Reforming the reform: the Greek national health system in transition

被引:43
作者
Tountas, Y
Karnaki, P
Pavi, E
机构
[1] Univ Athens, Sch Med, Dept Hyg & Epidemiol, Ctr Hlth Serv Res, Athens 11527, Greece
[2] Inst Social & Prevent Med, Athens 10632, Greece
[3] Minist Hlth & Welfare, Athens, Greece
关键词
health system reform; health services; primary health care; Greece; social insurance; health financing;
D O I
10.1016/S0168-8510(01)00217-2
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The National Health System (ESY) in Greece, which was established in 1983, is in a state of continuous crisis. This situation is caused mainly by the system's problematic administration, low productivity and inadequate Primary Health Care. These have led the re-elected PASOK government to introduce by the end of 2000 a radical reform of the health system. The 200 reform measures announced by the new Minister of Health and Welfare include changes aiming at: the decentralization of the ESY, the creation of a unified financing system for the social insurance funds, a new management structure in public hospitals, the organization of a Primary Health System in urban areas, and the strengthening of Public Health and Health Promotion. These changes are presented and discussed in this paper. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:15 / 29
页数:15
相关论文
共 24 条
[1]  
[Anonymous], 1998, Learning from the NHS Internal Market: A Review of the Evidence
[2]   A descriptive assessment of the production and cost efficiency of general hospitals in Greece [J].
Athanassopoulos A.D. ;
Gounaris C. ;
Sissouras A. .
Health Care Management Science, 1999, 2 (2) :97-106
[3]  
Bach S, 1993, Int J Health Plann Manage, V8, P189, DOI 10.1002/hpm.4740080304
[4]   Healthcare systems - A new European model? [J].
Belien, P .
PHARMACOECONOMICS, 2000, 18 (Suppl 1) :85-93
[5]  
*CTR HLTH SERV RES, 2001, HLTH SERV GREEC
[6]  
*CTR HLTH SERV RES, 2000, STAT HLTH GREEC
[7]   Clarifying the scope of Italian NHS coverage. Is it feasible? Is it desirable? [J].
Fattore, G .
HEALTH POLICY, 1999, 50 (1-2) :123-142
[8]  
FERRERA M, 1993, CITIZENS SOCIAL PROT
[9]   Funding the NHS: Is the NHS sustainable? [J].
Harrison, A ;
Dixon, J ;
New, B ;
Judge, K .
BRITISH MEDICAL JOURNAL, 1997, 314 (7076) :296-298
[10]   PUBLIC AND PRIVATE IMPERATIVES OF GREEK HEALTH POLICIES [J].
KYRIOPOULOS, JE ;
TSALIKIS, G .
HEALTH POLICY, 1993, 26 (02) :105-117