Publications
63 results found
Palladino R, Lee JT, Hone T, et al., 2016, The Great Recession And Increased Cost Sharing In European Health Systems, Health Affairs, Vol: 35, Pages: 1204-1213, ISSN: 0278-2715
European health systems are increasingly adopting cost-sharingmodels, potentially increasing out-of-pocket expenditures for patientswho use health care services or buy medications. Government policiesthat increase patient cost sharing are responding to incremental growthin cost pressures from aging populations and the need to invest in newhealth technologies, as well as to general constraints on publicexpenditures resulting from the Great Recession (2007–09). We used datafrom the Survey of Health, Ageing and Retirement in Europe to examinechanges from 2006–07 to 2013 in out-of-pocket expenditures amongpeople ages fifty and older in eleven European countries. Our resultsidentify increases both in the proportion of older European citizens whoincurred out-of-pocket expenditures and in mean out-of-pocketexpenditures over this period. We also identified a significant increaseover time in the percentage of people who incurred catastrophic healthexpenditures (greater than 30 percent of the household income) in theCzech Republic, Italy, and Spain. Poorer populations were less likely thanthose in the highest income quintile to incur an out-of-pocketexpenditure and reported lower mean out-of-pocket expenditures, whichsuggests that measures are in place to provide poorer groups with somefinancial protection. These findings indicate the substantial weakening offinancial protection for people ages fifty and older in European healthsystems after the Great Recession
Hone T, Palladino R, Filippidis FT, 2016, Association of searching for health-related information online with self-rated health in the European Union., European Journal of Public Health, Vol: 26, Pages: 748-753, ISSN: 1464-360X
BACKGROUND: The Internet is widely accessed for health information, but poor quality information may lead to health-worsening behaviours (e.g. non-compliance). Little is known about the health of individuals who use the Internet for health information. METHODS: Using the Flash Eurobarometer survey 404, European Union (EU) citizens aged ≥15 (n = 26 566) were asked about Internet utilisation for health information ('general' or 'disease-specific'), the sources used, self-rated health, and socioeconomic variables. Multivariable logistic regression was employed to assess the likelihood of bad self-rated health and accessing different health information sources (social networks, official website, online newspaper, dedicated websites, search engines). RESULTS: Those searching for general information were less likely to report bad health [odds ratios (OR) = 0.80; 95% confidence intervals (CI): 0.70-0.92], whilst those searching for disease-specific information were more likely (OR = 1.22; 95% CI: 1.07-1.38). Higher education and frequent doctor visits were associated with use of official websites and dedicated apps for health. Variation between EU member states in the proportion of people who had searched for general or disease-specific information online was high. CONCLUSIONS: Searching for general health information may be more conducive to better health, as it is easier to understand, and those accessing it may already be or looking to lead healthier lives. Disease-specific information may be harder to understand and assimilate into appropriate care worsening self-rated health. It may also be accessed if health services fail to meet individuals' needs, and health status is currently poor. Ensuring individuals' access to quality health services and health information will be key to addressing inequalities in health.
Stokes J, Gurol-Urganci I, Hone T, et al., 2015, Effect of health system reforms in Turkey on user satisfaction, Journal of Global Health, Vol: 5, ISSN: 2047-2986
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