title: Global financial crisis and surgical practice: the Greek paradigm.
abstract: Apart from the significant implications of recent financial crisis in overall health indices and mortality rates, the direct effect of health resources redistribution in everyday clinical practice is barely recognized. In the case of Greece, health sector reform and health spending cuts have already had a major impact on costly interventions, particularly in surgical practice. An increase in utilization of public health resources, lack of basic and advanced surgical supplies, salary deductions, and emerging issues in patient management have contributed to serious dysfunction of a public health system unable to sustain current needs. In this context, significant implications arise for the surgeons and patients as proper perioperative management is directly affected by reduced public health funding. The surgical community has expressed concerns about the quality of surgical care and the future of surgical progress in the era of the European Union. Greek surgeons are expected to support reform while maintaining a high level of surgical care to the public. The challenge of cost control in surgical practice provides, nevertheless, an excellent opportunity to reconsider health economics while innovation through a more traditional approach to the surgical patient should not be precluded. A Greek case study on the extent of the current situation is presented with reference to health policy reform, serving as an alarming paradigm for the global community under the pressure of a profound financial recession.
authors: Second Department of Propedeutic Surgery, Medical School, University of Athens, General Hospital Laiko, 17 Agiou Thoma Street, Athens, 11527, Greece. npkaridis@gmail.com
authors: Nikolaos P
authors: NP
authors: Karidis
authors: Dimitrios
authors: D
authors: Dimitroulis
authors: Gregory
authors: G
authors: Kouraklis
mesh_terms: D057172:Economic Recession; D005380:Financing, Government; D013502:General Surgery / Q000191:economics*; D006115:Greece; D018166:Health Care Reform / Q000191:economics*; D005102:Health Expenditures; D009313:National Health Programs / Q000191:economics; D011216:Practice Management, Medical / Q000191:economics*; D011787:Quality of Health Care / Q000191:economics*