Titulo | Economic crisis, austerity and the Greek public health system |
Autoría | Kentikelenis A, Papanicolas I. |
Fuente | European journal of public health 2012; 22(1):4–5. |
Resumen |
The Greek health-care system has been accumulating structural problems for a decade that have been exacerbated by the economic crisis. In terms of expenditure, a failure to contain costs, in part due to an absence of explicit funding criteria, created budget deficits for sickness funds. Although the system is highly centralized, resource allocation suffers from a lack of planning and coordination, weak managerial and administrative capacity, and underdeveloped mechanisms for assessing needs and setting priorities. In addition, an oversupply of specialist physicians coexists with an undersupply of general practitioners and nurses. The combination of an absence of a functioning referral system and irrational pricing and reimbursement mechanisms leads to poor coordination of care, large out-of-pocket payments and a sizable black economy, impeding the system's ability to deliver equitable financing and access to services. |
URL | www.ncbi.nlm.nih.gov/pubmed/22199160 |
Tipo de documento | Artículo cientifico |
Impacto en el sistema sanitario | Sistemas Sanitarios - General |
Impacto en la salud | -- |