Civil services

BMJ 1995; 311 doi: (Published 09 December 1995) Cite this as: BMJ 1995;311:1577
  1. Judith Hollis-Triantafillou, general practitioner
  1. Athens, Greece

    “By the way,” said my husband, as he was half way out of the door, “they've changed the system of payment for the “dimosio” patients. The procedure's the same but you have to go to …” He produced a scrap of paper with a scribbled address and thrust it into my hand before making a quick escape. My heart sank as I looked at the address—right across town with impossible parking—and, wisely as it turned out, set aside a whole morning for the job.

    The dimosio or civil servants' insurance scheme is just one of over 250 separate health insurance and pension organisations which exist in Greece, defying all attempts by successive governments to combine them into a single unified system. Doctors working in primary …

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