International Journal of Environmental Research and Public Health
Volume 15, Issue 8, 2018

Impact of the refugee crisis on the greek healthcare system: A long road to Ithaca (Review) (Open Access)

Kotsiou O.S.* , Kotsios P. , Srivastava D.S. , Kotsios V. , Gourgoulianis K.I. , Exadaktylos A.K.
  • a Respiratory Medicine Department, Faculty of Medicine, University of Thessaly, Biopolis, Larissa, 41500, Greece
  • b International Business Department, Perrotis College, Thessaloniki, 57001, Greece
  • c Inselspital, University Hospital Bern, Bern, 3010, Switzerland
  • d Metsovion Interdisciplinary Research Center, National Technical University of Athens, Athens, 44200, Greece
  • e Respiratory Medicine Department, Faculty of Medicine, University of Thessaly, Biopolis, Larissa, 41500, Greece
  • f Inselspital, University Hospital Bern, Bern, 3010, Switzerland

Abstract

Greece is the country of “Xenios Zeus”, the Ancient Greek god of foreigners and hospitality; however, it is also the main point of entry to Europe. Since the beginning of 2014, 1,112,332 refugees crossed the borders of Greece. Overall, 33,677 children and adolescent refugees sought asylum in Greece from 2013 to 2017, while 57,042 refugees are currently being hosted. The rapid entry of refugees into Greece raised the critical issue of health policy. The Greek National Health Service (NHS) faces many challenges. Adequate economic and human support is essential if this situation is to be managed successfully. However, Greece still bears the burden of the economic downturn since 2009. In fact, the crisis led to shortages in crucial equipment, and unmet health needs for both locals and refugees. The NHS deals with traumatic experiences, as well as cultural and linguistic differences. Overcrowded reception centers and hotspots are highly demanding and are associated with severe disease burden. This highlights the importance of guidelines for medical screening, healthcare provision, and a well-managed transition to definitive medical facilities. Furthermore, non-governmental organizations make an essential contribution by ensuring appropriate support to refugee minors, especially when they experience poor access to the NHS. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Migration Greece Economic crisis National health system Refugee

Index Keywords

refugee mental health human wellbeing Refugees health status rescue personnel psychosocial care screening legal service United States health care cost Humans Review Greece health services health care health care utilization health care organization migration Health Policy health care system secondary health care Delivery of Health Care immunization practice guideline non governmental organization refugee crisis primary health care New York [United States] Ithaca [New York] health care delivery health economics
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051940809&doi=10.3390%2fijerph15081790&partnerID=40&md5=782f9f58bb290e59f36e21ed90c33b30
DOI: 10.3390/ijerph15081790
ISSN: 16617827
Cited by: 4
Original Language: English