1,721,232 research outputs found
From the North Sea to the Mediterranean? Constraints to health reform in Greece
No full textThe report of an international experts' committee, recently invited by the Ministry of Health to review Greece's health care system, recommended the creation of a network of family doctors, reimbursed on a capitation basis. The committee also proposed that family doctors should manage a budget for the purchase, on behalf of their patients, of specialist and hospital services and drugs. The author examines the exportability of the fundholding experience from Britain to a country in which health care organization is very different, social health insurance is fragmented, private health care is large and growing, ambulatory health care services are provided by specialists, and behavioral-cultural factors cast doubt on the consequences of the proposed change. An attempt to implement fundholding in Greece is likely to have effects opposite to those intended. The more humble task of tackling the inequities and inefficiencies of the present system should be the starting point of all future reform projects
The limits of selectivity as a recipe for welfare reform: The case of Greece
No full textSelectivity emerged as the core of a new social policy paradigm in Greece when a new 'modernising' government took office in 1996. Though it was adopted energetically, its real impact eventually proved negligible, except for an initial flutter of activity. The article argues that its failure as a recipe for welfare reform was inevitable. The nature of social protection arrangements in Greece severely constrained the scope for selectivity, while the particular version pursued was poorly designed and badly administered. Moreover, the elevation of selectivity to the status of a 'Big Idea' was an indirect cause of serious lateral damage: while fruitlessly puzzling over the place of selectivity in the 'new social policy', the government was losing the crucial battle on the reform of an unviable and inequitable pension system. The article concludes that selectivity has little relevance to the priorities for reform in a welfare state still struggling to cope with its Bismarckian, south European contradictions
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