguration, reinforcing the biomedical and assistance perspective. RESUMEN Objetivo: analizar las percepciones de las enfermeras españolas en cuanto a la coyuntura de crisis económica vivenciada por el país y sus impactos en el trabajo, en el sistema de salud y en la salud de la población. Métodos: enfoque cualitativo, con recolección de datos por medio de un cuestionario publicado en Internet y a partir de entrevistas individuales en profundidad. Los datos fueron analizados con base en el Análisis de Contenido Temático-Categorial, con suporte teórico del Materialismo Histórico y Dialético. Resultados: las categorías discuten temas como: los cortes financieros y sus impactos de no-reposición de la fuerza de trabajo, sobrecarga de trabajo, impacto salarial y en las plazas de trabajo; énfasis en un modelo asistencial biomedico; impactos negativos en la salud de la población. Se discutieron los impactos en el trabajo y la salud de la población, sobre todo en los grupos vulnerables, así como en la reconfiguración del modelo asistencial, reforzando la perspectiva biomédica y asistencial. Consideraciones finales: la perspectiva de la enfermería española apunta hacia el agravamiento de las políticas liberales y su expresión en la salud, y para el papel de la enfermería en los sistemas universales de salud. RESUMO Objetivo: analisar as perceções de enfermeiras espanholas quanto à conjuntura de crise econômica e seus impactos no trabalho, no sistema de saúde e na saúde da população. Método: abordagem qualitativa; coleta de dados por questionário publicado na internet e em entrevistas individuais. Análise com base na Análise de Conteúdo Temático-Categorial, apoiada pela perspectiva teórica do materialismo histórico-dialético. Resultados: as categorias produzidas abordam temas como: cortes financeiros e seus impactos de não reposição da força de trabalho, sobrecarga de trabalho, impacto salarial e na oferta de emprego; ênfase em um modelo de saúde biomédico; impactos negativos na saúde da população. Discussão: destacam-se impactos no trabalho e na saúde, sobretudo nos grupos vulneráveis, assim como sobre o modelo assistencial reforçando a perspectiva biomédica. Considerações finais: as percepções da enfermagem espanhola apontam para o acirramento das políticas liberais e sua expressão na saúde e para o papel da enfermagem nos sistemas de saúde.
Resultados  1-10 de 10.173