Healthcare in Greece
Healthcare in Greece consists of a universal health care system provided through national health insurance, and private health care. According to the 2011 budget, the Greek healthcare system was allocated 6.1 billion euro, or 2.8% of GDP.[1] In a 2000 report by the World Health Organization, the Greek healthcare system was ranked 14th worldwide in the overall assessment, above other countries such as Germany (25) and the United Kingdom (18), while ranking 11th at level of service.[2]
Healthcare in Greece is provided by the National Healthcare Service, or ESY (Greek: Εθνικό Σύστημα Υγείας, ΕΣΥ).
Classical Greece
Healthcare in Greece traces its roots to the
Medieval Greece
The Byzantine Empire is accredited by some for having invented the hospital as the institution we know it to be today. Professor Timothy S. Miller of the Johns Hopkins University argues that the Byzantine Empire was the first to employ a system of hospital-based healthcare, where the hospital became the chief institution of the medical profession in contrast to its function as a last resort in Western medieval Europe, carrying forward the medical knowledge of ancient Greece and Rome.[4]
Modern Greek State
In 1833, the "forensic doctor" "nomiatros" was established, with the current responsibilities of
In the pre-war period,
During the post-war period, the decentralization of the system was established with Law 2592 of 1953, all health units came under the Ministry of Social Welfare and the proportional distribution of hospital beds was attempted. Law 1316 of 1983 established the National Pharmaceutical Organization (E.O.F.), the National Pharmaceutical Industry and the State Pharmacy
The "National Health System" was unified following Law 1397 in 1983 and the "Health Centers" were created. Until then, eighty health insurance funds were operating with 6 beds/1000 inhabitants and 103 health workers/100,000 inhabitants.
In 2001, with Law 2889/2001, sixteen Health Regions were established under the PESY (Regional Health System). In 2005, with Law 3329/2005, they were merged into seven.
Austerity period
In July 2011, changes were made to the Greek healthcare system in accordance with austerity measures. Unemployed Greeks were entitled to healthcare from national health insurance for a maximum of a year, and after that period, healthcare was no longer universal and patients had to pay for their own treatment.[8][9][10] Austerity measures also resulted in citizens being forced to contribute more towards the cost of their medications.[11] As a result, many free clinics funded by private donations sprang up, and although officially illegal, were allowed to remain in operation.[12]
In 2016, the Greek government voted to extend health coverage to uninsured people who are registered as unemployed and refugees from June 1 on, with those earning less than 2,400 euro a year entitled to free healthcare, with the threshold rising for families according to how many children they have.[13][14]
Hospitals
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Agios Andreas Hospital, Patras
-
Amalia Fleming Hospital, Athens
-
Evangelismos Hospital, Athens
-
Aiginiteio Hospital, Athens
-
Agios Pavlos General Hospital, Thessaloniki
In 2009 the hospital bed to 10,000 population ratio in the country was 48, above countries such as the
Currently the largest hospital in the country is Attica Psychiatric Hospital "Dafni" with 1,325 beds, while the largest general hospital is "Evangelismos" General Hospital of Athens with 1,100 beds.[16] Public hospitals in Greece are constructed by a government-owned company by the name of DEPANOM. S.A. (Greek: Δημόσια Επιχείρηση Ανέγερσης Νοσηλευτικών Μονάδων Α.Ε., ΔΕΠΑΝΟΜ Α.Ε., Public Corporation for the Construction of Hospital Units S.A.), which is also in charge of maintaining and upgrading the country's public medical facilities and equipment.[17]
Emergency, ambulance and air-ambulance services in Greece are provided by the National Center for Direct Aid, known mostly by the acronym EKAB (Greek: Εθνικό Κέντρο Άμεσης Βοήθειας).[citation needed]
Statistics
On an OECD health report in 2011, Greece got the following results:[18]
Greece | OECD average | Rank | |
---|---|---|---|
Health expenditure as % of GDP | 9.6% | 9.5% | 15th |
Health expenditure per capita | $2,724 | $3,223 | 23rd |
Change in health expenditure (2000–2007) | 6.9% | 4.0% | |
% health expenditure publicly funded | 60.3% | 71.7% | |
Doctors to population ratio | 6.1 | 3.1 | 1st |
Acute beds per 1,000 population | 4.1 | 3.5 | |
Life expectancy (years) | 80.3 | 79.5 | |
Daily smokers among adults | 39.7% | 22.3% | 1st |
Obesity rate | 18.1% | 15.1% |
Healthcare expenditure per capita went down by 28% between 2009 and 2011 - a more drastic cut than any other European country. However treatment results have not deteriorated, but according to the survey conducted by the
With respect to pharmaceutical drugs in use, ~20% were generic at the end of 2013 and the government has set a goal of reaching 60% generic use by the end of 2015.[20] This planned major increase in generic use has been driven by conditions of economic support from the European Union and International Monetary Fund requiring that Greece reduce overall public spending on drugs.[20]
Greece has the highest number of doctors per head of population of any OECD country. 6.3 doctors per thousand people in 2013.[21]
See also
References
- ^ "2011 Κρατικός Προϋπολογισμός" (in Greek). www.minfin.gr. 2011. Archived from the original on 17 July 2011. Retrieved 22 July 2011.
- ^ "Health Systems: Improving Performance" (PDF). The World Health Report 2000. www.who.int. Retrieved 22 July 2011.
- ^ a b Και οι αρχαίοι είχαν το ΕΣΥ τους: Επιγραφές πληροφορούν για τους γιατρούς και το σύστημα Υγείας της αρχαιότητας (in Greek). www.tovima.gr. 30 April 2011. Retrieved 22 July 2011.
- ^ "Featured Book: The Birth of the Hospital in the Byzantine Empire". www.byzantium.seashell.net.nz. Archived from the original on 14 July 2003. Retrieved 22 July 2011.
- ^ Μπουλουτζα, Της Πεννυς (6 November 2005). "Τα νοσοκομεία της Αθήνας έχουν ιστορία". Η ΚΑΘΗΜΕΡΙΝΗ.
- ^ [http://www.docmed.gr/nosokomio-elpis-epistoli-katapeltis-th-giannarou-ston-prothipourgo/ ELPIS Hospital
- ^ Gazette, Year=1937, Issue =A, Number=476, ImerFEK=November 24, 1937, Page=3064 [full citation needed]
- ^ "Fiscal Crisis Takes Toll on Health of Greeks". The New York Times. 27 December 2011. Retrieved 9 January 2017.
- ^ Mason, Paul (17 February 2012). "Struggling Greeks losing belief in the state". Retrieved 9 January 2017 – via www.bbc.co.uk.
- ^ "Amid Cutbacks, Greek Doctors Offer Message to Poor: You Are Not Alone". The New York Times. 25 October 2012. Retrieved 9 January 2017.
- ^ "Greek crisis hits hard at the pharmacy". Retrieved 9 January 2017.
- ^ "With Greece's healthcare system in ruins, people are turning to illegal free clinics". Retrieved 9 January 2017.
- ^ "Free healthcare, medicines to begin on June 1 - Kathimerini". Retrieved 9 January 2017.
- ^ "Resuscitating Greece's struggling health system". 12 April 2016. Retrieved 9 January 2017.
- ^ "Hospital Beds (Per 10,000 Population) 2000-2009". www.globalhealthfacts.org. Archived from the original on 11 April 2013. Retrieved 22 July 2011.
- ^ a b ΠΡΟΤΑΣΗ ΛΕΙΤΟΥΡΓΙΚΩΝ ΑΝΑΔΙΑΤΑΞΕΩΝ ΜΟΝΑΔΩΝ ΥΓΕΙΑΣ ΕΣΥ (PDF) (in Greek). www.tovima.gr. 1 July 2011. Retrieved 22 July 2011.
- ^ Η εταιρία (in Greek). www.depanom.gr. Archived from the original on 2 April 2019. Retrieved 26 July 2011.
- ^ "OECD Health Data 2011: How Does Greece Compare" (PDF). www.oecd.org. Retrieved 22 July 2011.
- ^ "Outcomes in EHCI 2015" (PDF). Health Consumer Powerhouse. 26 January 2016. Archived from the original (PDF) on 6 June 2017. Retrieved 27 January 2016.
- ^ a b Chrysoloras, Nikos; Galanopoulos, Antonis (6 March 2014). "Greece to Boost Share of Generics in Drugs Market, Minister Says". Bloomberg News. Archived from the original on 10 March 2014. Retrieved 10 March 2014.
- ^ "Health Workforce Policies in OECD Countries". OECD. 2016. Retrieved 24 March 2016.