By Natassas N. Spagadorou
And, indeed, the results in terms of doctors' interest may be weak (as only 600 doctors have stated at a total of 1200 posts) , Mr Xanthos did not miss the opportunity to give his own political stance on health and well-being universal access of all citizens to the health system. An overwhelming political affair, which had obvious signs of a change of speech, misplaced and documented, leaving behind its phobic past, when it spoke clearly about support for the PRM and the private sector. And using many times, the WHO and the Almanac Declaration. Citizens' health, in fact, is a deeply political issue, not a technical one , as he argued.
This design of the new SNS and its reorganization will therefore have the stamp of Mr Xanthos and we are looking forward to seeing the new venture, hoping, to be more successful than that of the PSC reform.
The 3rd Assessment
Until then, however, we have the Third Assessment and the prerequisites that need to go ahead.
The first meeting between the Institutions and the government last week was in a good climate, as Mr. Xanthos stressed yesterday.
Some supplementary data were requested, he noted and added: The implementation of some reforms, such as the primary one, such as the centralization of procurement with the new National Authority, ECAPI, has been checked . As is the case with the Medical Technology Assessment Agency, where the Health Ministry has prepared a regulation that is going to come out in public consultation today, it concerns the Agency's committee and its criteria. In fact, it will be the transformation of the current Positive List Committee,which will become a committee, but which will have a much more scientific set-up on the criteria for assessing and approving compensation for a drug. These criteria will mainly be based on therapeutic added value, clinical efficacy.
The big thorn of the budget
I think you recognize that steps have been taken. This is a general feeling. The thorn, let me say, as usual and as always, is the financial issue . The budgetary aspect, the Minister of Health said later, added:
"The question is whether the costs , whether they are pharmaceutical expenditure, out-hospital or hospital costs, or whether they concern the other operating costs of the NHS and EOPY, whether it is within the objectives, whether there are structural containment measures and control of this expenditure , whether the target is being met.
We are in a phase where we really think that the health system now has, on the basis of budgetary constraints, very limited funding . We are in a phase that we have opened the health system. We have facilitated the access of uninsured citizens, their prescribing, their inclusion in therapeutic protocols, full coverage even for expensive treatments, exact hospitalizations, and so on.
We are working through the centralization of procurement, through the change of contracts, the conversion of old contracts with private workshops for services, now transformed into individual work contracts, to also achieve savings. "
The example of le. Ioannina
He then referred to the University Hospital of Ioannina, saying that the example given just a few days ago by the hospital was very typical, where only the conversion of these contracts in the cleaning sector has a saving of 530,000 euros per year. So there is a huge effort and a sense of belonging to the system, which helps us by maintaining the same level of spending so that we can meet more needs. This is the bet.
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