Economic crisis, health spend and health inequalities. Reflections from health economics
DOI:
https://doi.org/10.14422/icade.i99.y2016.001Keywords:
Economic crisis, inequalities in health, health economics and public policies.Abstract
The following lines analyze what we know and we do not know about the study of health inequalities as a field of research in Health Economics from the perspective of the existing public policies. For this purpose, the paper reviews the study of the impact of the crisis on health, the empirical fields of validation, the most determinant variables associated with the economic cycle, their effects on the social capital of countries and their reverse causality of its interrelation with economic growth. It also discusses the main measures of cushioning the crisis in those social determinants which affect health and the variables of intervention in public policies that try to neutralize their consequences minimally. The text concludes with a reflection on those aspects of analysis that complicate to move from diagnosis to prognosis in the implementation of public policies.
References
ABÁSOLO, I., NEGRÍN-HERNÁNDEZ, M. y PINILLA J. (2013), “Utilización y tiempos de espera: dos vertientes inseparables del análisis de la equidad en el acceso al sistema sanitario público”, Hacienda Pública Española, núm. 208, pp. 11-38.
AGERHOLM, J. et al. (2013), “Socioeconomic differences in healthcare utilization, with and without adjustment for need: an example from Stockholm, Sweden”, Scandinavian Journal of Public Health, vol. 41, núm. 3, pp. 318-325.
BHARGAVA , A. et al. (2001), “Modeling the effects of health on economic growth”, Journal of Health Economics, vol. 20, núm. 3, pp. 423-440.
CALONGE, S. y MANRESA, A. (1997), “Consecuencias redistributivas del Estado del Bienestar en España: Un análisis empírico desagregado”, Moneda y crédito, núm. 204, pp. 13-65.
CALERO, J. y GIL, M. (2014), Un análisis de la incidencia distributiva del gasto público en sanidad y educación en España. Informe sobre exclusión y desarrollo social en España, Fundación Foessa, Madrid.
JAGGER, C. et al. (2008), “Inequalities in healthy life years in the 25 Countries of the EU in 2005”, The Lancet, núm. 372, pp. 2124-2131.
CONTOYANNIS , P. y FORSTER , M. (1999), “The distribution of health and income: a theoretical framework”, Journal of Health Economics, vol.18, núm. 5, pp. 605-622.
COOKSON, R., DUSHEIKO, M., HARDMAN, G. y MARTIN , S. (2010), “Competition and inequality: Evidence from the English National Health Service 1991-2001”, Journal of Public Administration Research and Theory, núm. 20, pp. 181-205.
COVENEY , M. et al. (2015), “Health disparities by income in Spain before and after the economic crisis”, Discussion Paper, Tinbergen Institute.
DEATON , A. (2013), The Great Escape: Health, Wealth and the Origins of Inequality, Princeton University Press, Princeton.
DEATON , A. y PAXSON, C. (1998), “Aging and inequality and health”, Journal of Public Economics, núm. 102, pp. 437-467.
DOW, W. y SCHOENI, R. (2008), Economic Value of Improving the Health of Disadvantaged Americans, Technical Report for Overcoming Obstacles to Health: Report from the Robert Wood Johnson Foundation to the Commission to Build a Healthier America.
FLEURBAEY, M. y SCHOKKAERT , E. (2009), “Unfair inequalities in health and healthcare”, Journal of Health Economics, núm. 28, pp. 73-90.
GARCÍA, P. y LÓPEZ, A. (2007), The evolution of inequity in the access to health care in Spain: 1987-2001, Fundación BBVA, Bilbao.
GILI, M., ROCA , M., BASU, S., MCKEE, M. y STUCKLER, D. (2013), “The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010”, European Journal of Public Health, núm. 23, pp. 103-108.
GIMENO, J. (1993), “La incidencia del Gasto Público por niveles de renta: España 1990 vs. 1980”, Ponencia presentada en el I Simposio sobre igualdad y distribución de la renta y la riqueza. Fundación Argentaria, vol. 7, pp. 63-121.
GOODINN, R. E. y LE GRAND, J. (1987), Not only the poor: the middle classes and the welfare state, Allen & Unwin, Londres.
KNOWLES , S. y OWEN, P. D. (1995), “Health capital and cross-country variation in income per capita in the Mankiw-Romer-Weil model”, Economic Letters, núm. 48, pp. 99-106.
KORPI , W. y PALME, J. (1998), “The Paradox of Redistribution and Strategies of Equality: Welfare State Institutions, Inequality, and Poverty in the Western Countries”, American Sociological Review, vol. 63, núm. 5, pp. 661-687.
KUNST, A. Y MACKENBACH, J. P. (1994), “The size of mortality differences associated with educational level in nine industrialized countries”, American Journal of Public Health, núm. 84, pp. 932-937.
LEIGH, A., JENCKS, C. y SMEEDING, T. M. (2009), The Oxford Handbook of Economic Inequality, Oxford University Press, Oxford.
LÓPEZ-CASASNOVAS , G., CURRAIS, L. y RIVERA, B. (eds.) (2005), Health and Economic Growth, MIT Press, Cambridge.
LÓPEZ-CASASNOVAS , G. (2012), “Crisis económica, regresión de renta, desigualdades en salud”, Revista de Gestión Clínica y Sanitaria, vol. 14, núm. 2-3, pp. 43-49.
LÓPEZ-CASASNOVAS , G. y SOLEY-BORI , M. (2014), “The Socioeconomic Determinants of Health: Economic Growth and Health in the OECD Countries during the Last Three Decades”, International Journal of Environmental Research and Public Health, vol. 11, núm. 1, pp. 815-829.
LUNDBERG, O. et al. (2008), “The role of the principles of the welfare state and the generosity of social programs for Public Health”, The Lancet, vol. 372, 8 de noviembre, pp. 1633-1640.
MACKENBACH, J. Y STRONKS, K. (2002), “A strategy for tackling health inequalities in the Netherlands”, British Medical Journal (BMJ), núm. 325, p. 7371.
MACKENBACH, J. et al. (2011), “Economic costs of Health inequalities in the European Union”, Journal of Epidemiology and Community Health, núm. 65, pp. 12-19.
MAZZUCO, S., MEGGIOLARO, S. Y SUHRCKE, M. (2010), “The economic benefits of reducing health inequalities in England and Wales”. (Background Report to the Marmot Review).
MLADOVSKY , P. et al. (2012), “Health policy in the financial crisis in Europe”, Eurohealth, vol. 18, núm.1.
OECD (2009), Measuring Disparities in Health Status and Access.
PARMAR, D., STAVROPOULOU , C. Y IOANNIDIS J. P. (2016), “Health outcomes during the 2008 financial crisis in Europe: systematic literature review”, British Medical Journal (BMJ), núm. 354, p. 4588.
RODRÍGUEZ, M. Y GONZÁLEZ LÓPEZ-VALCÁRCEL, B. (2011), “Alas, there are no shortcuts to the complexities of the economy”, Journal of Epidemiol Community Health, vol. 65, p. 389.
ROEMER, J. (1996), Theories of Distributive Justice, Harvard University Press, Harvard.
ROEMER, J. (1998), Equality of Opportunity, Harvard University Press, Harvard.
SUHRCKE, M. Y URBAN, D. (2010), “Are cardiovascular diseases bad for economic growth?”, Health Economics, vol. 12, núm. 19, pp. 1478-1496.
SUHRCKE, M. Y COOKSON, R. (2012), Using Economic Evidence to Support the Case for Action to Tackle Health Inequality, Economics Task Group, Londres.
TODESCHINI, F. (2010), Essay on the health and labor consequences of unhealthy habits, Tesis doctoral, Universitat Pompeu Fabra.
URBANOS, R. (2001), “Explaining Inequality in the Use of Public Health Care Services: Evidence from Spain”, Health Care Management Science, núm. 4, pp. 143-157.
VAN DOORSLAER , E., MASSERIA, C. Y KOOLMAN, X. (2006), “Inequalities in Access to Medical Care by Income in Developed Countries”, Canadian Medical Association Journal, vol. 174, núm. 2, pp.177-183.
VAN OURTI , T., VAN DOORSLAER , E. Y KOOLMAN X. (2009), “The effect of income growth and inequality on Health inequality: theory and empirical evidence from the European Panel”, Journal of Health Economics, núm. 28, pp. 525-539.
WILLIAMS, D. R. (2001), “Racial residential segregation: a fundamental cause of racial disparities in health”, Public Health Report, vol. 116, núm. 5, pp. 404-416.
ZAPATA MOYA , A. R., BUFFEL, V., NAVARRO YÁÑEZ, C. J. Y BRACKE, P. (2015), “Social inequality in morbidity, framed within the current economic crisis in Spain”, International Journal of Equity Health, núm. 14:131, pp. 1-20.
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