Publicação
Regional disparities in health services provision in the European Union: when territory matters
| Resumo: | Services of general interest (SGI) contribute to the European Union’s objectives, being fundamental to territorial cohesion and convergence, with a preeminent role in rural and peripheral territories. Hence, disparities in access to these services lead to critical regional disparities, impairing cohesion. It is in economic harsh times that SGI are preponderant, especially in more rural or peripheral regions and health services are one of the most impactful SGI, being an iconic representative of the Welfare State. Therefore, an assessment of regional health services must be developed in relation to Welfare State Regimes performance. This study is developed within this framework, with the objectives of understanding: how national and local expenditures in health are related to Welfare State Regimes; and how their expenses impact territorial cohesion through differentiated regional health service provision and population health status. The work was developed in two phases: one centred on the assessment of total and health expenditures made by national and local governments, discussed in the framework of distinct Welfare Regimes; another, that analyses regional health service provision and population health status, in their relationship with regional socio-economic characteristics and the framework of Welfare Regimes. Indicators regarding health expenditures countries' efforts, health status, and services at a regional scale were retrieved from Eurostat. Results confirm that the provision of services and health status differ among Welfare Regimes and territorial typologies. Urban regions showed better results than rural ones, with the Welfare Regime precluding this reality. We conclude that regional health disparities are a concerning factor that harms territorial cohesion. |
|---|---|
| Autores principais: | Franco, Pedro |
| Outros Autores: | Marques da Costa, Eduarda |
| Assunto: | Services of general interest Health Regional disparities Welfare State Regimes |
| Ano: | 2022 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório da Universidade de Lisboa |
| _version_ | 1866810789303681024 |
|---|---|
| author | Franco, Pedro |
| author2 | Marques da Costa, Eduarda |
| author2_role | author |
| author_facet | Franco, Pedro Marques da Costa, Eduarda |
| author_role | author |
| contributor_name_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Franco, Pedro\",\"Person.identifier.orcid\":\"0000-0003-2753-0143\"},{\"Person.name\":\"Marques da Costa, Eduarda\",\"Person.identifier.orcid\":\"0000-0001-5070-3562\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| datacite.creators.creator.creatorName.fl_str_mv | Franco, Pedro Marques da Costa, Eduarda |
| datacite.date.Accepted.fl_str_mv | 2022-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2022-08-31T15:14:02Z |
| datacite.date.embargoed.fl_str_mv | 2022-08-31T15:14:02Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Services of general interest Health Regional disparities Welfare State Regimes |
| datacite.titles.title.fl_str_mv | Regional disparities in health services provision in the European Union: when territory matters Disparidades regionais na prestação de serviços de saúde na União Europeia: quando o território importa |
| dc.contributor.none.fl_str_mv | Repositório Científico de Acesso Aberto da ULisboa |
| dc.creator.none.fl_str_mv | Franco, Pedro Marques da Costa, Eduarda |
| dc.date.Accepted.fl_str_mv | 2022-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2022-08-31T15:14:02Z |
| dc.date.embargoed.fl_str_mv | 2022-08-31T15:14:02Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10451/54265 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Universidade de Lisboa, Centro de Estudos Geográficos |
| dc.rights.cclincense.fl_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Services of general interest Health Regional disparities Welfare State Regimes |
| dc.title.fl_str_mv | Regional disparities in health services provision in the European Union: when territory matters Disparidades regionais na prestação de serviços de saúde na União Europeia: quando o território importa |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Services of general interest (SGI) contribute to the European Union’s objectives, being fundamental to territorial cohesion and convergence, with a preeminent role in rural and peripheral territories. Hence, disparities in access to these services lead to critical regional disparities, impairing cohesion. It is in economic harsh times that SGI are preponderant, especially in more rural or peripheral regions and health services are one of the most impactful SGI, being an iconic representative of the Welfare State. Therefore, an assessment of regional health services must be developed in relation to Welfare State Regimes performance. This study is developed within this framework, with the objectives of understanding: how national and local expenditures in health are related to Welfare State Regimes; and how their expenses impact territorial cohesion through differentiated regional health service provision and population health status. The work was developed in two phases: one centred on the assessment of total and health expenditures made by national and local governments, discussed in the framework of distinct Welfare Regimes; another, that analyses regional health service provision and population health status, in their relationship with regional socio-economic characteristics and the framework of Welfare Regimes. Indicators regarding health expenditures countries' efforts, health status, and services at a regional scale were retrieved from Eurostat. Results confirm that the provision of services and health status differ among Welfare Regimes and territorial typologies. Urban regions showed better results than rural ones, with the Welfare Regime precluding this reality. We conclude that regional health disparities are a concerning factor that harms territorial cohesion. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorio.ulisboa.pt/bitstreams/fe3ac7b6-41eb-4a8e-bce1-9da36b9847ee/download |
| funding.funder.alternateName_str_mv | FCT |
| funding.funder.identifier_str_mv | http://doi.org/10.13039/501100001871 |
| funding.funder.name_str_mv | Fundação para a Ciência e a Tecnologia |
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| identifier.url.fl_str_mv | http://hdl.handle.net/10451/54265 |
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| institution | Universidade de Lisboa |
| instname_str | Universidade de Lisboa |
| language | eng |
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| network_name_str | Repositório da Universidade de Lisboa |
| oai_identifier_str | oai:repositorio.ulisboa.pt:10451/54265 |
| organization_str_mv | urn:organizationAcronym:ul |
| person_str_mv | Franco, Pedro Franco, Pedro https://www.ciencia-id.pt/7D12-D0D3-DCA4 7D12-D0D3-DCA4 http://orcid.org/0000-0003-2753-0143 0000-0003-2753-0143 Marques da Costa, Eduarda Marques da Costa, Eduarda https://www.ciencia-id.pt/981E-1D2A-E5A6 981E-1D2A-E5A6 http://orcid.org/0000-0001-5070-3562 0000-0001-5070-3562 |
| publishDate | 2022 |
| publisher.none.fl_str_mv | Universidade de Lisboa, Centro de Estudos Geográficos |
| reponame_str | Repositório da Universidade de Lisboa |
| repository_id_str | urn:repositoryAcronym:ul |
| service_str_mv | urn:repositoryAcronym:ul |
| spelling | engUniversidade de Lisboa, Centro de Estudos Geográficospt_PTServices of general interest (SGI) contribute to the European Union’s objectives, being fundamental to territorial cohesion and convergence, with a preeminent role in rural and peripheral territories. Hence, disparities in access to these services lead to critical regional disparities, impairing cohesion. It is in economic harsh times that SGI are preponderant, especially in more rural or peripheral regions and health services are one of the most impactful SGI, being an iconic representative of the Welfare State. Therefore, an assessment of regional health services must be developed in relation to Welfare State Regimes performance. This study is developed within this framework, with the objectives of understanding: how national and local expenditures in health are related to Welfare State Regimes; and how their expenses impact territorial cohesion through differentiated regional health service provision and population health status. The work was developed in two phases: one centred on the assessment of total and health expenditures made by national and local governments, discussed in the framework of distinct Welfare Regimes; another, that analyses regional health service provision and population health status, in their relationship with regional socio-economic characteristics and the framework of Welfare Regimes. Indicators regarding health expenditures countries' efforts, health status, and services at a regional scale were retrieved from Eurostat. Results confirm that the provision of services and health status differ among Welfare Regimes and territorial typologies. Urban regions showed better results than rural ones, with the Welfare Regime precluding this reality. We conclude that regional health disparities are a concerning factor that harms territorial cohesion.application/pdfpt_PTRegional disparities in health services provision in the European Union: when territory mattersAlternativeTitlept_PTDisparidades regionais na prestação de serviços de saúde na União Europeia: quando o território importaPersonalFranco, PedroDSpacehttp://dspace.org/items/d4ef2991-0923-4f2d-b4c7-1dd8241f1669DSpacehttp://dspace.org/items/d4ef2991-0923-4f2d-b4c7-1dd8241f1669Duarte FrancoPedro FranciscoCiência IDhttps://www.ciencia-id.pt7D12-D0D3-DCA4ORCIDhttp://orcid.org0000-0003-2753-0143PersonalMarques da Costa, EduardaDSpacehttp://dspace.org/items/43dbc369-ddc0-4382-b535-3cf02f987d7cDSpacehttp://dspace.org/items/43dbc369-ddc0-4382-b535-3cf02f987d7cMarques da CostaEduardaCiência IDhttps://www.ciencia-id.pt981E-1D2A-E5A6ORCIDhttp://orcid.org0000-0001-5070-3562Researcher IDhttps://www.researcherid.comN-8979-2013Scopus Author IDhttps://www.scopus.com55648727700HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf0430-5027DOIIsPartOf10.18055/Finis269942022-08-31T15:14:02Z20222022-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/54265http://purl.org/coar/access_right/c_abf2open accessServices of general interestHealthRegional disparitiesWelfare State Regimes8102159 bytesFundação para a Ciência e a TecnologiaO papel dos serviços locais de interesse geral na promoção da vida saudável da população do Alentejo - um contributo para a coesão territorial em territórios de baixo crescimentoCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal article2022http://creativecommons.org/licenses/by-nc-nd/4.0/http://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/fe3ac7b6-41eb-4a8e-bce1-9da36b9847ee/downloadFinisterra57120 |
| spellingShingle | Regional disparities in health services provision in the European Union: when territory matters Franco, Pedro Services of general interest Health Regional disparities Welfare State Regimes |
| status | SINGLETON |
| subject.fl_str_mv | Services of general interest Health Regional disparities Welfare State Regimes |
| title | Regional disparities in health services provision in the European Union: when territory matters |
| title_full | Regional disparities in health services provision in the European Union: when territory matters |
| title_fullStr | Regional disparities in health services provision in the European Union: when territory matters |
| title_full_unstemmed | Regional disparities in health services provision in the European Union: when territory matters |
| title_short | Regional disparities in health services provision in the European Union: when territory matters |
| title_sort | Regional disparities in health services provision in the European Union: when territory matters |
| topic | Services of general interest Health Regional disparities Welfare State Regimes |
| topic_facet | Services of general interest Health Regional disparities Welfare State Regimes |
| url | http://hdl.handle.net/10451/54265 |
| visible | 1 |