Δαπάνες του δημοσίου και διοικητικές συμβάσεις στο χώρο της υγείας

Μαραμαθά, Ευγενία Α.

Public expenditures and administrative agreements in healthcare

Master Thesis

Author

Μαραμαθά, Ευγενία Α.

Date

2017

Abstract

Healthcare is considered to be, and indeed is, one of the most distinctive fields in a country’s financial, political and social life. It is characterized by two major features; primarily, it is regarded as an exceptionally sensitive field, and secondly, it is a highly complex one. The top priority of every nation worldwide is to attain high healthcare standards. The necessary prerequisite to achieve this, is the expenditure of high amounts of resources, mainly coming from the state budget. The effort to audit, as well as restrain public healthcare expenditure, in correlation with safeguarding the citizen-patient’s access to public healthcare services, is a challenge, as much for researchers and healthcare scientists, as it is for the legislative and the executive authorities. More particularly, the challenge for these authorities is to strike a balance between the level of expenditure and the quality of healthcare services. On the part of the legislature and the executive, the dare lies in the way in which the legal and institutional framework regarding the provision of supplies, goods and healthcare services can contribute to this effect. The purpose of this thesis is to correlate the level of public healthcare expenditure, more particularly, the provision of goods, supplies and services in Greece, and the respective administrative agreements drawn up by the public sector entities in charge. More specifically, through the analysis and semantic clarification of the concepts of public healthcare expenditure, the factors which led to its significant increase, and the legal framework in which administrative agreements were drawn up, executed and dissolved, it is attempted to present alternative ways to restrain and reduce such expenditure. Furthermore, in this research venture the contribution of the state audit mechanisms is highlighted as regards the restriction of public healthcare expenditure, as well as the reduction of cases of corruption and ‘bad practice’. To this end, statistics concerning four major public hospitals in Athens, namely that of Evangelismos, Laiko, Eleftherios Venizelos-Alexandra and Elpis, have been studied for a nine-year period (2009-2017). During this time, there has been observed a decrease in public expenditure, especially with respect to the provision of sanitary materials, services and medical appliances.

Postgraduate Studies Programme

Οικονομικά και Διοίκηση της Υγείας

Department

Σχολή Οικονομικών, Επιχειρηματικών και Διεθνών Σπουδών. Τμήμα Οικονομικής Επιστήμης

Number of pages

139

Language

Greek

URI

https://dione.lib.unipi.gr/xmlui/handle/unipi/10839

Collections

Τμήμα Οικονομικής Επιστήμης

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