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Reforming the reform: the Greek National Health System in transition
Yannis Tountas1, Panagiota Karnaki, Elpida Pavi
1Center for Health Services Research, Department of Hygiene and Epidemiology, Medical School, University of Athens, Alexandroupoleos 25, 115 27 Athens, Greece. chsr@med.uao.gr
Abstract:
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.
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