03_ΠΡΟΤΑΣΗ ΕΠΙΣΤΗΜΟΝΙΚΗΣ ΕΠΙΤΡΟΠΗΣ ΠΦΥ_03 10 2013
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Transcript of 03_ΠΡΟΤΑΣΗ ΕΠΙΣΤΗΜΟΝΙΚΗΣ ΕΠΙΤΡΟΠΗΣ ΠΦΥ_03 10 2013
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3
I. 51. 52. 73. 74. 105. 10
II. 12
III. 22
1. 221.1. 221.1.1. 221.2. 28
2. - 312.1. 312.2. 40
3. 423.1. 423.2. 443.3. 483.4. 49
4. 504.1. 504.2. 504.3. 51
5. 525.1. 525.2. 565.2. 565.3. 66
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6. 686.1. 686.2. 686.3. 70
7. 717.1. 717.2. 717.3. 73
8. 758.1. 758.2. 76
8.3. 76
9. 779.1. 779.2. 779.3. 78
10. 8010.1. 80
10.2. 9610.3. 9710.4. 99
11. - 10011.1. 10011.2. 10011.3. 105
12. - 10612.1 10612.2. 10612.3. 109
13. 11113.1. 11113.2. 11113.3. 115
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14. 11714.1. 11714.2. 124
IV. 128
V. 1371.
1382.
1433. 145
VI. 1511.
, 20122. :
: (), 2012
3. :
, , 20134. TASK FORCE:A FUTURE FOR PRIMARY CARE FOR THE GREEK POPULATION, 2013
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I.
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10 WHO, The World Health Report, Primary Health Care: Now more than ever 2008,available at http://www.who.int/whr/2008/whr08_en.pdf.
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: ,
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[First-contact care],
[Continuous (ongoing) care],
[Coordinated care],
[Comprehensive care].
11 Johns Hopkins School of Public Health, Measurement of Primary Care: Report on the JohnsHopkins Primary Care Assessment Tool, December 2012.
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:
[Family-centered care],
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1.2.
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12 . : ., , . , 2012,Economou C. Greece. Health system review. Health Systems in Transition 2010, 12(7):1-180 Mossialos E, Allin S, Davaki K. Analysing the Greek health system: a tale of fragmentationand inertia. Health Econ. 2005;14:S151-68.
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14 . : Johns Hopkins School of Public Health, Measurement of Primary Care: Report on the Johns Hopkins Primary Care Assessment Tool, December 2012.
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1
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Source: European Commission: Report on health inequalities in the European Union,September 2013.
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2. -
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: OECD Health Data 2013.
22 Boerma W., Dubois CA., Mapping primary care across Europe in Primary Care in theDrivers Seat? Organizational Reform in the European primary care. in: Saltman RB., Rico A.,Boerma W.(eds), European Observatory on Health Systems and Policies, London: OpenUniversity Press/ McGraw-Hill Education, 2006.
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5 : , 2008-2011
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()
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33 Boerma, W.G.W. (2006), Coordination and integration in European primary care, in:Primary care in the drivers seat? Organizational reform in European primary care , edited byRichard B. Saltman, Ana Rico and Wienke G. W. Boerma, European Observatory on HealthSystems and Policies Series, Open University Press, UK.
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6,04,6
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2,
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63
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65
, (
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78
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81
,, .
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82
(fee for service), (salary)
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51 . : . . . ., , : . , , 1992, . . . -. . . . , , 2000;12(4):169-188, ., , , 2000 ., , .287-309, : . (.), : - - - , , 2007.
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84
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10%
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.
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,
.
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,
,
.
,
.
-
, 26%
.
,
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85
. (extra billing)
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6 : ..
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86
( ), ( )
60% . 40% . .
. 2 (26% ). 12% "medecin referant".
,(GMS- 1/3 ). . 2.
. .
.
. .
.
. . , .
, . . .
, . . . .
. , . . .
: Mossialos and Le Grand, 1999.
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87
,
. 53 :
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25% 5 :
o 80 (65.5% )
o 43 (18.1%)o 4 (10.8%)
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o (2%)
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.
:
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o 13 65
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o 18 euro>20 min;
o 4.5 euro /
o
o / - max 50.20 /
:
o 71%
o 29% - (1/2 /
)
o : 70,000 (2006)
o 10% - 114,000
o 10% - 29,000
40 / capitation
:
, .
:
o 15% .
o 25 %
.
o
.
o 25.000
.
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4). :
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6). : 1 : ...: : : : : ( ), ( ), ( ), ( ), ( ) :: :: ( ), ( ), ( ), ( )
( ), ( ), ( ), ( ) :
:
:
:/min: ..(mmHg): / oC :...: /min: Ro :
FEV1/P.E.F.:
-
7/27/2019 03_ _03 10 2013
146/151
`
147
:
-:
:
:
:
:
:
:
-
7/27/2019 03_ _03 10 2013
147/151
`
148
.
. (mmHg): /min: / oC:...
-:
:
:
:
:
:
:
/
/
ICPC-2 ICD-10
-
-
7/27/2019 03_ _03 10 2013
148/151
`
149
:: : .:
: . : . 1 :
: : :. : . : : :/ : () : / : // -: -/ :
-/ :
:1). :
ICPC-2 ICD-10
( , , tics)
(, )
/Rhesus G.6.P.D.:
2). : 1 2 3 4 5 1 .
DTP
OPV/IPVMMR
BCGHBV
-
7/27/2019 03_ _03 10 2013
149/151
`
150
3). : (kgr) (cm) (/ 2)
4). :). :
: /.:
). (/) : : : : : : : : : :
5). :
6). / :
7). : 1 : ... : : : : ( ), ( ), ( ), ( ), ( ) :
: .
(Alzheimers) . C
; :
( ) ( )
-
7/27/2019 03_ _03 10 2013
150/151
`
151
:/min: ..(mmHg): FEV 1/PEF: :-:
:
( , ):
:
(, ):
:
(/ , , ):
( , , ):
-
7/27/2019 03_ _03 10 2013
151/151
`
VI.
