Τα κέντρα υγείας στην Ελλάδα και η εισαγωγή εισπρακτικού μηχανισμού σε αυτά
Health centers in Greece and the introduction of a payment system in them
SubjectΥπηρεσίες υγείας -- Ελλάδα ; Health services -- Greece ; Οικονομικά της υγείας ; Health economic
The present study was written considering the shortcoming of Primary Health Care and particularly of Health Centers in Greece, in conjunction with the non - implementation of the legislation concerning the collection of medical fees, especially those of privately insured patients and tourists, and the consequent loss of an additional source of revenue for H.C. The objective of the study is to assess the benefits and the cost resulting from the introduction of a payment system in H.C. from a quantitative and qualitative aspect. The research for this study was based on data of medical visits, laboratory tests and examining operating costs of both an urban (H.C. Vyrona), and non-urban H.C. (H.C. Galata). Comparing the proceeds with the cost from collecting medical fees the introduction of a payment system in an urban H.C. results in surplus which is high enough to cover 100% the operating cost of the H.C. For non-urban H.C. located in tourist areas, though the introduction of the above mentioned system results in surplus, it can only cover the operating cost by half. In summer months the total number of medical tests increases, especially those performed on privately insured patients and tourists and so does the liquidity of those H.C. In H.C. located in rural areas proceeds are limited because of the large number of patients insured by Ο.Γ.Α. (the Farmers Insurance Organization) and do not exceed the additional cost of the operation of the payment system. However, the payment system will contribute to the increase in funding sources and furthermore these H.C. will receive even more funds from the saving of resources of the state budget. Therefore, proper organization and control of the payment system in H.C., will increase their funding which will result in solving their problems and the investment in both services and programs for H.C., as well as in human and other resources. In the long-term the improvement of the quality of the services provided will lead to the reduction in private expenditure for P.H.C., which will be channeled to the public sector thus reducing even further the financial charge of the state budget.