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The child healthcare system in Cyprus
Elisavet Efstathiou1, Leda Theophilou2, Stelios Angeli3
1Department of Paediatrics, Larnaca General Hospital, Larnaca, Cyprus.
Insights
Cyprus
Area of Science:
- Child Health
- Healthcare Systems
- Public Health Policy
Background:
- Cyprus historically lacked a universal National Health System within the EU.
- Child healthcare operated under separate public and private sectors with varying access and costs.
- Tertiary pediatric care was centralized in the capital.
Purpose of the Study:
- To describe the child healthcare system in Cyprus prior to June 2019.
- To identify major child health challenges and trends.
- To evaluate the impact of the newly introduced national healthcare system.
Main Methods:
- Descriptive analysis of the Cypriot child healthcare landscape.
- Review of public and private healthcare service delivery.
- Examination of health indicators and challenges.
Main Results:
- Access to acute care was available, but primary care varied in cost and accessibility.
- Major challenges included childhood obesity, mental health, and chronic illnesses.
- Child health indicators showed an improving trend despite system fragmentation.
Conclusions:
- The introduction of a national healthcare system in 2017 aimed to address inequalities in child healthcare.
- The new system seeks to improve financial, quality, equity, efficiency, and effectiveness issues.
- Ongoing efforts are crucial to overcome existing child health challenges in Cyprus.
Abstract:
This article describes the child healthcare system in Cyprus up to June 2019. Before that Cyprus used to be the only country in the European Union without a universal National Health System. Up to 2019 child healthcare in Cyprus consisted of two separate sectors: the public and the private system. The public healthcare system is financed by the government, while in the private sector the patients pay themselves or are covered by private insurance. There is easy access to acute medical care in the emergency departments of five public hospitals across the country. However, primary care is not available free-of-charge to all children. Primary healthcare is delivered in the paediatric outpatient departments of various public and private hospitals and clinics, as well as by numerous paediatricians within private practices. Secondary care is provided mainly in the public sector and to a lesser extent in private clinics. Tertiary care is available only centrally in the capital of Cyprus, at a dedicated university-affiliated maternity and children's public hospital with specialist paediatric services. Current major child health challenges in Cyprus include dealing with obesity, mental health, chronic illnesses, and vulnerable groups. However, the basic available health indicators for children show an improving trend over time. A national healthcare system was introduced at the end of 2017 and is expected to remove the inequalities and discrepancies that currently extend over the area of child health by tackling financial, quality, equity, efficiency, and effectiveness issues.
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