Κέντρα υγείας αστικού τύπου: μελέτη περίπτωσης «Πολυκλινική Ολυμπιακού Χωριού ΑΕΜΥ».
Health centers of urban type: case study «Olympic Village Polyklinic HUSA».
Primary health care is the first and the most crucial point of contact with the health system of our country. However, its current image fails to meet the objectives of the World Health Organization and the fundamental organizational and operational requirements of health services that most European countries have adopted. The causes of the crisis have to be searched in our centralised, bureaucratic and inflexible National Health System. The way of organising and administrating the primary health care system are determinants of the economic efficiency of general health care system and as well as the citizens’ satisfaction, caused by the provided services. Therefore, it seems necessary to create an integrated primary health care system by developing the required structures, emphasizing on the construction of Health Centres of Urban Type, which are to cover the needs of population in major urban areas, ensuring adequate and complete package of services, focused on health promotion and preventive medicine. One of the most modern and important indicators for assessing the quality of health services is the capture of patients’ – users’ opinion about the available services. This research studies the Olympic Village Polyclinic HUSA and investigates the measurement of patients’ satisfaction. The Polyclinic operates as an integrated and innovative model of primary health care and rehabilitation, providing high quality of care and health promotion services. The ultimate goal of the research is the detection and identification of strengths and weaknesses of Polyclinic, the conclusions about the level of primary health care in our country and as a result further development and improvement. The survey was conducted using questionnaires completed by personal interview, of a random sample of 120 respondents, and the degree of responsiveness was 93.75%. Results showed that 47% of individuals in the sample were male and 53% female. The majority were aged 55-64 years (36%), 23% of them were aged 45-54 years old, followed at the rate of 22% of those aged over 65 years. Concerning the place of residence, the majority (73%) lives in the Olympic village and the municipality of Acharnes and Thrakomakedones area. As far as their insurance carrier is concerned, the insured of the IKA outweigh by 64%. Finally, the largest percentage of respondents (44%) based on their level of education, had secondary education, while 40% of those who had received higher education, follow with an insignificant difference and 16% of those had a basic level of education. As found by the survey, the overwhelming majority of the participants (68,04%) were satisfied by Olympic Village Polyclinic’s services, 29.23% reported moderately satisfied, while only 1.99% were fully satisfied. Finally, almost non-existent are the percentages of those who were unhappy or very unhappy. Now, the largest degree of satisfaction (3.85) attributed to question 16, concerning the behaviour of the staff of the secretariat, while the lower (3.27) to question 4, concerning the adequacy of the medical specialties. Comparing the results of this study with the corresponding investigations of the years 2009 and 2010 conducted by the Polyclinic, it is concluded that users' satisfaction rates show slight growth over the passing time. The 2009, the overall average satisfaction of the respondents amounts to 3.59 while the 2010 at 3.65 and finally in 2011 leads to 3.71. The results of this research confirm that the development of urban type Health Centres, identical with that of the Olympic Village Polyclinic, in conjunction with the use of new technological methods and digital modernization of health system, as well as the strengthening of public-private sector partnership (PPP) and the upgrading of the quality of all health personnel through continuing educational programmes, seem to be important proposals – solutions to the reconstruction of primary health care.