Health Sector Reform in Greece Since 2010: Facts, Policies and Implementation

Niki Kalavrezou
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Abstract

This paper provides an overview of the Greek healthcare system and assesses the reform initiatives undertaken since 2010. The latter have received widespread criticism as being mainly driven by expenditure containment considerations while at the same time having detrimental effects in terms of adequate healthcare provision and population health. However, this critique rarely focuses on the long-standing pathologies of the healthcare system in Greece both prior and during the crisis. As a conclusion, it is probably that some of the reform measures have exacerbated the issue of hindered access to healthcare especially in combination with reductions in disposable income and healthcare insurance coverage. Some others have been successful in bringing necessary restructuring, modernization and monitoring in the existing system. In this sense, it is very hard to characterize interventions pursued as “totally bad�? or “totally good�?. Health sector policies that will be pursued in the immediate future need to focus on mitigating the adverse effects of the crisis but they also need to focus on safeguarding necessary reforms that took a lot of effort and time before becoming reality.
2010年以来希腊卫生部门改革:事实、政策和实施
本文概述了希腊医疗保健系统,并评估了自2010年以来开展的改革举措。后者受到广泛批评,认为主要是出于控制支出的考虑,同时对提供适当的保健和人口健康产生不利影响。然而,这种批评很少关注希腊医疗保健系统在危机之前和危机期间的长期病态。结论是,一些改革措施可能加剧了阻碍获得医疗保健的问题,特别是在可支配收入和医疗保险覆盖面减少的情况下。其他一些国家成功地对现有制度进行了必要的改组、现代化和监测。从这个意义上说,很难将所采取的干预措施定性为“完全不好”。或者“非常好”?在不久的将来将实行的卫生部门政策需要侧重于减轻危机的不利影响,但也需要侧重于保障必要的改革,这些改革在成为现实之前花费了大量的努力和时间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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