Providing Health Care and Social Support during Economic Crises: Lessons Learned from "Solidarity Outpatient Clinics" in Greece during the Great Recession

J Health Soc Behav. 2024 Dec;65(4):618-634. doi: 10.1177/00221465241249697. Epub 2024 Jun 3.

Abstract

"Solidarity outpatient clinics" (SOCs) emerged in Greece as a novel community-based health care resource during the global economic crisis that started in 2008. They have provided crucial social support to diverse vulnerable populations. Solidarity is a critical organizational principle underlying SOCs' operation. It is juxtaposed to charity to emphasize, among other things, building symmetrical relationships between providers and patients. Employing a case study approach and a multilevel, multimethod research design, we analyzed qualitative data collected through semistructured interviews (N = 20) with patients, staff, and other local stakeholders and content of monthly informational bulletins (N = 26) and weekly radio shows (N = 48) produced by a prominent SOC in Greece's capital. Findings provide insight into structural and functional dimensions of social support exchanges at SOCs and extend our understanding of different types of social support and the organizational contexts through which they are secured, particularly during financial crises.

Keywords: economic crisis; social support; solidarity outpatient clinic.

MeSH terms

  • Adult
  • Ambulatory Care Facilities*
  • Delivery of Health Care
  • Economic Recession*
  • Female
  • Greece
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Qualitative Research
  • Social Support*