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Improving the Performance of the Public Health Care System in Greece

Author

Listed:
  • Charalampos Economou

    (Panteion University)

  • Claude Giorno

    (OECD)

Abstract

Greek health outcomes compare favourably with the OECD average. However, the health care system is seen as not working well by the population. One source of dissatisfaction is the high proportion of private household spending on health, including informal payments, while public health spending relative to GDP is one of the lowest in the OECD. This situation leads to inequities in access to certain medical services. Also, there is a weakening of efficiency of the system, which should be addressed sooner than later in view of a rising demand for medical services, which is going to intensify in the coming decades, and the need to keep government health care spending in check. This calls for reforms in four areas: (i) reviewing the excessively fragmented structure of the health care system and its governance; (ii) enhancing the quality of public primary health care services; (iii) modernising hospital administration; and (iv) further tightening control over pharmaceutical expenditure. Améliorer la performance du système public de santé en Grèce Les résultats de la Grèce dans le domaine de la santé se comparent favorablement avec la moyenne de l’OCDE. Cependant, le fonctionnement du système de soins n’est pas satisfaisant selon la population. Une source d’insatisfaction concerne la proportion élevée des dépenses privées de santé des ménages, y compris des paiements informels, alors que les dépenses médicales publiques en proportion du PIB sont parmi les plus faibles de l’OCDE. Cette situation conduit à des problèmes d’équité d’accès à certains services médicaux. On observe aussi une baisse d’efficacité du système à laquelle il import de remédier au plus tôt compte tenu de la hausse de la demande de soins, qui devrait s’intensifier au cours des prochaines décennies et du besoin de contrôle sur la croissance des dépenses publiques de santé. Ceci milite en faveur d’une réforme dans quatre domaines : (i) réviser la structure très fragmentée du système de soins et sa gouvernance; (ii) améliorer la qualité des services publics de soins primaires ; (iii) moderniser l’administration hospitalière ; et (iv) renforcer davantage le contrôle sur les dépenses pharmaceutiques.

Suggested Citation

  • Charalampos Economou & Claude Giorno, 2009. "Improving the Performance of the Public Health Care System in Greece," OECD Economics Department Working Papers 722, OECD Publishing.
  • Handle: RePEc:oec:ecoaaa:722-en
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    File URL: http://dx.doi.org/10.1787/221250170007
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    Citations

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    Cited by:

    1. Sharon Hadad & Yossi Hadad & Tzahit Simon-Tuval, 2013. "Determinants of healthcare system’s efficiency in OECD countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 253-265, April.
    2. Skroumpelos, Anastasios & Zavras, Dimitris & Pavi, Elpida & Kyriopoulos, John, 2013. "Recommending organized screening programs for adults in Greece: A Delphi consensus study," Health Policy, Elsevier, vol. 109(1), pages 38-45.
    3. Stamatiadis, Filippos & Eriotis, Nikolaos, 2011. "Evolution of the Governmental Accounting Reform implementation in Greek Public Hospitals: Testing the institutional framework," MPRA Paper 28816, University Library of Munich, Germany.
    4. Stöver, Jana & Vöpel, Henning & Manouguian, Maral-Sonja & Verheyen, Frank, 2010. "Qualität und Effizienz der Gesundheitsversorgung im internationalen Vergleich," HWWI Policy Papers 55, Hamburg Institute of International Economics (HWWI).
    5. Eriotis, Nikolaos & Stamatiadis, Filippos & Vasiliou, Dimitrios, 2011. "Assessing Accrual Accounting Reform in Greek Public Hospitals: An Empirical Investigation," MPRA Paper 30246, University Library of Munich, Germany.

    More about this item

    Keywords

    accises; analyse par enveloppement des données; caisses d’assurance médicale; copaiement; copayment; data envelopment analysis; démographie médicale; dépenses pharmaceutiques; excise tax; general practitioners; generic drugs; génériques; health care systems; health insurance funds; health policy; hospital; hôpital; medical demography; medical prevention; médecins généralistes; National health system; pharmaceutical expenditure; prescription system; primary health care; prévention médicale; referral system; soins primaires de santé; système de médecin référent; système national de santé;

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I19 - Health, Education, and Welfare - - Health - - - Other

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