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AIM: To investigate the impact of environmental crisis on hospital and outpatient health expenditures and more specifically to estimate the effect of climate change, air pollution, water pollution, soil pollution and noise pollution in hospital health expenditures and outpatient health expenditures. MATERIAL AND METHOD: A systematic literature review was conducted on PubMed, Scopus, Cinahl and Science Direct and included papers that have published until to June 2015 in English. We used the following key-words: climate change, air pollution, water pollution, ground pollution, noise pollution, health care expenditures, hospital health expenditures and outpatient health expenditures. RESULTS: Only 30 of the published scientific papers met the criteria for inclusion in this review. Twenty-one studies assessed the impact of the environmental crisis on hospital health expenditures and 9 assessed the impact on outpatient health expenditures. We found that components of the environmental crisis affect people's demand for primary and secondary health care services. CONCLUSIONS: The environmental crisis affects greatly in a direct way the health care expenditures globally, since it is responsible for a great number of hospital admissions, visits in hospitals' emergency departments and outpatient visits. [ABSTRACT FROM AUTHOR]

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Copyright of Interscientific Health Care is the property of University of Thessaly, Medical School / Technological Education Institute, Nursing Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Rostrum of Asclepius / Vima tou Asklipiou is the property of Technological Educational Institute of Athens and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)