Heras-Mosteiro Julio, Sanz-Barbero Belén, Otero-Garcia Laura
Preventive Medicine and Public Health Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
National School of Public Health. Instituto de Salud Carlos III, Madrid, Spain Ciber of Epidemiology and Public Health (CIBERESP), Madrid, Spain.
Int J Health Serv. 2016;46(2):283-99. doi: 10.1177/0020731415625251. Epub 2016 Jan 28.
The current financial crisis has seen severe austerity measures imposed on the Spanish health care system, including reduced public spending, copayments, salary reductions, and reduced services for undocumented migrants. However, the impacts have not been well-documented. We present findings from a qualitative study that explores the perceptions of primary health care physicians in Madrid, Spain. This article discusses the effects of austerity measures implemented in the public health care system and their potential impacts on access and utilization of primary health care services. This is the first study, to our knowledge, exploring the health care experiences during the financial crisis of general practitioners in Madrid, Spain. The majority of participating physicians disapproved of austerity measures implemented in Spain. The findings of this study suggest that undocumented migrants should regain access to health care services; copayments should be minimized and removed for patients with low incomes; and health care professionals should receive additional help to avoid burnout. Failure to implement these measures could result in the quality of health care further deteriorating and could potentially have long-term negative consequences on population health.
当前的金融危机使西班牙医疗体系实施了严厉的紧缩措施，包括削减公共开支、收取共付费用、减薪以及减少为无证移民提供的服务。然而，这些影响尚未得到充分记录。我们展示了一项定性研究的结果，该研究探讨了西班牙马德里初级医疗保健医生的看法。本文讨论了公共医疗体系中实施的紧缩措施的影响及其对初级医疗保健服务的获取和利用的潜在影响。据我们所知，这是第一项探索西班牙马德里全科医生在金融危机期间医疗经历的研究。大多数参与研究的医生不赞成西班牙实施的紧缩措施。这项研究的结果表明，无证移民应重新获得医疗服务；应尽量减少并免除低收入患者的共付费用；医疗保健专业人员应获得额外帮助以避免职业倦怠。不采取这些措施可能导致医疗质量进一步恶化，并可能对民众健康产生长期负面影响。
