The core of the German health-care system is the statutory health insurance (SHI). Coverage of the SHI has remained fairly constant at about 90% whereas the rest of the population is insured for the most part with private health insurance. The primary goal of health-care reforms since the 1990s has
Analysing the Greek health system: a tale of fragmentation and inertia
β Scribed by Elias Mossialos; Sara Allin; Konstantina Davaki
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 197 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1057-9230
- DOI
- 10.1002/hec.1033
No coin nor oath required. For personal study only.
β¦ Synopsis
The Greek health system does not yet offer universal coverage and has fragmented funding and delivery. Funding is regressive, with a reliance on informal payments, and there are inequities in access, supply and quality of services. Inefficiencies arise from an over reliance on relatively expensive inputs, as evidenced by the oversupply of specialists and undersupply of nurses. Resource allocation mechanisms are historical and political with no relation to performance or output, therefore providers have little incentive to improve productivity. Some options for future health system reform include focusing on coordinating funding by developing a monopsony purchaser with the aim of improving quality of services and efficiency in the health system and changing provider incentives to improve productivity.
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