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Analysing the Greek health system: a tale of fragmentation and inertia

✍ 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

No coin nor oath required. For personal study only.

✦ 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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