Οι επιπτώσεις στο σύστημα υγείας και στην υγεία λόγω της οικονομικής κρίσης
KeywordsΟικονομική κρίση ; Σύστημα υγείας ; Θνησιμότητα ; Υγεία ; Δαπάνες υγείας ; Φαρμακευτική αγωγή ; Απασχόληση ; Economic crisis ; Health economics ; Pharmaceutical expenditure ; Public sector
This thesis has as subject the impact on the health system and on the health due to the economic crisis (2008 – 2016). The recent global economic crisis started in 2008 in USA with similar economic effects in developed economies in the world. The economic crisis and the great recession in Greece is the result of the continuous increase of the budget deficits and the accumulated huge public deficits. In the context of fiscal adjustment, due to non-repayable of the debt obligations, Greece in 2010 decided to appeal to the European Stability Mechanism (ESM) and to apply three memorandums until today. The economic crisis in Greece has caused the reduction of population, since a great number of Greeks, mostly young, with high productive abilities were compelled to immigrate abroad, while at the same time, was observed reduction in the number of births and increase in the number of deaths. The life expectancy, however, remains high, in comparison to the average of OECD countries. The factors which affected physical health of Greeks are body type, physical activity, healthy diet, smoking and alcohol consumption. In terms of healthy diet during the years of crisis, was observed reduction in the percentage of Greeks who consume red meat, fruit and fruit juices. Reduction, also, was observed in the number of smokers and those who consume alcohol drinks. The factors which affected, in significant degree, the mental health, during the crisis, were the depression and the tendency for suicide with increasing trend. The Greek health system, as in the other European countries, is characterized as a mixed system, since the financing comes from the public and the private sectors. Before the economic crisis, in the Greek health system the basic provider of health services was the state, with limited role of the private sector. In the beginning of the crisis the fiscal problems in the health sectors started appearing. So, inefficiency of the health system was revealed. Under the pressure of troika in 2011 was created EOPYY, which was providing primary and secondary health care services. In the context of improvement to the health system, with the intention for limiting the health expenditures, was created a new healthcare provider, called PEDY, which included the health units of EOPYY and the health centers. The Greek health system, as a result of the deep economic crisis, was hit hard and was found at the opposite in relation to the developing course of the other European health systems. The Greek health system in 2006 held the 17th place among 26 European countries, in 2009 the 19th place among 31 countries, in 2014 the 28th place among 36 countries and in 2016 the 28th place among 35 countries.