Οι επιπτώσεις της οικονομικής κρίσης στις μακροοικονομικές μεταβλητές του Εθνικού Συστήματος Υγείας
Μισσιρά, Μαρία Ελένη
KeywordsΕθνικό Σύστημα Υγείας (ΕΣΥ) ; Κοινωνική ασφάλιση ; Πρωτοβάθμια φροντίδα υγείας ; Πρόγραμμα δημοσιονομικής προσαρμογής ; Μνημόνια ; Ευρωομάδα ; Οικονομική εξυγίανση ; Προκλητή ζήτηση ; Διεθνές Νομισματικό Ταμείο (Δ.Ν.Τ) ; Σύστημα λογαριασμών υγείας ; Ανταγωνιστικότητα ; Ανάπτυξη ελληνικής οικονομίας ; Ελεγκτικοί Μηχανισμοί
In 2009 Greece experienced the deepest economic recession since World War II. In order to avoid cessation of payments and consequently bankruptcy, the country adopted in May 2010 the first Fiscal Adjustment Program enshrined in an agreement with the International Monetary Fund (IMF), the European Commission and the European Central Bank (ECB); at the same time, Greece signed a Loan Facility Agreement with the Euro Area Member States. The risk of potential withdrawal from the Eurozone, the political instability of the country and the insufficient implementation of a series of measures foreseen in the First Program, led to the adoption of additional consolidation measures and two more economic adjustment programs (February 2012, August 2015 respectively). Taking into consideration that the problems and weaknesses of the national health system have been innumerable since its early years, the health sector held a central role in the reform actions and the modernization and rationalization policies. Therefore, with the healthcare sector as one of the key areas of intervention, the objectives set in the Fiscal Adjustment Programs focused on reducing public health and public pharmaceutical expenditure, reorganizing therapeutic institutions and enhancing the transparency of the national health system. This diploma thesis questions the impact and effectiveness of the measures being implemented in the healthcare system of Greece. Specifically, it addresses the following questions: Did the reform framework that was adopted and is still being implemented lead to any essential results? Did the economic crisis provoke a new approach about structural changes with an emphasis on the areas of public health, reconstruction of health insurance, and introduction of reforms in the provision of health services?