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Today, quality management systems (QMS) are a promising candidate for the improvement of healthcare services. The purpose of this paper is to investigate the opinions/attitudes of gynecology healthcare professionals toward quality and quality management in healthcare facilities (HFs) in Greece.

An anonymous self-administered questionnaire was distributed to healthcare professionals, asking for opinions on quality objectives associated with the everyday workflow in HFs (e.g. management of patients, resources, etc.) and on QMS. The study was conducted in Hippokration Hospital of Thessaloniki, including 187 participants. Statistical assessment and analysis of the questionnaires were carried out.

Although 87.5 percent recognized the importance of potential QMS implementation and accreditation, over 50 percent believed that it would lead rather to increased workload and bureaucracy than to any considerable quality improvement. More than 60 percent were completely unaware of the implementation of quality objectives such as quality handbook, quality policy, audit meetings and accreditation status in their HFs. This unawareness was also reported in terms of patient, data, human and general resources management. Finally, awareness over medical malpractice and positive attitude toward official reporting were detected.

Most respondents acknowledged the significance of quality, QMS implementation and accreditation in Greek hospitals. However, there was a critical gap in knowledge about quality management objectives/processes that could be possibly resolved by expert teams and well-organized educational programs aiming to educate personnel regarding the various quality objectives in Greek HFs.

The purpose of this paper is to investigate the attitudes of healthcare professionals in Greece toward safety practices in gynecological Operation Rooms (ORs).

An anonymous self-administered questionnaire was distributed to surgical personnel asking for opinions on safety practices during vaginal deliveries (VDs) and gynecological operations (e.g. sponge/suture counting, counting documentation, etc.). The study took place in Hippokration Hospital of Thessaloniki including 227 participants. The team assessed and statistically analyzed the questionnaires.

Attitude toward surgical counts and counting documentation, awareness of existence and/or implementation in their workplace of other surgical safety objectives (e.g. WHO safety control list) was assessed. In total, 85.2 percent considered that surgical counting after VDs is essential and 84.9 percent admitted doing so, while far less reported counting documentation as a common practice in their workplace and admitted doing so themselves (50.5/63.3 percent). Furthermore, while 86.5 percent considered a documented protocol as necessary, only 53.9 percent admitted its implementation in their workplace. Remarkably, 53.1 percent were unaware of the WHO safety control list for gynecological surgeries.

Most Greek healthcare professionals are well aware of the significance of surgical counting and counting documentation in gynecology ORs. However, specific tasks and assignments are unclear to them. Greek healthcare professionals consider surgical safety measures as important but there is a critical gap in knowledge when it comes to responsibilities and standardized processes during implementation. More effective implementation and increased personnel awareness of the surgical safety protocols and international guidelines are necessary for enhanced quality of surgical safety in Greece.

EU membership has been for the greater part of the post-authoritarian period (1974–2010) an important element of the Greek national consensus. Europe was commonly associated in public discourse with geopolitical security, democratic institutions and economic prosperity. Moreover, accession to the European Monetary Union in 2001 was celebrated as proof of a successful national course and as promise for economic growth. Nevertheless, challenges to pro-Europeanism both from the left and from the extreme right have risen in the context of the economic crisis (2010–2015). While Euro-sceptical attitudes are still a minority within Greek society – but significantly increased in relation to past trends – the discursive negotiation of Europe in the Greek public debate is characterized by ambiguity and has acquired various negative connotations (e.g. austerity policies, authoritarianism, German hegemony, democratic deficit in decision-making). In the highly-polarized Greek political debate, a new cleavage has emerged based on the acceptance or rejection of the loan agreements and the austerity policies associated with them (the so-called pro- vs. anti-memorandum cleavage) which have also transformed traditional Left vs. Right cleavage thus allowing for political alliances between left-ward and right-ward parties. It remains to be seen whether the new cleavage will take the form of a clash between pro-Europeanists vs. Euroscepticists as it is often argued in the context of Grexit scenarios. While this new dichotomy can be misleading especially if it is unambiguously interpreted in cultural terms, it describes a newly formed social and political tension that is under process. A special chapter in this respect is the currency debate; the dilemma between the euro and the drachma represents distinct ideological paradigms and power structures. The present chapter explores the discursive negotiation of Europe in the context of the Greek public debate analysing discourses produced both by political elites and mass media with special focus on the 2015 referendum campaign and the implications of the July 2015 Greece-EU agreement.