RESUMO
The paper builds on the classical understanding of the interplay between material processes and political conflicts, but generalises it in several key respects. This approach does not assume relevant political-economic aggregations ex ante (such as industries or 'classes'); rather, it explores different possible ways of aggregating social groups and defining their interests depending on the situation under investigation. Moreover, interdependencies in the economy impose the need to keep conflicts within boundaries that are compatible with the viability of the system. Because sectors and groups can be aggregated in different ways, dynamics also depends on how actors represent the system and their position therein, and hence what they understand their interest to be. Different representations give rise to different definitions of competing interests and viability requirements, which in turn generate different endogenous dynamics of the political-economic system. The approach is illustrated through the examples of the Eurozone crisis and Covid-19 crisis.
RESUMO
This paper provides evidence on (1) refugees' subjective well-being, (2) their access and barriers to health care utilization and (3) their perception of health care provision in Austria, one of the countries most heavily affected by the European 'refugee crisis.' It is based on primary data from the Refugee Health and Integration Survey (ReHIS), a cross-sectional survey of roughly five hundred Syrian, Iraqi and Afghan refugees. Results indicate that refugees' self-rated health falls below the resident population's, in particular for female and Afghan refugees. Whereas respondents state overall high satisfaction with the Austrian health system, two in ten male and four in ten female refugees report unmet health needs. Most frequently cited barriers include scheduling conflicts, long waiting lists, lack of knowledge about doctors, and language. Although treatment costs were not frequently considered as barriers, consultation of specialist medical services frequently associated with co-payment by patients, in particular dental care, are significantly less often consulted by refugees than by Austrians. Refugees reported comparably high utilization of hospital services, with daycare treatment more common than inpatient stays. We recommend to improve refugees' access to health care in Austria by a) improving the information flow about available treatment, in particular specialists, b) fostering dental health care for refugees, and c) addressing language barriers by providing (web-based) interpretation services.
