The regional organization of the National Health System (ESY) in Greece – A brief overview of the legislative interventions to date
Journal Title: Αρχεία Ελληνικής Ιατρικής - Year 2013, Vol 30, Issue 2
Abstract
Since the establishment of the Greek National Health System (ESY), many efforts have been made to implement a decentralized system of organization and administration of the health services in Greece. The implementation of such efforts is undoubtedly of crucial importance for the effective management of various local issues and needs, particularly in relation to the Health Map and the workforce and financing. The Legislative Act No 1397/1983, with which the ESY was founded, provided for the establishment of Regional Health Boards (PESYs), which ultimately were not put into application. Subsequently, various different governments by successive laws established the Regional Health Authorities (PeSYs, Legislative Act No 2889/2001), which were renamed as Regional Health and Welfare Authorities (PeSYPs, Legislative Act No 3106/2003) and later as Health Region Administrations (DYPEs, Legislative Act No 3329/2005), with minor differences between them, and in some instances retractions, concerning their number, composition and responsibilities, revealing a slipshod approach and absence of long-range planning and true volition for decentralization. More recently, the number of Health Regions was reduced from 17 to 7 (Legislative Act No 3527/2007) and ultimately the introduction of the Kallikratis Plan makes provision for the competences of the DYPEs, which had been pared down to the advantage of the Central Government and the health services that it supervises, to be transferred to the regional and local authorities (Legislative Act No 3852/2010). Through this brief history of the evolution of the regional organization of the ESY, we conclude that in spite of the initial plans for health services decentralization, an organizational system that ensures absolute dependence on the Central Government in combination with the absence of autonomous financing renders the DYPEs into services with an indeterminate role which is only advisory and imperfectly supervisory, with no power of decision-making, throwing doubt, especially in view of the recent recession, on their survival as independent administrative organizations.
Authors and Affiliations
N. KAKALETSIS, A. IOANNIDIS, I. SIGALAS
Keywords
Related Articles
- EP ID EP141047
- DOI -
- Views 82
- Downloads 0
Treatment optimization of HBeAg-negative chronic viral hepatitis B with thymosin-α1
Chronic hepatitis B virus (HBV) infection is a widely prevalent and clinically significant condition with profound implications for health care costs worldwide. Interferon-α and direct antiviral nucleos(t)ide analogs suc...
Σωματική δραστηριότητα 28.030 ανδρών και γυναικών στην ελληνική έρευνα του ΕΠΙΚ
ΣΚΟΠΟΣ Η εκτίμηση του επιπέδου σωματικής δραστηριότητας στον ελληνικό πληθυσμό. ΥΛΙΚΟ-ΜΕΘΟΔΟΣ Η εκτίμηση της σωματικής δραστηριότητας των Ελλήνων συμμετεχόντων στο Ευρωπαϊκό Πρόγραμμα Συνεργασίας Ιατρικής και Κοινωνί...
Spondylodiscitis
No abstract available
Prognostic stratification and minimal residual disease assessment in Acute Myeloid Leukemia by molecular techniques
Currently cytogenetic analysis at diagnosis provides the most important information about the prognosis of Acute Myeloid Leukemia (AML), with categorization into three distinct prognostic groups (favorable, intermediate...
Atlas of Hematology-J. Meletis
Ο έγχρωμος «Άτλας Αιματολογίας» του Γιάννη Μελέτη, στελέχους μιας ονομαστής στον ελληνικό χώρο σχολής αιματολόγων, εκτός από την ελληνική του έκδοση, τώρα με τη βελτιωμένη έκδοσή του στα αγγλικά υπερέβη, επιτέλους, γ...