reshaping the balance of care in greece - euract · reshaping the balance of care in greece health...
TRANSCRIPT
![Page 1: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/1.jpg)
RESHAPING THE BALANCE OF
CARE IN GREECE
Athanasios Symeonidis President of ‘HIPPOCRATES’
Director of Health Centre of N. Michaniona(NHS)
Gen. Coordinator of Training in GP in Region of Central Makedonia
![Page 2: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/2.jpg)
Reshaping the balance of care in Greece Health Policy
• In August 2017 the Parliament passed a Bill
(N.4486/2017)
• which set out a strategy for the roll out of
primary care.
• with a view to breaking in the minds of
patients that conceptual link that good
care can only be delivered in hospitals
![Page 3: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/3.jpg)
Reshaping the balance of care in Greece
Health Policy
• The overall vision is to put primary care at the centre of
the system based upon defined populations for which
local health care networks will be responsible and
accountable.
![Page 4: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/4.jpg)
Reshaping the balance of care in Greece
Health Policy
• This will be based upon Primary Health Care sectors
(median size of 38,283 inhabitants) each with a structure
of at least one specialist ambulatory care unit, a network
of local primary care units (TOMYs), a referral Health
Centre and a joint referral hospital with other sectors.
![Page 5: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/5.jpg)
Hospital
Health
Centre
TOMY
TOMY
TOMY
TOMY
![Page 6: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/6.jpg)
Reshaping the balance of care in Greece
Main reforms
• Role of family doctor –
registry
• Health team
• Referral system
• Universal coverage of
health needs
• Quality assurance
![Page 7: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/7.jpg)
Reshaping the balance of care in Greece
Main reforms
• Sharing care with
secondary and tertiary
care
• Comprehensive care
• Focus on health
promotion and disease
prevention, terminal
care and social care
![Page 8: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/8.jpg)
Health Care Services
TOMYs • Providing, comprehensive, people-centred care for all
individuals registered with the TOMY and their community
• Implementing local public health interventions
• Functioning as the interface between the health system
and the community
• Identifying vulnerable and excluded groups
• Key to this is that individuals and families register with a
TOMY so that information can be gathered and shared
between members of the health team.
![Page 9: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/9.jpg)
Health Care Services
TOMYs • Facing acute problems of
population and referral to HC or Hospital
• Management of chronic diseases and home care
• Health Promotion and health education
• Prevention of diseases and risk-factors management
• Training towards to self-care
• Public Health Interventions (family, school, community)
• Identify and screening of mental health problems
![Page 10: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/10.jpg)
Health Care Services
Health Centers
• 24/7 operation
• Specialist’s care for people either as referral from TOMY or self referred
• Emergency and acute problems
• Labs (X-ray and microbiology-hematology)
• Dental care for children and adults
![Page 11: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/11.jpg)
Health Care Services
Health Centers
• Mother-child care
• Children – adolescent care
• Physiotherapy
• Occupational and speech therapy
• Social medicine and public health
• Health team
![Page 12: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/12.jpg)
Supportive tools
• Electronic medical record
• Personal medical card
• e-prescription
• e-referral system
• Therapeutic protocol system
![Page 13: Reshaping the balance of care in Greece - EURACT · Reshaping the balance of care in Greece Health Policy • In August 2017 the Parliament passed a Bill (N.4486/2017) •which set](https://reader035.vdocuments.site/reader035/viewer/2022071011/5fc9735a5403227c4032fd6c/html5/thumbnails/13.jpg)