ANALYSIS OF THE GREEK AND MACEDONIAN HEALTHCARE SYSTEM'S RESILIENCE AND FUTURE DIRECTIONS
Keywords:
Greek Healthcare System, Universal Health Coverage, Primary Healthcare Reforms, COVID-19 Impact, Preventive Health MeasuresAbstract
The Greek healthcare system is founded on the principles of universality and accessibility, ensuring almost universal health coverage through the National Organization for the Provision of Health Services, the primary health insurer. This system is centrally regulated by the Ministry of Health and offers a comprehensive benefits package covering preventive, primary, and secondary healthcare. Despite significant reforms aimed at enhancing primary healthcare, including the introduction of personal physicians and expanded local health units, challenges persist, particularly in remote and low-income areas, where unmet medical needs are significantly higher than the EU average. Economic constraints and the impact of the COVID-19 pandemic have further strained the system, leading to increased mortality rates and a decline in life expectancy. Preventable deaths, primarily from lung cancer and ischemic heart disease, have highlighted the need for more robust health education and preventive measures. The government has responded with initiatives such as the national tobacco control plan and stronger anti-smoking legislation, yet gaps in the availability of services like smoking cessation programs remain. The effectiveness of Greece's healthcare system is underscored by its resilience and the dedication of healthcare professionals. Investments in infrastructure, technology, and human resources, along with international collaborations, are critical to overcoming current challenges. Future improvements are anticipated through enhanced preventive health measures, modernization of facilities, and stronger health integration. This comprehensive approach aims to build a more resilient, equitable, and efficient healthcare system, ensuring high-quality care and universal access for all citizens.
References
Alarcon, F. J. (2022). The migrant crisis and access to health care. Delaware Journal of Public Health, 8(4), 20-25. https://doi.org/10.32481/djph.2022.10.006
Baeten, R., Spasova, S., Vanhercke, B., & Coster, S. (2018). Inequalities in access to healthcare: A study of national policies 2018. https://doi.org/10.2767/371408
Bouabida, K., Lebouché, B., & Pomey, M. P. (2022). Telehealth and COVID-19 pandemic: An overview of the telehealth use, advantages, challenges, and opportunities during COVID-19 pandemic. Healthcare (Basel), 10(11), 2293. https://doi.org/10.3390/healthcare10112293
Economou, C. (2010). Greece: Health system review. Health Systems in Transition, 12(7), 1-177, xv-xvi.
Hatzadony, J. G. (1996). Greece and NATO: A study of policy divergence and alliance cohesion (Master’s thesis, Eastern Illinois University). Retrieved from https://thekeep.eiu.edu/theses/1956
Kampouraki, M., Paraskevopoulos, P., Fachouri, E., Terzoudis, S., & Karanasios, D. (2023). Building strong primary healthcare systems in Greece. Cureus, 15(7), e41333. https://doi.org/10.7759/cureus.41333
Kousi, T., Mitsi, L. C., & Simos, J. (2021). The early stage of COVID-19 outbreak in Greece: A review of the national response and the socioeconomic impact. International Journal of Environmental Research and Public Health, 18(1), 322. https://doi.org/10.3390/ijerph18010322
Lionis, C., Papadakis, S., Tatsi, C., Bertsias, A., Duijker, G., Mekouris, P. B., Boerma, W., Schäfer, W., & Greek QUALICOPC team. (2017). Informing primary care reform in Greece: Patient expectations and experiences (the QUALICOPC study). BMC Health Services Research, 17(1), 255. https://doi.org/10.1186/s12913-017-2189-0
Mavridoglou, G., & Polyzos, N. (2022). Sustainability of healthcare financing in Greece: A relation between public and social insurance contributions and delivery expenditures. Inquiry, 59, 469580221092829. https://doi.org/10.1177/00469580221092829
Moghri, J., Rashidian, A., Arab, M., & Akbari Sari, A. (2017). Implications of dual practice among health workers: A systematic review. Iranian Journal of Public Health, 46(2), 153-164. PMID: 28451549; PMCID: PMC5402772.
Pierrakos, G., Goula, A., & Latsou, D. (2023). Predictors of unmet healthcare needs during economic and health crisis in Greece. International Journal of Environmental Research and Public Health, 20(19), 6840. https://doi.org/10.3390/ijerph20196840
Siskou, O., Kaitelidou, D., Papakonstantinou, V., & Liaropoulos, L. (2008). Private health expenditure in the Greek health care system: Where truth ends and the myth begins. Health Policy, 88(2-3), 282-293. https://doi.org/10.1016/j.healthpol.2008.03.016
Stylianidis, S., & Souliotis, K. (2019). The impact of the long-lasting socioeconomic crisis in Greece. BJPsych International, 16(1), 16-18. https://doi.org/10.1192/bji.2017.31
Tzortzi, A., Kapetanstrataki, M., Rachiotis, G., Evangelopoulou, V., Leventou, E., & Behrakis, P. (2021). Perceived importance of public health risks in Greece: A nationwide survey of the adult population. International Journal of Environmental Research and Public Health, 18(16), 8256. https://doi.org/10.3390/ijerph18168256
