Veronica Toffolutti

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BACKGROUND There are great concerns and some initial country-specific, descriptive evidence about potential adverse health consequences of the recent Great Recession. METHODS Using data for 23 European Union countries we examine the short-term impact of macroeconomic decline during the Great Recession on a range of health and health behaviour indicators.(More)
Economic crises are complex events that affect behavioral patterns (including alcohol consumption) via opposing mechanisms. With this realist systematic review, we aimed to investigate evidence from studies of previous or ongoing crises on which mechanisms (How?) play a role among which individuals (Whom?). Such evidence would help understand and predict(More)
Inspections are a key way to monitor and ensure quality of care and maintain high standards in the National Health Service (NHS) in England. Yet there is a perception that inspections can be gamed. This can happen, for example, when staff members know that an inspection will soon take place. Using data for 205 NHS hospitals for the period 2011-14, we tested(More)
Family resources may play an important role in the wellbeing of the elderly. In this paper, we examine the association between living arrangements and cognitive decline among people over 65 in nine European countries under the hypothesis that living with others (i.e. spouse or/and children) vis –àvis living alone may have positive effects on maintaining(More)
There has been extensive outsourcing of hospital cleaning services in the NHS in England, in part because of the potential to reduce costs. Yet some argue that this leads to lower hygiene standards and more infections, such as MRSA and, perhaps because of this, the Scottish, Welsh, and Northern Irish health services have rejected outsourcing. This study(More)
BACKGROUND The objective of this study was to estimate changes over time in health status and selected health behaviours during the Great Recession, in the period 2011/12, in Spain, both overall, and according to socioeconomic position and gender. METHODS We applied a before-after estimation on data from four editions of the Spanish National Health(More)
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