{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T05:31:46Z","timestamp":1761197506339},"reference-count":89,"publisher":"FapUNIFESP (SciELO)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2017,9,28]]},"abstract":"<jats:p>O presente artigo versa sobre a quest\u00e3o das desigualdades de sa\u00fade nos pa\u00edses do Sul da Europa, mais especificamente Espanha, Gr\u00e9cia, It\u00e1lia e Portugal. O estudo resultou de uma revis\u00e3o n\u00e3o sistem\u00e1tica da literatura, baseando-se na proposta da scoping review. Inicialmente, \u00e9 apresentada uma breve contextualiza\u00e7\u00e3o dos estados de bem-estar social desses pa\u00edses do Sul da Europa, destacando as principais especificidades e diferen\u00e7as em rela\u00e7\u00e3o a outros regimes europeus de bem-estar social. Em seguida, s\u00e3o descritos os sistemas de sa\u00fade dos quatro pa\u00edses, ressaltando os respectivos processos de reforma e as principais desigualdades de sa\u00fade que os tem caracterizado, antes e durante a crise econ\u00f4mica. A crise e as pol\u00edticas de austeridade aumentaram muito a insatisfa\u00e7\u00e3o com a presta\u00e7\u00e3o de cuidados de sa\u00fade, nesses pa\u00edses, particularmente na Gr\u00e9cia e em Portugal. Nesse sentido, s\u00e3o discutidas, comparativamente, as desigualdades de sa\u00fade, evidenciando as tend\u00eancias comuns, assim como as diversidades. Nos quatro pa\u00edses em an\u00e1lise, o gradiente social (em particular educa\u00e7\u00e3o, rendimento e condi\u00e7\u00e3o laboral) representa o principal fator determinante das desigualdades de sa\u00fade, sem subestimar, contudo, as desigualdades geogr\u00e1ficas no acesso aos servi\u00e7os de sa\u00fade, como resultado dos diferentes n\u00edveis de desenvolvimento econ\u00f4mico das diversas regi\u00f5es. Finalmente, \u00e9 discutido o recente debate, presente na literatura internacional, sobre a rela\u00e7\u00e3o entre diferentes regimes de estado de bem-estar e desigualdades de sa\u00fade e, precisamente, sobre a cr\u00edtica ao uso de tipologias de estado de bem-estar como determinante de sa\u00fade e de desigualdades de sa\u00fade.<\/jats:p>","DOI":"10.1590\/0102-311x00170116","type":"journal-article","created":{"date-parts":[[2017,9,23]],"date-time":"2017-09-23T23:29:45Z","timestamp":1506209385000},"source":"Crossref","is-referenced-by-count":10,"title":["Crise econ\u00f4mica e desigualdades nos sistemas de sa\u00fade dos pa\u00edses do Sul da Europa"],"prefix":"10.1590","volume":"33","author":[{"given":"Mauro","family":"Serapioni","sequence":"first","affiliation":[{"name":"Universidade de Coimbra,  Portugal"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/S0277-9536(97)88373-6","article-title":"Introduction","volume":"44","author":"Lahema E","year":"1997","journal-title":"Soc Sci Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1111\/j.1467-9566.2007.01073.x","article-title":"Health inequalities according to educational level in different welfare regimes a comparison of 23 European countries","volume":"3","author":"Eikemo TA","year":"2008","journal-title":"Sociol Health Ill"},{"key":"ref3","series-title":"The European health report 2002","year":"2003"},{"key":"ref4","series-title":"World conference on social determinants of health: meeting report.","year":"2011"},{"key":"ref5","series-title":"Fair society, healthy life. 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