Improving the Performance of the Public Health Care System in Greece

Charalampos Economoui ; Claude Giornoii iPanteion UniversityiiOECD

Organisation for Economic Co-operation and Development

关键词: health policy;    copayment;    hospital;    pharmaceutical expenditure;    prescription system;    referral system;    primary health care;    medical demography;    general practitioners;    excise tax;    generic drugs;    medical prevention;    health care systems;    National health syste;   

DOI  :  https://doi.org/10.1787/221250170007

学科分类：社会科学、人文和艺术（综合）

来源: OECD iLibrary

【 摘 要 】

Greek health outcomes compare favourably with the OECD average. However, the health care system is seen as not working well by the population. One source of dissatisfaction is the high proportion of private household spending on health, including informal payments, while public health spending relative to GDP is one of the lowest in the OECD. This situation leads to inequities in access to certain medical services. Also, there is a weakening of efficiency of the system, which should be addressed sooner than later in view of a rising demand for medical services, which is going to intensify in the coming decades, and the need to keep government health care spending in check. This calls for reforms in four areas: (i) reviewing the excessively fragmented structure of the health care system and its governance; (ii) enhancing the quality of public primary health care services; (iii) modernising hospital administration; and (iv) further tightening control over pharmaceutical expenditure.