STAKEHOLDERS'S VIEWS OF THE SOCIAL INSURANCE REFORM IN GREECE

Author(s)

Mylona K, Skroumpelos A, Tsiantou V, Karampli E, Pavi E, Kyriopoulos JNational School of Public Health, Athens, Greece

OBJECTIVES: The social security system in Greece was characterized complex and fragmented and unlike other countries, the existence of many insurance agencies did not create any competition in the health system. In March 2011, the National Organization for the Provision of Health Care (EOPYY) was established. The aim of the study was to highlight stakeholder’s insights on the establishment of EOPYY and their perceptions for the applicability of the reform. METHODS: A qualitative study, using the method of semi-structured interviews was conducted using an open-ended questions guide. In order to identify stakeholders at the very top of the ‘power’ list (decision makers) as well as people and groups whose opinion matters in shaping reform policies (opinion leaders), we undertook a stakeholder mapping and 24 targeted stakeholders were found. In total 17 interviews were conducted, tape recorded, transcribed and content analyzed. RESULTS: According to the interviewees, the setting-up of EOPYY was considered necessary and valuable, taking into consideration that it will contribute to the consolidation of the benefits and the enhancement of the Welfare State, the establishment of a modern system of primary health care and the enhancement of its negotiation power. Regarding the so far implementation of the reform, stakeholders have reservations and are skeptical about the specific goals and the orientation of the Organization. Notably, concerns were focused on the reimbursement method of the doctors, on the selection criteria and on the lack of a specific mission. CONCLUSIONS: Although, the stated objectives of the implementation of EOPYY appear positive and ambitious, the restraints and objections about the viability of the fund are still a matter of debate, focused particular on the development of a flexible mechanism for primary health care that will ensure equitable access and benefits for members and improve the quality of services.

Conference/Value in Health Info

2012-11, ISPOR Europe 2012, Berlin, Germany

Value in Health, Vol. 15, No. 7 (November 2012)

Code

PHP135

Topic

Health Policy & Regulatory

Topic Subcategory

Reimbursement & Access Policy

Disease

Multiple Diseases

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