Integrated people-centred primary health care in Greece: Unravelling Ariadne's thread

Christos Lionis*, Emmanouil K. Symvoulakis, Adelais Markaki, Elena Petelos, Sophia Papadakis, Dimitra Sifaki-Pistolla, Maria Papadakakis, Kyriakos Souliotis, Chariklia Tziraki

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

The 40th anniversary of the World Health Organization Alma-Ata Declaration in Astana offered the impetus to discuss the extent to which integrated primary health care (PHC) has been successfully implemented and its impact on research and practice. This paper focuses on the experiences from Greece in implementing primary health care reform and lessons learned from the conduct of evidence-based research. It critically examines what appears to be impeding the effective implementation of integrated PHC in a country affected by the financial and refugee crisis. The key challenges for establishing integrated people-centred primary care include availability of family physicians, information and communication technology, the prevention and management of chronic disease and migrant and refugees' health. Policy recommendations are formulated to guide the primary health care reform in Greece, while attempting to inform efforts in other countries with similar conditions.

Original languageEnglish
Article numbere113
JournalPrimary Health Care Research and Development
Volume20
DOIs
StatePublished - 2019
Externally publishedYes

Bibliographical note

Publisher Copyright:
© The Author(s) 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords

  • Greece
  • Integrated
  • Multidisciplinary
  • People-centred care
  • Primary care
  • Primary health care

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