Electronic Referrals In Greece- When Common Sense Becomes Innovation

Published Oct 8, 2013
Athens, Greece –The adoption of e-health systems in Greece is happening at an exceptionally slow pace. Hand-written referral notes were the sole tool available to physicians to order diagnostic exams for their patients, on the basis of which payers reimbursed diagnostic centers. One of the major health funds, the Public Servants' Healthcare Organization was faced with a dramatic increase in its diagnostic exams budget: from €155,494,142.8 in 2003 to €297,051,270.7 in 2009, whilst the number of insured members remained stable. The implementation of the pilot electronic referral project at the Public Servants’ Health Care Organization, which insures 1.5 million members, was one of the first attempts to control these expenditures and improve health care services, in a transparent and fair manner. The replacement of hand-written referrals with an electronic system resulted in a 32% cost saving for the organization and contributed to the decrease in the number and the rationalization of the type of diagnostic exams ordered. Assistant Professor, Kyriakos Souliotis, PhD, Faculty of Social Sciences, University of Peloponnese, says:”Pharmaceutical spending was not the only culprit of excess public spending in health care in Greece. The implementation of real-time monitoring of referrals (“e-diagnosis”) delivered over 30% in savings in diagnostic tests’ expenditure.” The full study of the pilot electronic referral project, “Transforming Public Servants' Health Care Organization in Greece through the Implementation of an Electronic Referral Project,” is published in Value in Health Regional Issues.
Value in Health Regional Issues  (ISSN 2212-1099) is a scientific journal that encourages and enhances the science of pharmacoeconomic/health economic and health outcomes research and its use in health care decisions. The journal is published up to three times a year with one issue focusing on the Asia region, one issue focusing on the Latin America region, and one issue focusing on the Central & Eastern Europe, Western Asia and Africa regions. The International Society for Pharmacoeconomics and Outcomes Research (ISPOR) is a nonprofit, international, educational and scientific organization that strives to increase the efficiency, effectiveness, and fairness of health care resource use to improve health.

Related Stories

Progress and Paradox: Healthcare Reform, Innovation, and Inequality in the Arabian Gulf and Wider Region

Apr 1, 2026

ISPOR announced the publication of a special themed section of research papers in Value in Health Regional Issues that presents a comprehensive body of evidence aimed at advancing value-based healthcare across the Arabian Gulf and the wider Middle East and North Africa region. Guest editors for the themed section are Paul Revill, Sara Al-Dallal, and Anderson Stanciole. The series was published in the March 2026 issue of Value in Health Regional Issues.

Health Equity Research Goes Global—Without Waiting for Perfect Data

Feb 9, 2026

Value in Health Regional Issues announced the publication of a special collection of research papers in showing that meaningful progress in health equity research is occurring across regions and in settings with different data environments and policy needs.

Value in Health Regional Issues Expands Editorial Scope and Reveals Plans to Transition to Gold Open Access Model

Jan 23, 2024

Value in Health Regional Issues, an official journal of ISPOR—The Professional Society for Health Economics and Outcomes Research, announced the expansion of its editorial scope and its plan to transition to a gold open access journal.
Your browser is out-of-date

ISPOR recommends that you update your browser for more security, speed and the best experience on ispor.org. Update my browser now

×