Skip to main content
Top
Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Research

An impact of economic slowdown on health. New evidence from 21 European countries

Authors: Paweł Prędkiewicz, Agnieszka Bem, Rafał Siedlecki, Milena Kowalska, Marlena Robakowska

Published in: BMC Public Health | Issue 1/2022

Login to get access

Abstract

Background

The economic slowdown affects the population's health. Based on a social gradient concept, we usually assume that this detrimental impact results from a lower social status, joblessness, or other related factors. Although many researchers dealt with the relationship between economy and health, the findings are still inconsistent, primarily related to unemployment. This study reinvestigates a relationship between the economy's condition and health by decomposing it into macroeconomic indicators.

Methods

We use data for 21 European countries to estimate the panel models, covering the years 1995–2019. Dependent variables describe population health (objective measures – life expectancy for a newborn and 65 years old, healthy life expectancy, separately for male and female). The explanatory variables primarily represent GDP and other variables describing the public finance and health sectors.

Results

(1) the level of economic activity affects the population’s health – GDP stimulates the life expectancies positively; this finding is strongly statistically significant; (2) the unemployment rate also positively affects health; hence, increasing the unemployment rate is linked to better health – this effect is relatively short-term.

Conclusions

Social benefits or budgetary imbalance may play a protective role during an economic downturn.
Appendix
Available only for authorised users
Footnotes
1
We use, in all models, the variable current health expenditures (CHE). As the international databases cover this variable starting from 2000, the missing observations for the years 1995–1999 were estimated based on the ratio CHE/THE in the year 2000 and THE. Finally, the level of CHE for 1995–1999 is a percentage of THE estimated separately for each country.
 
2
Models without lags are estimated for the timespan 2000–2019 to keep the results comparable.
 
3
Estimation based on the timespan t = 2000–2019.
 
4
When we exclude from the analysis the variable GOV_BAL it reveals a positive effect of SOC_BEN on health.
 
Literature
2.
3.
go back to reference Rapaccini M, Saccani N, Kowalkowski C, Paiola M, Adrodegari F. Navigating disruptive crises through service-led growth: The impact of COVID-19 on Italian manufacturing firms. Ind Mark Manag. 2020;88:225–37.CrossRef Rapaccini M, Saccani N, Kowalkowski C, Paiola M, Adrodegari F. Navigating disruptive crises through service-led growth: The impact of COVID-19 on Italian manufacturing firms. Ind Mark Manag. 2020;88:225–37.CrossRef
4.
go back to reference K. Shehzad, L. Xiaoxing, and H. Kazouz, “COVID-19’s disasters are perilous than Global Financial Crisis: A rumor or fact?,” Financ. Res. Lett., p. 101669, Jun. 2020. K. Shehzad, L. Xiaoxing, and H. Kazouz, “COVID-19’s disasters are perilous than Global Financial Crisis: A rumor or fact?,” Financ. Res. Lett., p. 101669, Jun. 2020.
5.
go back to reference P. K. Ozili and T. Arun, “Spillover of COVID-19: Impact on the Global Economy,” SSRN Electron. J., Mar. 2020. P. K. Ozili and T. Arun, “Spillover of COVID-19: Impact on the Global Economy,” SSRN Electron. J., Mar. 2020.
6.
go back to reference W. J. McKibbin and R. Fernando, “The Global Macroeconomic Impacts of COVID-19: Seven Scenarios,” SSRN Electron. J., Mar. 2020. W. J. McKibbin and R. Fernando, “The Global Macroeconomic Impacts of COVID-19: Seven Scenarios,” SSRN Electron. J., Mar. 2020.
7.
go back to reference M. Karanikolos et al., “Financial crisis, austerity, and health in Europe,” The Lancet, vol. 381, no. 9874. Lancet Publishing Group, pp. 1323–1331, Apr-2013. M. Karanikolos et al., “Financial crisis, austerity, and health in Europe,” The Lancet, vol. 381, no. 9874. Lancet Publishing Group, pp. 1323–1331, Apr-2013.
8.
go back to reference E. Simou and E. Koutsogeorgou, “Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review,” Health Policy, vol. 115, no. 2–3. Elsevier Ireland Ltd, pp. 111–119, Apr-2014. E. Simou and E. Koutsogeorgou, “Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review,” Health Policy, vol. 115, no. 2–3. Elsevier Ireland Ltd, pp. 111–119, Apr-2014.
9.
go back to reference Karanikolos M, Gordeev VS, Mackenbach JP, Mckee M. Access to care in the Baltic States: did crisis have an impact? Eur J Public Health. 2015;26(2):236–41.PubMedCrossRef Karanikolos M, Gordeev VS, Mackenbach JP, Mckee M. Access to care in the Baltic States: did crisis have an impact? Eur J Public Health. 2015;26(2):236–41.PubMedCrossRef
10.
go back to reference A. Kentikelenis, M. Karanikolos, A. Reeves, M. McKee, and D. Stuckler, “Greece’s health crisis: From austerity to denialism,” The Lancet, vol. 383, no. 9918. Lancet Publishing Group, pp. 748–753, Feb-2014. A. Kentikelenis, M. Karanikolos, A. Reeves, M. McKee, and D. Stuckler, “Greece’s health crisis: From austerity to denialism,” The Lancet, vol. 383, no. 9918. Lancet Publishing Group, pp. 748–753, Feb-2014.
11.
go back to reference D. McDaid et al., “Health protection in times of economic crisis: Challenges and opportunities for Europe,” Journal of Public Health Policy, vol. 34, no. 4. Palgrave, pp. 489–501, Nov-2013. D. McDaid et al., “Health protection in times of economic crisis: Challenges and opportunities for Europe,” Journal of Public Health Policy, vol. 34, no. 4. Palgrave, pp. 489–501, Nov-2013.
12.
go back to reference Skroumpelos A, Pavi E, Mylona K, Kyriopoulos J. The Impact of Economic Crisis on Chronic Patients’ Self-Rated Health, Health Expenditures and Health Services Utilization. Diseases. 2014;2(2):93–105.CrossRef Skroumpelos A, Pavi E, Mylona K, Kyriopoulos J. The Impact of Economic Crisis on Chronic Patients’ Self-Rated Health, Health Expenditures and Health Services Utilization. Diseases. 2014;2(2):93–105.CrossRef
13.
go back to reference A. Hnatyszyn-Dzikowska, “Systemy opieki zdrowotnej UE wobec kryzysu finansów publicznych 297 dr Anna Hnatyszyn-Dzikowska,” Wydawnictwo Uniwersytetu Rzeszowskiego, 2013. A. Hnatyszyn-Dzikowska, “Systemy opieki zdrowotnej UE wobec kryzysu finansów publicznych 297 dr Anna Hnatyszyn-Dzikowska,” Wydawnictwo Uniwersytetu Rzeszowskiego, 2013.
14.
go back to reference Bosch X, Moreno P, López-Soto A. The painful effects of the financial crisis on spanish health care. Int J Heal Serv. 2014;44(1):25–51.CrossRef Bosch X, Moreno P, López-Soto A. The painful effects of the financial crisis on spanish health care. Int J Heal Serv. 2014;44(1):25–51.CrossRef
15.
go back to reference Cylus J, Mladovsky P, McKee M. Is There a Statistical Relationship between Economic Crises and Changes in Government Health Expenditure Growth? An Analysis of Twenty-Four European Countries. Health Serv Res. 2012;47(6):2204–24.PubMedPubMedCentralCrossRef Cylus J, Mladovsky P, McKee M. Is There a Statistical Relationship between Economic Crises and Changes in Government Health Expenditure Growth? An Analysis of Twenty-Four European Countries. Health Serv Res. 2012;47(6):2204–24.PubMedPubMedCentralCrossRef
16.
go back to reference Skarżyński M. Wpływ kryzysu gospodarczego na bezpieczeństwo zdrowia publicznego w UE. Przegląd Politol. 2018;1:105–18.CrossRef Skarżyński M. Wpływ kryzysu gospodarczego na bezpieczeństwo zdrowia publicznego w UE. Przegląd Politol. 2018;1:105–18.CrossRef
17.
go back to reference J. Cima and Á. S. Almeida, “Health Expenditure, GDP Growth and the Financial Crisis: A Panel Data Analysis for OECD European Countries,” 2018. J. Cima and Á. S. Almeida, “Health Expenditure, GDP Growth and the Financial Crisis: A Panel Data Analysis for OECD European Countries,” 2018.
18.
go back to reference E. Ongaro, F. Ferré, and G. Fattore, “The fiscal crisis in the health sector: Patterns of cutback management across Europe,” Health Policy (New. York)., vol. 119, no. 7, pp. 954–963, Jul. 2015. E. Ongaro, F. Ferré, and G. Fattore, “The fiscal crisis in the health sector: Patterns of cutback management across Europe,” Health Policy (New. York)., vol. 119, no. 7, pp. 954–963, Jul. 2015.
19.
go back to reference A. Kentikelenis, M. Karanikolos, I. Papanicolas, S. Basu, M. McKee, and D. Stuckler, “Health effects of financial crisis: Omens of a Greek tragedy,” The Lancet, vol. 378, no. 9801. Elsevier, pp. 1457–1458, Oct-2011. A. Kentikelenis, M. Karanikolos, I. Papanicolas, S. Basu, M. McKee, and D. Stuckler, “Health effects of financial crisis: Omens of a Greek tragedy,” The Lancet, vol. 378, no. 9801. Elsevier, pp. 1457–1458, Oct-2011.
20.
go back to reference T. Clemens, K. Michelsen, M. Commers, P. Garel, B. Dowdeswell, and H. Brand, “European hospital reforms in times of crisis: Aligning cost containment needs with plans for structural redesign?,” Health Policy (New. York)., vol. 117, no. 1, pp. 6–14, Jul. 2014. T. Clemens, K. Michelsen, M. Commers, P. Garel, B. Dowdeswell, and H. Brand, “European hospital reforms in times of crisis: Aligning cost containment needs with plans for structural redesign?,” Health Policy (New. York)., vol. 117, no. 1, pp. 6–14, Jul. 2014.
21.
go back to reference A. G. De Belvis, F. Ferrè, M. L. Specchia, L. Valerio, G. Fattore, and W. Ricciardi, “The financial crisis in Italy: Implications for the healthcare sector,” Health Policy (New. York)., vol. 106, no. 1, pp. 10–16, Jun. 2012. A. G. De Belvis, F. Ferrè, M. L. Specchia, L. Valerio, G. Fattore, and W. Ricciardi, “The financial crisis in Italy: Implications for the healthcare sector,” Health Policy (New. York)., vol. 106, no. 1, pp. 10–16, Jun. 2012.
22.
go back to reference H. Legido-Quigley et al., “Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal,” Health Policy (New. York)., vol. 120, no. 7, pp. 833–839, Jul. 2016. H. Legido-Quigley et al., “Effects of the financial crisis and Troika austerity measures on health and health care access in Portugal,” Health Policy (New. York)., vol. 120, no. 7, pp. 833–839, Jul. 2016.
23.
go back to reference S. Sarti, M. Terraneo, and M. Tognetti Bordogna, “Poverty and private health expenditures in Italian households during the recent crisis,” Health Policy (New. York)., vol. 121, no. 3, pp. 307–314, Mar. 2017. S. Sarti, M. Terraneo, and M. Tognetti Bordogna, “Poverty and private health expenditures in Italian households during the recent crisis,” Health Policy (New. York)., vol. 121, no. 3, pp. 307–314, Mar. 2017.
24.
go back to reference Palladino R, Lee JT, Hone T, Filippidis FT, Millett C. The Great Recession And Increased Cost Sharing In European Health Systems. Health Aff. 2016;35(7):1204–13.CrossRef Palladino R, Lee JT, Hone T, Filippidis FT, Millett C. The Great Recession And Increased Cost Sharing In European Health Systems. Health Aff. 2016;35(7):1204–13.CrossRef
25.
go back to reference Petrou P. The Ariadne’s thread in co-payment, primary health care usage and financial crisis: Findings from Cyprus public health care sector. Public Health. 2015;129(11):1503–9.PubMedCrossRef Petrou P. The Ariadne’s thread in co-payment, primary health care usage and financial crisis: Findings from Cyprus public health care sector. Public Health. 2015;129(11):1503–9.PubMedCrossRef
26.
go back to reference M. Piekut and M. Kludacz-Alessandri, “DETERMINANTS OF HEALTH EXPENDITURE IN POLAND The availability of medical resources in the health care systems of European countries-migration of medical staff as a determinant of health View project DETERMINANTS OF HEALTH EXPENDITURE IN POLAND,” 2015. M. Piekut and M. Kludacz-Alessandri, “DETERMINANTS OF HEALTH EXPENDITURE IN POLAND The availability of medical resources in the health care systems of European countries-migration of medical staff as a determinant of health View project DETERMINANTS OF HEALTH EXPENDITURE IN POLAND,” 2015.
27.
go back to reference Zalega T. Healthcare expenditures of Polish households in the period of crisis. Probl Zarz. 2013;11(41):174–92. Zalega T. Healthcare expenditures of Polish households in the period of crisis. Probl Zarz. 2013;11(41):174–92.
28.
go back to reference Kaplan GA. Economic crises: Some thoughts on why, when and where they (might) matter for health—A tale of three countries. Soc Sci Med. 2012;74(5):643–6.PubMedCrossRef Kaplan GA. Economic crises: Some thoughts on why, when and where they (might) matter for health—A tale of three countries. Soc Sci Med. 2012;74(5):643–6.PubMedCrossRef
29.
go back to reference F. Kolahdooz, F. Nader, K. J. Yi, and S. Sharma, “Understanding the social determinants of health among Indigenous Canadians: Priorities for health promotion policies and actions,” Glob. Health Action, vol. 8, no. 1, 2015. F. Kolahdooz, F. Nader, K. J. Yi, and S. Sharma, “Understanding the social determinants of health among Indigenous Canadians: Priorities for health promotion policies and actions,” Glob. Health Action, vol. 8, no. 1, 2015.
30.
go back to reference Bethune R, et al. Social determinants of self-reported health for Canada’s indigenous peoples: a public health approach. Public Health. 2019;176:172–80.PubMedCrossRef Bethune R, et al. Social determinants of self-reported health for Canada’s indigenous peoples: a public health approach. Public Health. 2019;176:172–80.PubMedCrossRef
31.
go back to reference Viner RM, et al. Adolescence and the social determinants of health. Lancet. 2012;379(9826):1641–52.PubMedCrossRef Viner RM, et al. Adolescence and the social determinants of health. Lancet. 2012;379(9826):1641–52.PubMedCrossRef
32.
go back to reference Davis SL, Chapa DW. Social determinants of health: Knowledge to effective action for change. J Nurse Pract. 2015;11(4):424–9.CrossRef Davis SL, Chapa DW. Social determinants of health: Knowledge to effective action for change. J Nurse Pract. 2015;11(4):424–9.CrossRef
34.
go back to reference S. Hopkins, “Economic stability and health status: Evidence from East Asia before and after the 1990s economic crisis,” Health Policy (New. York)., vol. 75, no. 3, pp. 347–357, Feb. 2006. S. Hopkins, “Economic stability and health status: Evidence from East Asia before and after the 1990s economic crisis,” Health Policy (New. York)., vol. 75, no. 3, pp. 347–357, Feb. 2006.
35.
go back to reference A. A. Ifanti, A. A. Argyriou, F. H. Kalofonou, and H. P. Kalofonos, “Financial crisis and austerity measures in Greece: Their impact on health promotion policies and public health care,” Health Policy, vol. 113, no. 1–2. Health Policy, pp. 8–12, Nov-2013. A. A. Ifanti, A. A. Argyriou, F. H. Kalofonou, and H. P. Kalofonos, “Financial crisis and austerity measures in Greece: Their impact on health promotion policies and public health care,” Health Policy, vol. 113, no. 1–2. Health Policy, pp. 8–12, Nov-2013.
36.
go back to reference Skica T, Lesniowska-Gontarz M, Miszczynska K. Measuring the efficiency of polish municipalities-data envelopment analysis approach. South East Eur J Econ Bus. 2019;14(2):54–66.CrossRef Skica T, Lesniowska-Gontarz M, Miszczynska K. Measuring the efficiency of polish municipalities-data envelopment analysis approach. South East Eur J Econ Bus. 2019;14(2):54–66.CrossRef
37.
go back to reference Ifanti AA, Argyriou AA, Kalofonou FH, Kalofonos HP. Financial crisis and austerity measures in Greece: their impact on health promotion policies and public health care. Health Policy. 2013;113(1–2):8–12.PubMedCrossRef Ifanti AA, Argyriou AA, Kalofonou FH, Kalofonos HP. Financial crisis and austerity measures in Greece: their impact on health promotion policies and public health care. Health Policy. 2013;113(1–2):8–12.PubMedCrossRef
39.
go back to reference J. A. Tapia Granados and J. M. Rodriguez, “Health, economic crisis, and austerity: A comparison of Greece, Finland and Iceland,” Health Policy, vol. 119, no. 7. Elsevier Ireland Ltd, pp. 941–953, Jul-2015. J. A. Tapia Granados and J. M. Rodriguez, “Health, economic crisis, and austerity: A comparison of Greece, Finland and Iceland,” Health Policy, vol. 119, no. 7. Elsevier Ireland Ltd, pp. 941–953, Jul-2015.
40.
go back to reference Regidor E, Vallejo F, Granados JAT, Viciana-Fernández FJ, de la Fuente L, Barrio G. Mortality decrease according to socioeconomic groups during the economic crisis in Spain: a cohort study of 36 million people. Lancet. 2016;388(10060):2642–52.PubMedCrossRef Regidor E, Vallejo F, Granados JAT, Viciana-Fernández FJ, de la Fuente L, Barrio G. Mortality decrease according to socioeconomic groups during the economic crisis in Spain: a cohort study of 36 million people. Lancet. 2016;388(10060):2642–52.PubMedCrossRef
41.
go back to reference Laliotis I, Ioannidis JPA, Stavropoulou C. Total and cause-specific mortality before and after the onset of the Greek economic crisis: an interrupted time-series analysis. Lancet Public Heal. 2016;1(2):e56–65.CrossRef Laliotis I, Ioannidis JPA, Stavropoulou C. Total and cause-specific mortality before and after the onset of the Greek economic crisis: an interrupted time-series analysis. Lancet Public Heal. 2016;1(2):e56–65.CrossRef
43.
go back to reference N. R. Draper and H. Smith, “Selecting the ‘Best’ Regression Equation,” pp. 327–368, Apr. 1998. N. R. Draper and H. Smith, “Selecting the ‘Best’ Regression Equation,” pp. 327–368, Apr. 1998.
44.
go back to reference Sutter JM, Kalivas JH. Comparison of Forward Selection, Backward Elimination, and Generalized Simulated Annealing for Variable Selection. Microchem J. 1993;47(1–2):60–6.CrossRef Sutter JM, Kalivas JH. Comparison of Forward Selection, Backward Elimination, and Generalized Simulated Annealing for Variable Selection. Microchem J. 1993;47(1–2):60–6.CrossRef
45.
go back to reference Rój J. Concentration of Inpatient Health Care Providers in Poland. Int J Bus Manag Technol. 2019;3(1):92–104. Rój J. Concentration of Inpatient Health Care Providers in Poland. Int J Bus Manag Technol. 2019;3(1):92–104.
46.
go back to reference Antonova L, Bucher-Koenen T, Mazzonna F. Long-term health consequences of recessions during working years. Soc Sci Med. 2017;187:134–43.PubMedCrossRef Antonova L, Bucher-Koenen T, Mazzonna F. Long-term health consequences of recessions during working years. Soc Sci Med. 2017;187:134–43.PubMedCrossRef
47.
go back to reference Achen CH. Why lagged dependent variables can suppress the explanatory power of other independent variables. Annual meeting of the political methodology section of the American political science association, UCLA. 2000;20(22):07–2000. Achen CH. Why lagged dependent variables can suppress the explanatory power of other independent variables. Annual meeting of the political methodology section of the American political science association, UCLA. 2000;20(22):07–2000.
48.
go back to reference M. E. Kruk and L. P. Freedman, “Assessing health system performance in developing countries: A review of the literature,” Health Policy, vol. 85, no. 3. Elsevier, pp. 263–276, 01-Mar-2008. M. E. Kruk and L. P. Freedman, “Assessing health system performance in developing countries: A review of the literature,” Health Policy, vol. 85, no. 3. Elsevier, pp. 263–276, 01-Mar-2008.
49.
go back to reference de Cos PH, Moral-Benito E. Determinants of health-system efficiency: Evidence from OECD countries. Int J Health Care Finance Econ. 2014;14(1):69–93.PubMedCrossRef de Cos PH, Moral-Benito E. Determinants of health-system efficiency: Evidence from OECD countries. Int J Health Care Finance Econ. 2014;14(1):69–93.PubMedCrossRef
50.
go back to reference Y. Varabyova and J. M. Müller, “The efficiency of health care production in OECD countries: A systematic review and meta-analysis of cross-country comparisons,” Health Policy, vol. 120, no. 3. Elsevier Ireland Ltd, pp. 252–263, 01-Mar-2016. Y. Varabyova and J. M. Müller, “The efficiency of health care production in OECD countries: A systematic review and meta-analysis of cross-country comparisons,” Health Policy, vol. 120, no. 3. Elsevier Ireland Ltd, pp. 252–263, 01-Mar-2016.
51.
go back to reference Ravangard R, Hatam N, Teimourizad A, Jafari A. Factors affecting the technical efficiency of health systems: A case study of economic cooperation organization (ECO) countries (2004–10). Int J Heal Policy Manag. 2014;3(2):63–9.CrossRef Ravangard R, Hatam N, Teimourizad A, Jafari A. Factors affecting the technical efficiency of health systems: A case study of economic cooperation organization (ECO) countries (2004–10). Int J Heal Policy Manag. 2014;3(2):63–9.CrossRef
52.
go back to reference B. Gavurová and T. Vagašová, “Regional differences of standardised mortality rates for ischemic heart diseases in the Slovak Republic for the period 1996–2013 in the context of income inequality,” Health Econ. Rev., vol. 6, no. 1, Jun. 2016. B. Gavurová and T. Vagašová, “Regional differences of standardised mortality rates for ischemic heart diseases in the Slovak Republic for the period 1996–2013 in the context of income inequality,” Health Econ. Rev., vol. 6, no. 1, Jun. 2016.
53.
go back to reference Stefko R, Gavurova B, Ivankova V, Rigelsky M. Gender Inequalities in Health and Their Effect on the Economic Prosperity Represented by the GDP of Selected Developed Countries—Empirical Study. Int J Environ Res Public Health. 2020;17(10):3555.PubMedCentralCrossRef Stefko R, Gavurova B, Ivankova V, Rigelsky M. Gender Inequalities in Health and Their Effect on the Economic Prosperity Represented by the GDP of Selected Developed Countries—Empirical Study. Int J Environ Res Public Health. 2020;17(10):3555.PubMedCentralCrossRef
54.
go back to reference Urbanos-Garrido RM, Lopez-Valcarcel BG. The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain. Eur J Heal Econ. 2015;16(2):175–84.CrossRef Urbanos-Garrido RM, Lopez-Valcarcel BG. The influence of the economic crisis on the association between unemployment and health: an empirical analysis for Spain. Eur J Heal Econ. 2015;16(2):175–84.CrossRef
55.
go back to reference N. B. King, S. Harper, and M. E. Young, “Use of relative and absolute effect measures in reporting health inequalities: Structured review,” BMJ (Online), vol. 345, no. 7878. Oct-2012. N. B. King, S. Harper, and M. E. Young, “Use of relative and absolute effect measures in reporting health inequalities: Structured review,” BMJ (Online), vol. 345, no. 7878. Oct-2012.
56.
go back to reference A. Tandon, C. J. Murray, J. A. Lauer, and D. B. Evans, “MEASURING OVERALL HEALTH SYSTEM PERFORMANCE FOR 191 COUNTRIES.” A. Tandon, C. J. Murray, J. A. Lauer, and D. B. Evans, “MEASURING OVERALL HEALTH SYSTEM PERFORMANCE FOR 191 COUNTRIES.”
57.
go back to reference Preston SH. The Changing Relation between Mortality and Level of Economic Development. Popul Stud (NY). 1975;29(2):231.CrossRef Preston SH. The Changing Relation between Mortality and Level of Economic Development. Popul Stud (NY). 1975;29(2):231.CrossRef
58.
go back to reference Rój J. Ocena efektywności systemów ochrony zdrowia w wybranych krajach Unii Europejskiej z wykorzystaniem podejścia nieparametrycznego. Acta Univ Lodz Folia Oeconomica. 2011;253:143–53. Rój J. Ocena efektywności systemów ochrony zdrowia w wybranych krajach Unii Europejskiej z wykorzystaniem podejścia nieparametrycznego. Acta Univ Lodz Folia Oeconomica. 2011;253:143–53.
59.
go back to reference M. Cavicchioli and B. Pistoresi, “Unfolding the relationship between mortality, economic fluctuations, and health in Italy,” European Journal of Health Economics. 2019. M. Cavicchioli and B. Pistoresi, “Unfolding the relationship between mortality, economic fluctuations, and health in Italy,” European Journal of Health Economics. 2019.
60.
go back to reference K. H. Birgisdóttir and T. L. ásgeirsdóttir, “Macroeconomic conditions and population health in Iceland,” Demogr. Res., vol. 37, no. 1, pp. 769–852, 2017. K. H. Birgisdóttir and T. L. ásgeirsdóttir, “Macroeconomic conditions and population health in Iceland,” Demogr. Res., vol. 37, no. 1, pp. 769–852, 2017.
61.
go back to reference Gerdtham UG, Ruhm CJ. Deaths rise in good economic times: Evidence from the OECD. Econ Hum Biol. 2006;4(3):298–316.PubMedCrossRef Gerdtham UG, Ruhm CJ. Deaths rise in good economic times: Evidence from the OECD. Econ Hum Biol. 2006;4(3):298–316.PubMedCrossRef
62.
go back to reference Gerdtham UG, Johannesson M. Business cycles and mortality: Results from Swedish microdata. Soc Sci Med. 2005;60(1):205–18.PubMedCrossRef Gerdtham UG, Johannesson M. Business cycles and mortality: Results from Swedish microdata. Soc Sci Med. 2005;60(1):205–18.PubMedCrossRef
63.
go back to reference Phillips A, Smallwood L. Hospital beds and the quality of a national health system. Aust J Rural Health. 2010;18(3):93–5.PubMedCrossRef Phillips A, Smallwood L. Hospital beds and the quality of a national health system. Aust J Rural Health. 2010;18(3):93–5.PubMedCrossRef
65.
go back to reference D. Cepiku, B. Marchese, and M. Mastrodascio, “The Italian response to the economic and health crises: a budgetary comparison,” J. Public Budgeting, Account. Financ. Manag., vol. 33, no. 1, pp. 47–55, Jan. 2021. D. Cepiku, B. Marchese, and M. Mastrodascio, “The Italian response to the economic and health crises: a budgetary comparison,” J. Public Budgeting, Account. Financ. Manag., vol. 33, no. 1, pp. 47–55, Jan. 2021.
66.
go back to reference K. D. Dzigbede, R. Pathak, and S. Muzata, “Budget systems and post-pandemic economic resilience in developing countries,” J. Public Budgeting, Account. & Financ. Manag., vol. ahead-of-print, no. ahead-of-print, Mar. 2022. K. D. Dzigbede, R. Pathak, and S. Muzata, “Budget systems and post-pandemic economic resilience in developing countries,” J. Public Budgeting, Account. & Financ. Manag., vol. ahead-of-print, no. ahead-of-print, Mar. 2022.
67.
go back to reference Ajmal MM, Khan M, Shad MK. The global economic cost of coronavirus pandemic: current and future implications. Public Adm Policy. 2021;24(3):290–305. Ajmal MM, Khan M, Shad MK. The global economic cost of coronavirus pandemic: current and future implications. Public Adm Policy. 2021;24(3):290–305.
68.
go back to reference Ferrarini T, Sjöberg O. Social policy and health: Transition countries in a comparative perspective. Int J Soc Welf. 2010;19(SUPPL. 1):S60–88. Ferrarini T, Sjöberg O. Social policy and health: Transition countries in a comparative perspective. Int J Soc Welf. 2010;19(SUPPL. 1):S60–88.
69.
go back to reference Ferrarini T, Nelson K, Sjöberg O. Unemployment insurance and deteriorating self-rated health in 23 european countries. J Epidemiol Community Health. 2014;68(7):657–62.PubMedCrossRef Ferrarini T, Nelson K, Sjöberg O. Unemployment insurance and deteriorating self-rated health in 23 european countries. J Epidemiol Community Health. 2014;68(7):657–62.PubMedCrossRef
70.
go back to reference Ucieklak-Jeż P, Bem A. How the Labor Market Affects the Self-Perceived Health of Older Workers. The Evidence From Central and Eastern European Countries (CEECs). Front Public Heal. 2021;9:885. Ucieklak-Jeż P, Bem A. How the Labor Market Affects the Self-Perceived Health of Older Workers. The Evidence From Central and Eastern European Countries (CEECs). Front Public Heal. 2021;9:885.
71.
go back to reference Neumayer E. Recessions lower (some) mortality rates: Evidence from Germany. Soc Sci Med. 2004;58(6):1037–47.PubMedCrossRef Neumayer E. Recessions lower (some) mortality rates: Evidence from Germany. Soc Sci Med. 2004;58(6):1037–47.PubMedCrossRef
75.
go back to reference Artazcoz L, et al. Long working hours and health in Europe: Gender and welfare state differences in a context of economic crisis. Heal Place. 2016;40:161–8.CrossRef Artazcoz L, et al. Long working hours and health in Europe: Gender and welfare state differences in a context of economic crisis. Heal Place. 2016;40:161–8.CrossRef
Metadata
Title
An impact of economic slowdown on health. New evidence from 21 European countries
Authors
Paweł Prędkiewicz
Agnieszka Bem
Rafał Siedlecki
Milena Kowalska
Marlena Robakowska
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-13740-6

Other articles of this Issue 1/2022

BMC Public Health 1/2022 Go to the issue