000			01623nam a22001577a 4500
999			_c517685 _d517685
008			210724b ||||| |||| 00| 0 eng d
100			_aDoblyte, Sigita and Guillen, Ana M. _927946
245			_aAccess compromised? The impact of healthcare reforms under austerity in Lithuania and Spain
260			_aSocial Policy and Society
300			_a19(4), Oct, 2020: p.521-537
520			_aUsing an interpretative comparison in search for cross-case similarities and differences, we examine the evolution of equity of access to healthcare during the economic crisis in two potentially vulnerable Eastern and Southern European countries – Lithuania and Spain. While the type of healthcare system may have shown higher resilience, i.e. equity of access to care during the crisis should have been affected more in Lithuania – a relatively immature health insurance system – than in Spain – a consolidated national health service, the intensity and length of the crisis and types of adjustment measures undertaken may have led, in turn, to different results in terms of equity of access. The analysis focuses on the respective institutional designs and healthcare reforms under austerity as well as subjective and objective indicators of access to care. We conclude that the Lithuanian healthcare system, despite potential comparative disadvantage, has shown greater performance than the Spanish one during the crisis. - Reproduced
650			_aAccess health care, Crisis, Subjective/objective indicators, Lithuania, Spain _925645
773			_aSocial Policy and Society
906			_aHEALTH CARE
942			_cAR