Exclusion from Healthcare Services and the Emergence of New Stakeholders and Vulnerable Groups in Times of Economic Crisis: A Civil Society's Perspective in Greece

• Authors: Maria Zafiropoulou
• Languages of publication: EN

Abstracts

EN

The exclusion from access to basic health services, medical examinations, hospital and pharmaceutical care has affected a large number of Greek citizens during the economic crisis. The first aim of this paper is to focus on the analysis of those new vulnerable groups who face access problems to healthcare services. The second aim of the paper is to examine the new stakeholders and to explore the civil society's emerging initiatives. Unfortunately, so far, there have been only a few cross national surveys that analyze and identify new vulnerable groups, new stakeholders and problems of access to healthcare services in times of crisis. This problem is related to the lack of information and data available for these specific groups even during periods of economic florescence. In order to resolve the problem of data, this paper is based on two large scale European projects in Greece during the latest years of the crisis: the Eurofound research project on ‘Access to healthcare in times of crisis’ (2013-2014) and the ongoing Fragmex ‘Fragmentation and Exclusion: Understanding and Overcoming the multiple impacts of European crisis’ research project (2013-2015) using a multi-method approach combining macro and micro perspectives from respectively quantitative official national and international data and qualitative data based on interviews of NGOs and ecclesiastic organizations. The alternative model of civil society's empowerment has not only become one of the most visible symptoms of the crisis but presents, as well, a conceptual construct that attempts to place citizens' synergies in a central place, in a space that emphasizes inter-relationships too often ignored by policymakers.

Keywords

EN

Economic crisis; Exclusion; Healthcare; NGOs; Vulnerable groups

• Publisher: Sciendo
• Journal: Social Change Review
• Year: 2014
• Volume: 12
• Issue: 2
• Pages: 141-160

Dates

published

2014-12-01

online

2015-03-04

Contributors

author

Maria Zafiropoulou

• European Commission, Expert “Healthcare and Social Sector”
• Open University of Cyprus, Nicosia, Cyprus

References

• Αpostolidis, Kathi. 2013. “Access to Medicines in Greece - A patient view from Greece.” Patient View Quarterly June issue: 6.
• Byrne, David. 1999. Social Exclusion. Oxford: Oxford University Press.
• Chauvin, Pierre and Nathalie Simonnot. 2013. Access to healthcare of excluded people in 14 cities of 7 European countries. Final report on social and medical data collected in 2012. Paris: Médecins du Monde/Doctors of the World International Network.
• Church of Greece. 2009. “Fourth Session of the Holy Synod of Bishops of the Church of Greece”. Press release, 15.10.2009. Available at http://www.ecclesia.gr/greek/holysynod/holysynod.asp?archive=yes&what_sub=d_typou&etos=2009&id=1116 (accessed: November 22, 2014) [in Greek].
• Economou, Charalampos, Daphne Kaitelidou, Dimitris Katsikas, Olga Siskou, and Maria Zafiropoulou. 2014. “Impacts of the economic crisis on access to healthcare services in Greece with a focus on the vulnerable groups of the population.” Social Cohesion and Development 9(2): 99-115.
• ELSTAT. 2014. Living conditions in Greece. November 7, 2014. Athens.
• Eurofound. 2014. Access to healthcare in times of crisis. Luxembourg: Publications Office of the European Union.
• European Parliament and Council of Europe. 2014. Social exclusion - a danger for Europe’s democracies. Committee on Social Affairs, Health and Sustainable Development. Report, Doc. 13636. October 27, 2014.
• Eurostat. 2013. http://epp.eurostat.ec.europa.eu/portal/page/portal/health/health_care/data/database (accessed: November 22, 2014).
• Fischer, Andrew M. 2011. “Reconceiving Social Exclusion.” Brooks World Poverty Institute Working Paper No. 146.
• Maslow, Abraham H. 1943. “A Theory of Human Motivation.” Psychological Review 50(4): 370-396.
• National School of Public Health. Department of Health Economics. 2013. Economic Crisis and Chronical Diseases. Available at: http://www.esdy.edu.gr/files/009_Oikonomikon_Ygeias/FINAL%20DATA.pdf (accessed: November 11, 2013).
• OECD. 2013. Health Data. Available at: http://stats.oecd.org/index.aspx?DataSetCode=HEALTH_STAT (accessed: November 11, 2013).
• Silver, Hilary. 1994. “Social Exclusion and Social Solidarity: Three Paradigms.” International Labour Review 133 (5-6): 531-578.
• Siskou, Ch. Olga, Daphne Ch. Kaitelidou, Panagiota S. Litsa, Georgia S. Georgiadou, Helen A. Alexopoulou, Panagiotis G. Paterakis, Sotiria P. Argyri, and Lycourgos L. Liaropoulos. 2014. “Investigating the economic impacts of new public pharmaceutical policies in Greece: focusing on price reductions and cost sharing rates.” Value in Health Regional Issues 4c: 107-114.
• Vandoros, Sotiris, Philipp Hessel, Tiziana Leone, and Mauricio Avendano. 2013. “Have health trends worsened in Greece as a result of the financial crisis? A quasi-experimental approach.” The European Journal of Public Health 23(5): 727-731.[WoS][Crossref]
• WHO. 2007. Global Forum for Community Mental Health. Geneva, May, 30-31, 2007.
• Zafiropoulou, Maria, Daphne Kaitelidou, Olga Siskou, Dimitris Katsikas, and Charalampos Oikonomou. 2014. Impacts of the crisis on access to healthcare services: Country report on Greece. Internal Report for Eurofound.
• Zavras, Dimitris, Vasiliki Tsiantou, Elpida Pavi, Katerina Mylona, and John Kyriopoulos. 2012. “Impact of economic crisis and other demographic and socio-economic factors on self-rated health in Greece.” The European Journal of Public Health 22(2): 206-210.

Identifiers

DOI

10.1515/scr-2015-0003