School of Economics and Business Management, University of Science and Technology, Beijing, China.
Int J Soc Determinants Health Health Serv. 2024 Oct;54(4):380-395. doi: 10.1177/27551938241269118. Epub 2024 Aug 9.
Austerity measures have become a contentious topic, shaping the landscape of health care systems around the world. As governments grapple with economic challenges, the impact of austerity on health care has emerged as a critical concern. This study focuses on the consequences of austerity actions adopted by the Zimbabwean government under the Transitional Stabilization Program (TSP) from August 2018 to December 2025. This research examines the impact of austerity measures on Zimbabwe's health care sector, exploring its connections with health infrastructure and resources, accessibility and affordability of health care, health funding, health care inequalities, and the health care workforce. Using a quantitative approach and data from 970 participants, including the general populace, health care providers, and government officials, significant positive correlations between austerity measures and these health care variables were identified. The findings indicated a noteworthy positive correlation between the independent variable "austerity measures" and five dependent variables: health care accessibility and affordability, health care inequalities, infrastructure and resources, health care funding, and health care workforce. The -statistics values exceeded the threshold of 1.96, with values of 5.085, 3.120, 6.459, 8.517, and 3.830, respectively. These findings highlight the importance of considering the effects of austerity on health care access, health funding, health care inequalities, health workforce, health infrastructure and resources development. Policymakers should prioritize equitable resource allocation and targeted investments to strengthen the resilience of the health care system during economic challenges. Understanding these associations is crucial for evidence-based policy decisions and fostering a more equitable and resilient health care system in Zimbabwe.
紧缩措施已成为一个有争议的话题,影响着全球医疗保健系统的格局。随着各国政府应对经济挑战,紧缩对医疗保健的影响已成为一个关键问题。本研究聚焦于津巴布韦政府在 2018 年 8 月至 2025 年 12 月期间实施的过渡稳定计划(TSP)下采取的紧缩措施的后果。本研究考察了紧缩措施对津巴布韦医疗保健部门的影响,探讨了其与医疗基础设施和资源、医疗保健的可及性和可负担性、医疗保健资金、医疗保健不平等以及医疗保健劳动力之间的联系。本研究采用定量方法,使用了 970 名参与者的数据,包括普通民众、医疗保健提供者和政府官员,结果表明,紧缩措施与这些医疗保健变量之间存在显著的正相关关系。研究结果表明,自变量“紧缩措施”与五个因变量之间存在显著的正相关关系:医疗保健的可及性和可负担性、医疗保健不平等、基础设施和资源、医疗保健资金和医疗保健劳动力。统计值超过了 1.96 的阈值,分别为 5.085、3.120、6.459、8.517 和 3.830。这些发现强调了考虑紧缩对医疗保健获取、医疗保健资金、医疗保健不平等、医疗保健劳动力、医疗基础设施和资源开发的影响的重要性。决策者应优先考虑公平的资源分配和有针对性的投资,以增强医疗保健系统在经济挑战中的韧性。了解这些关联对于基于证据的政策决策和在津巴布韦建立更公平和更有弹性的医疗保健系统至关重要。