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The Political Legitimacy of the Healthcare System in Portugal: Insights from the European Social Survey

机译：葡萄牙医疗保健系统的政治合法性：欧洲社会调查中的见解

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This article investigates the political legitimacy of the health care system and the effects of austerity on the population’s welfare, paying particular attention to Portugal, a country severely harmed by the economic crisis. Based on analysis of data collected from the European Social Survey on 14,988 individuals living in private households during the years between 2002 and 2018, the findings of this study aim to analyze the social and political perception of citizens on the state of health services in two distinctive periods—before and after the economic crisis, according to self-interest, ideological preferences, and institutional setup as predictors of the satisfaction with the health system. The results demonstrate a negative attitude towards the health system over the years, a consistent drop during the financial crisis period, and a rapid recovery afterward. The research also shows that healthcare evaluations depend on the perceived institutional effectiveness in the citizenry’s eyes. The more the citizens perceive the government as effective and trust-worthy, the more they are satisfied with the health system. Also, differences in healthcare evaluations among social groups were felt unequally: while vulnerable citizens were more affected by the Government’s plan of austerity measures for health reform, healthcare evaluations of better-off social groups—younger individuals, those with higher incomes, higher education, and better health status—did not decline. This study contributes to the academic debate on the effects of austerity on the population’s welfare attitudes and highlights the need to examine the different impacts of reforms introduced by the crisis on social groups.
机译：本文调查了医疗保健系统的政治合法性以及紧缩对人口福利的影响，特别注意葡萄牙，这一国家受到经济危机的严重伤害。根据2002年至2018年期间居住在私营家庭的14,988个个人收集的数据分析，本研究的调查结果旨在分析两个独特的卫生服务状态的社会和政治认知根据自身利益，思想偏好和机构设置，以前和经济危机之前和之后。作为对卫生系统满意的预测因素。结果表现出对卫生系统多年来的负面态度，金融危机期间的一致下降，以及后来的快速恢复。该研究还表明，医疗保健评估取决于公民眼中的感知机构效果。公民越多，将政府视为有效和信任，他们对卫生系统的满意越多。此外，社会群体中医疗评估的差异是不平等的：虽然政府的卫生改革的紧缩措施，妇女的紧缩措施计划，较高社会群体的医疗评估，收入较高，教育高等教育，高等教育更好的健康状况 - 没有下降。这项研究有助于关于紧缩对人口福利态度影响的学术辩论，并强调需要审查危机引入的改革对社会群体的不同影响的必要性。

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