title: Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review.
abstract: BACKGROUND
  Due to the current economic crisis in Greece, effects on health and healthcare have been reported. The aim of this study was to present a systematic overview of the consequences that the financial crisis has had for health and healthcare in Greece.
  
  
  METHODS
  Systematic literature review was conducted in order to identify articles that were published from January 2009 to March 2013 and explicitly referred to the effects of economic crisis on health or healthcare, in Greece. Data extraction and synthesis was performed with the use of thematic analysis.
  
  
  RESULTS
  Thirty-nine studies were considered for further analyses. Various existing and potential relevant effects were identified, including reductions in public health expenditure and changes in healthcare services and the pharmaceutical market, with an increasing number of admissions in public healthcare sector, and efficiency and organizational-related issues being evident, overall. Indications were found for post-crisis deterioration of public health with increasing rates of mental health, suicides, and epidemics, and deterioration of self-rated health.
  
  
  CONCLUSIONS
  The recent efforts to reform the Greek National Health System have been focusing mainly on short-term effects by reducing expenditure, while the measures imposed seem to have dubious long-term consequences for Greek public health and healthcare.
authors.affiliation: Department of Epidemiology and Biostatistics, National School of Public Health, Athens, Greece. Electronic address: esimou@esdy.edu.gr.
authors.forename: Effie
authors.initials: E
authors.lastname: Simou
authors.affiliation: Department of Epidemiology and Biostatistics, National School of Public Health, Athens, Greece.
authors.forename: Eleni
authors.initials: E
authors.lastname: Koutsogeorgou
mesh_terms: D003695:Delivery of Health Care / Q000191:economics*; D057172:Economic Recession; D006115:Greece / Q000453:epidemiology; D006304:Health Status; D006801:Humans; D008603:Mental Health / Q000191:economics; D013405:Suicide / Q000191:economics / Q000706:statistics & numerical data
keywords: Economic recession; Greece; Health care; Health care reform; Public health