Is there a Southern European Healthcare Model?

Abstract

Is there a typically Southern European model of healthcare? To answer this question it is not enough to find similarities between the Greek, Italian, Spanish and Portuguese health systems: it is also necessary that these similarities be in some way distinctive. For this reason the author compares these Southern European countries with other Western European countries, in particular those which, like the southern countries, have adopted a national health service. Notwithstanding the eccentricities of the Greek case, this comparison shows how the four healthcare systems share certain characteristics which effectively distinguish them from their Northern European counterparts. These traits are particularly evident in the birth of the national health service, the legacy of the previous health insurance system, the composition of healthcare costs, the rule of private hospitals, the entitlements of patients, and patients' level of satisfaction with the healthcare system.

Acknowledgements

I would like to thank the anonymous referees for their helpful comments on an earlier draft.