Liaropoulos L L, Kaitelidou D
Center for Health Services Management and Evaluation, University of Athens, Greece.
Health Care Anal. 1998 Dec;6(4):277-85. doi: 10.1007/BF02678363.
The 1983 health reform in Greece was a major political event in the social policy agenda. The main objective of the reform was the institution of a National Health System and the expansion of the health sector, improved equity, and the assumption of full responsibility for health services delivery by the state. An assessment of the results 10 years after full implementation of the reform shows that despite the expansion of the public sector, the public-private mix in financing and delivery has changed in favour of the private sector, making the Greek health system the most 'privatised' among the EU countries. The main reasons why the health reform failed to meet its objectives was the restrictive enforcement of full-time and exclusive hospital employment for doctors, the virtual ban on private hospital expansion, the much faster introduction and diffusion of new health technology by the private sector, and poor management, planning and control in the public sector. A new health reform voted into law in the summer of 1997 shows promise of redressing some of the shortcomings of the 1983 reform.
1983年希腊的医疗改革是社会政策议程中的一项重大政治事件。改革的主要目标是建立国家医疗体系，扩大医疗部门，提高公平性，并由国家全面负责医疗服务的提供。对改革全面实施10年后的结果评估表明，尽管公共部门有所扩张，但融资和服务提供方面的公私混合情况已朝着有利于私营部门的方向转变，使希腊医疗体系成为欧盟国家中最“私有化”的体系。医疗改革未能实现其目标的主要原因包括对医生全职和独家医院就业的严格执行、对私立医院扩张的实际禁令、私营部门更快地引入和传播新医疗技术，以及公共部门管理、规划和控制不善。1997年夏天投票通过成为法律的一项新医疗改革有望纠正1983年改革的一些缺陷。
