Search results

1 – 4 of 4
Per page
102050
Citations:
Loading...
Access Restricted. View access options
Article
Publication date: 18 October 2018

Athanasios Athanasiadis, Nikoleta Ratsika, Constantinos Trompoukis and Anastas Philalithis

Greece has legislated health decentralization several times since the 1920s, but none had been implemented until 2001. Even so, the decentralized system was subsequently modified…

200

Abstract

Purpose

Greece has legislated health decentralization several times since the 1920s, but none had been implemented until 2001. Even so, the decentralized system was subsequently modified several times, curtailing the powers that were initially delegated to the health regions, while the whole process has been criticized as limited in scope. The purpose of this paper is to explore the reasons that the decentralization process did not fulfil its initial aims.

Design/methodology/approach

Elite interviews were conducted with 37 of the 50 directors of health regions who served between 2001 and 2009. Interview transcripts were divided into four themes and analyzed using thematic analysis.

Findings

The participants agreed that health decentralization in Greece was only administrative rather than political and did not include fiscal decentralization. They described problematic and competitive relations with party officials and civil servants. They blamed their short tenure for the inability to fulfil their plans. Findings indicate that decentralization in Greece did not achieve its objectives because of the dominant mentality of centralized control, the lack of political support, the discontinuity in health policies and opposition from vested interests.

Originality/value

The value of the present study lies in the fact that it examines in depth the issue of health decentralization drawing on the experiences of the former directors of the Greek health regions, i.e. the persons who were called on to put into practice the process of regional decentralization.

Details

International Journal of Health Governance, vol. 23 no. 4
Type: Research Article
ISSN: 2059-4631

Keywords

Access Restricted. View access options
Article
Publication date: 15 April 2019

Kalliopi Brofidi, Konstantinos Vlasiadis and Anastas Philalithis

The purpose of this paper is three-fold: first, to assess nurse satisfaction levels with working environment (known as favourability) in five Greek public hospitals using the…

182

Abstract

Purpose

The purpose of this paper is three-fold: first, to assess nurse satisfaction levels with working environment (known as favourability) in five Greek public hospitals using the practice environment scale (PES); second, to compare perceptions among nurses employed in surgical and medical departments; and third, to examine relationships between perceptions and nurse educational level and experience.

Design/methodology/approach

In total, 532 nurses from five major public hospitals in Greece completed the PES. Descriptive statistics, t-tests and Spearman correlations were employed to analyse the data.

Findings

Nurses perceived their work settings as unfavourable in all five hospitals, with collegial nurse–physician relations emerging as the only positive factor. Compared to medical wards, surgical departments emerged as slightly more positive working environments. Work department notwithstanding, in some cases, education and experience levels affected their perceptions on management, poor care quality, limited nurse involvement in hospital affairs and nursing shortage.

Practical implications

Hospital managers do not provide sufficient support for Greek nurses in their working environments.

Originality/value

The authors attempted to evaluate nursing practice environments in Greek hospitals, viewed from nurse perspectives. The authors identified insufficient support for nurses’ working in these hospitals.

Details

International Journal of Health Care Quality Assurance, vol. 32 no. 3
Type: Research Article
ISSN: 0952-6862

Keywords

Access Restricted. View access options
Article
Publication date: 20 April 2012

Vangelis Kotsifos, Athanasios Alegakis and Anastas Philalithis

The object of this study is to formulate, establish and apply a suitable and reliable tool for measuring the course experience satisfaction of Master graduates. A questionnaire…

455

Abstract

Purpose

The object of this study is to formulate, establish and apply a suitable and reliable tool for measuring the course experience satisfaction of Master graduates. A questionnaire was formulated, based on similar tools, and adjusted to the reality of Hellenic Higher Education, in order to measure the satisfaction of graduates in three Master programmes in the area of health care management.

Design/methodology/approach

Master graduates of the study (n=162), 2003‐2007 admission years, filled in the questionnaire either electronically (web‐based) or by phone interview. The overall response rate was 50.6 per cent. In total, 37 statements were used for the measure of satisfaction while other questionnaire parts recorded the demographic, occupational and educational characteristics of the graduates.

Findings

Analysis revealed seven factors, listed as teaching, skills, assessment, feedback, social opportunities, facilities and organization of the course. Gender and first degree content do not affect the produced total satisfaction score. Married participants scored higher than those that are single in three factors and older participants scored higher than younger ones in two factors. The University of Crete's graduates scored higher than other graduates in two factors.

Originality/value

The paper is the first attempt to assess satisfaction, based on the grounds of quality, for Master programs in Hellenic State Universities. In this study are presented the first results and conclusions of the application of the developed questionnaire. Further results, relative to graduates' occupational status changes and professional development, are currently under investigation.

Details

Quality Assurance in Education, vol. 20 no. 2
Type: Research Article
ISSN: 0968-4883

Keywords

Available. Content available
Article
Publication date: 20 April 2012

John Dalrymple

232

Abstract

Details

Quality Assurance in Education, vol. 20 no. 2
Type: Research Article
ISSN: 0968-4883

1 – 4 of 4
Per page
102050