3 ms·
Just trying to think what the comment you're replying may have been saying - is it possible that in some of the more rural areas funding for healthcare was a vi
by smcl 8y ago
Just trying to think what the comment you're replying may have been saying - is it possible that in some of the more rural areas funding for healthcare was a victim of "austerity" and so it's lower quality than the average?
Also it seems that the WHO paper seems pretty old - I scanned it for a publishing date but couldn't see one, but all the papers it references are from 2000 or older. After the financial crisis quite a lot of public services suffered pretty badly from spending cuts. Furthermore the Lancet paper seems purely focussed on mortality over a pretty broad span of time (1990-2015), which is of course pretty important ... but is only one part of what you want to measure when talking about healthcare ("did the patient die from their knee operation" doesn't answer questions of wait times, quality or cost).
The spending cuts after austerity noted by a more recent study (Euro Health Consumer Index - https://healthpowerhouse.com/media/EHCI-2017/EHCI-2017-report.pdf https://healthpowerhouse.com/media/EHCI-2017/EHCI-2017-repor..., performed yearly) which assesses Greece a bit lower, 32nd out of 34. It seems to suggest that the cuts have a pretty significant impact:
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Greece was reporting a dramatic decline in healthcare spend per capita: down 28 % between 2009 and 2011, but a 1% increase in 2012! This is a totally unique number for Europe; also in countries which are recognized as having been hit by the financial crisis, such as Portugal, Ireland, Spain, Italy, Estonia, Latvia, Lithuania etc, no other country has reported a more severe decrease in healthcare spend than a temporary setback in the order of < 10 % (see Appendix 2). There is probably a certain risk that the 28% decrease is as accurate as the budget numbers, which got Greece into the Euro.
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I'm not Greek and have never experienced their healthcare system so I have no idea which of these is the most correct, and even then relying on a ranking system might not give us an accurate assessment. However I would be extremely surprised if Greece was able to continue providing healthcare of a higher standard than Germany, Sweden and such.