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Evaluating Cost Sharing Measures in Public Primary Units in Greece: Cost Sharing Measures in Primary Care

Evaluating Cost Sharing Measures in Public Primary Units in Greece: Cost Sharing Measures in Primary Care
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Author(s): Olga Siskou (National and Kapodistrian University of Athens, Greece), Helen Stokou (National and Kapodistrian University of Athens, Greece), Mamas Theodorou (Open University of Cyprus, Cyprus), Daphne Kaitelidou (National and Kapodistrian University of Athens, Greece), Peter Galanis (National and Kapodistrian University of Athens, Greece), Konstantinos Tsavalias (National and Kapodistrian University of Athens, Greece), Olympia Konstantakopoulou (National and Kapodistrian University of Athens, Greece), Georgios Charalambous (Hippokrateio Hospital of Athens, Greece)and Lycourgos L. Liaropoulos (National and Kapodistrian University of Athens, Greece)
Copyright: 2018
Pages: 11
Source title: Health Economics and Healthcare Reform: Breakthroughs in Research and Practice
Source Author(s)/Editor(s): Information Resources Management Association (USA)
DOI: 10.4018/978-1-5225-3168-5.ch010

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Abstract

The mission of this paper is to investigate the economic viability and the workload imposed on nurses of the introduction of a cost sharing mechanism (€5/visit) in public primary health care units. The Ministry of Health provided administrative data for 2011 and 2012. Results highlighted the economic viability of the introduction of a cost sharing mechanism in Outpatient Departments of NHS Hospitals, as an annual economic benefit of €11.5 mil was reported. On the other hand, an annual deficit of €1.4 mil was estimated for Health Centers. Moreover, in the majority of Health Centers, nurses were put under altering employment in order to collect the fees. In times of economic recession, such as currently the case in Greece, negative consequences of cost sharing mechanisms may outweigh the positive ones. The decision on whether or not to introduce cost sharing arrangements is largely a political one and many factors (e.g. accessibility, equity, clinical outcomes) have to be taken into account, apart from economic results.

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