Etudes par pays volume 2, PDF, 346 p., 1,4 Mo - Femise
Etudes par pays volume 2, PDF, 346 p., 1,4 Mo - Femise Etudes par pays volume 2, PDF, 346 p., 1,4 Mo - Femise
11873_2002 Study D2: Poverty, Informal Sector, Health and Labour The environment, already touched upon earlier, particularly the pollution in the larger cities, notably Athens, although reduced a little in recent years as a result of appropriate policies, its level is still unacceptable and much higher than the European average. At the macroeconomic level, a particular problem that raises concern is the difficulty to overcome low competitiveness of the Greek economy vis-à-vis its partners in the EU and the third countries that are associated with it. The low productivity and the relatively higher inflation of Greece compared to its European partners are major contributing factors. This leads to the chronic problems in the balance of payments, accumulating the external public debt. Persisting unemployment, especially of youth even educated youth, but also women, is a disturbing and painful problem affecting a considerable number of households, has economic, social and psychological implications and is a factor contributing to deviance and crime. The large number of illegal immigrants that still exist, despite the recent two efforts for their legalization, is a concern both of the government and the general public, and is also a source of poverty and crime, as will be further discussed in this report. FONDAZIONE CENSIS 133
11873_2002 Study D2: Poverty, Informal Sector, Health and Labour 2. HEALTH 2.1. Definitions, Facts and Figures The health care services are provided in Greece by a mixed public-private system consisting of the National Health System (NHS), established in 1983, the health units of certain Social Insurance Funds - the largest of which is IKA, covering just about half of the population – the military hospitals and a private network of health care facilities, which include physicians with specialties, clinics, diagnostic centers and laboratories. Part of the NHS are the Health Centers, located all over the country, particularly for servicing the countryside, providing primary health care and prevention. In the NHS that includes the public hospitals and the primary health care centers, all services are provided free of charge to everyone. In 2002, the health care capacity of the country consisted of 59,518 hospital beds, of which 36,621 (67.7 per cent) belonged to the NHS and 15,397 (25.9 per cent), contained in 234 hospitals, to the private sector. Primary health care is serviced by about 25,000 private practices and laboratories, and 250 diagnostic centers. Half of these centers are situated in Athens and are equipped with high quality expensive medical technology. They are financed by signing contracts with the social insurance Funds, on a case by case basis. Most of the private hospitals are general and maternity units and are financed, as the diagnostic centres, by the social insurance funds through contracted arrangements and also by the patients themselves. Greece, with 5.44 hospital beds per 1000 inhabitants holds a low place among the EU countries. It has however the lowest occupancy rate (70.4 per cent), stable over the last decade. Concerning the medical and nursing staff of health care delivery in Greece, a study by the National School of Public Health in Athens shows the existence of a ‘disequilibrium’ between physicians with specialties and general physicians and family doctors. According to this study, Greece has 41.5 physicians per 10,000 inhabitants, but only one general practitioner. General practitioners make up 1.8 per cent of the total number of physicians in the country. This compares very badly with, for instance, Great Britain where 46 per cent of all physicians are general practitioners. Analogous, unfavorable for Greece, is the comparison with other countries, such Austria, Portugal and Italy, with correspondingly 50, 31 and 34 per cent of FONDAZIONE CENSIS 134
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11873_2002 Study D2: Poverty, Informal Sector, Health and Labour<br />
2. HEALTH<br />
2.1. Definitions, Facts and Figures<br />
The health care services are provided in Greece by a mixed public-private<br />
system consisting of the National Health System (NHS), established in<br />
1983, the health units of certain Social Insurance Funds - the largest of<br />
which is IKA, covering just about half of the population – the military<br />
hospitals and a private network of health care facilities, which include<br />
physicians with specialties, clinics, diagnostic centers and laboratories. Part<br />
of the NHS are the Health Centers, located all over the country, <strong>par</strong>ticularly<br />
for servicing the countryside, providing primary health care and prevention.<br />
In the NHS that includes the public hospitals and the primary health care<br />
centers, all services are provided free of charge to everyone.<br />
In 2002, the health care capacity of the country consisted of 59,518 hospital<br />
beds, of which 36,621 (67.7 per cent) belonged to the NHS and 15,397 (25.9<br />
per cent), contained in 234 hospitals, to the private sector. Primary health<br />
care is serviced by about 25,000 private practices and laboratories, and 250<br />
diagnostic centers. Half of these centers are situated in Athens and are<br />
equipped with high quality expensive medical technology. They are<br />
financed by signing contracts with the social insurance Funds, on a case by<br />
case basis. <strong>Mo</strong>st of the private hospitals are general and maternity units and<br />
are financed, as the diagnostic centres, by the social insurance funds through<br />
contracted arrangements and also by the patients themselves. Greece, with<br />
5.44 hospital beds per 1000 inhabitants holds a low place among the EU<br />
countries. It has however the lowest occupancy rate (70.4 per cent), stable<br />
over the last decade.<br />
Concerning the medical and nursing staff of health care delivery in Greece,<br />
a study by the National School of Public Health in Athens shows the<br />
existence of a ‘disequilibrium’ between physicians with specialties and<br />
general physicians and family doctors. According to this study, Greece has<br />
41.5 physicians per 10,000 inhabitants, but only one general practitioner.<br />
General practitioners make up 1.8 per cent of the total number of physicians<br />
in the country. This com<strong>par</strong>es very badly with, for instance, Great Britain<br />
where 46 per cent of all physicians are general practitioners. Analogous,<br />
unfavorable for Greece, is the com<strong>par</strong>ison with other countries, such<br />
Austria, Portugal and Italy, with correspondingly 50, 31 and 34 per cent of<br />
FONDAZIONE CENSIS<br />
134