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Institutional and Organizational Efforts to Establish Primary Health Care in Greece

  • Charalampos Platis
  • Nikoletta Kyritsi
Conference paper
Part of the Springer Proceedings in Business and Economics book series (SPBE)

Abstract

According to international experience, Primary Health Care (PHC) should be the basis of any modern health system and its effectiveness is linked to a better health level, lower spending and high user satisfaction. In this article we try to summarize the efforts to establish a PHC system in Greece and the regulatory framework from the establishment of the National Health System. Although many multiple legislative efforts have been made, PHC in Greece is still the weak link of the health system and the current attempted reform under Law 4486/2017 aims at addressing the chronic weaknesses of PHC by creating an integrated and decentralized public PHC system that, in full development, will ensure public, free, universal coverage of the population. The latest reform fulfills the design of the fundamental principles of the PHC on equality, health promotion, cross-sectoral action and co-operation, social participation and rational use of resources as outlined in the Alma-Ata declaration. However, in its implementation, difficulties are already emerging that raise concerns about the resilience and success of completing the new system.

Keywords

Primary health care Legislative framework Reform Equality Health promotion 

References

  1. 1.
    Declaration of Alma-Ata (1978) International conference on primary health care. WHO Chron 32:428–430Google Scholar
  2. 2.
    Starfield B, Shi L (2002) Policy relevant determinants of health: an international perspective. Health Policy 60:201–218CrossRefGoogle Scholar
  3. 3.
    Petrelis M, Domeyer PR (2016) Primary health care in Greece and in Western Europe during the years of economic crisis. “To Vima tou Asklipiou” J 15:365–379Google Scholar
  4. 4.
    Vrachatis D, Papadopoulos A (2012) Primary health care in Greece: current data and perspectives. Nosileftiki 51:10–17Google Scholar
  5. 5.
    Economou C (2015) Barriers and facilitating factors in access to health services in Greece. WHO Regional Office for Europe, pp 1–14Google Scholar
  6. 6.
    Theodorou M, Mitrosili M (1999) Health services/hospital specificities and challenges, structure and functioning of the Greek health system, third section. Hellenic Open University, PatraGoogle Scholar
  7. 7.
    European Commission (2018) A new drive for primary care in Europe: rethining the assessment tools and methodologies: report of the expert group on health systems performance assessment. Publications Office of the European Union, Luxembourg.  https://doi.org/10.2875/58148
  8. 8.
    World Health Organisation, Regional office for Europe. http://www.euro.who.int/en/countries
  9. 9.
    Kringos D, Boerma W, Bourgueil Y et al (2013) The strength of primary care in Europe: an international comparative study. Br J Gen Pract 63:742–750.  https://doi.org/10.3399/bjgp13X674422CrossRefGoogle Scholar
  10. 10.
    OECD/European Observatory on Health Systems and Policies (2017) Greece: country health profile 2017, state of health in the EU. OECD Publishing/European Observatory on Health Systems and Policies, Paris/Brussels.  https://doi.org/10.1787/9789264283404-enCrossRefGoogle Scholar
  11. 11.
  12. 12.
    Economou C, Kaitelidou D, Katsikas D, Siskou O, Zafiropoulou M (2014) Impacts of the economic crisis on access to healthcare services in Greece with a focus on the vulnerable groups of the population. Soc Cohesion Dev 9:99–115Google Scholar
  13. 13.
    Simou E, Koutsogeorgou E (2014) Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review. Health Policy 115:111–119.  https://doi.org/10.1016/j.healthpol.2014.02.002CrossRefGoogle Scholar
  14. 14.
    Lionis C, Papadakis S, Tatsi C, Bertsias A, Duijker G, Mekouris PB et al (2017) Informing primary care reform in Greece: patient expectations and experiences (the QUALICOPC study). BMC Health Serv Res 17:255.  https://doi.org/10.1186/s12913-017-2189-0CrossRefGoogle Scholar
  15. 15.
    Sifaki-Pistolla D, Chatzea VE, Markaki A, Kritikos K, Petelos E, Lionis C (2017) Operational integration in primary health care: patient encounters and workflows. BMC Health Serv Res 17:788.  https://doi.org/10.1186/s12913-017-2702-5CrossRefGoogle Scholar
  16. 16.
    Statements and Proposals of the Greek Union of General Practitioners about the Law “Primary Health Care Reform” (2017) Athens. https://virus.com.gr
  17. 17.
    Souliotis Κ (2016) Payment methods in primary health care- pursuing efficiency. In: Lionis C, Thireos E, Papanikolaou N (eds) Quality and efficiency in the PHC – evaluation and design of provided services in PHC, vol 28. Athens Medical Society, Athina, pp 78–83Google Scholar
  18. 18.
    Lionis C (2018) Step two: 11 prerequisites for an effective PHC. http://www.healthview.gr

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Charalampos Platis
    • 1
  • Nikoletta Kyritsi
    • 2
  1. 1.National School of Public Administration and Local Government (EKDDA)AthensGreece
  2. 2.Nursing Education Office, General Hospital of KarditsaKarditsaGreece

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