Quarterly scientific journal

Rostrum of Asclepius Vol 15, No. 4 (2016): October - December 2016

Vima AsklipiouRostrum of Asclepius Vol 15, No. 4 (2016): October - December 2016


Behind the mirror | 311-312

Christina Marvaki

Special Article

Patient education regarding lifestyle modifications after open heart surgery | 313-325

Olga Kadda


Patient care is an integral part of Nursing science. Nurse implements effective strategies to promote patient healthy behavior which appears to be one of their needs. In this way, patients are willing to adopt and maintain lifelong changes regarding their lifestyle. Patients after open heart surgery perceive the care provided by the nurse as a clinical need for them to learn or be trained with respect to their individual habits. In recent years health professionals’ interest has focused on the design and effectiveness of individualized educational programs. The central idea behind an effective training program is to change patient’s behavior regarding quality of life. Additional aim of these training programs is patient satisfaction, anxiety and depression reduction, compliance with treatment, and finally to improve the quality of life not only for the patient but also for the family too. The education provided by the nurse must focus on patient needs along with patients’ participation

Keywords: Education, open heart surgery, lifestyle modifications

A framework for improving vaccination coverage for MMR and HPV vaccines in 5th Health Region | 326-345

Μagdalini Triantafyllidou


Vaccination programmes that are adopted worldwide, aim towards the immunization of the infant population against infectious diseases which, if not prevented, can have serious health implications, even leading to death. The purpose of the present article was to recommend certain proposals that will contribute to the enhancement of vaccination coverage of the MMR and HPV vaccines to the 5th Health Region, which have resulted from an investigation of the vaccination conditions in the counties of Central Greece and Thessaly. According to Greek and international literature, users requiring access to health services face specific social, economic and demographic obstacles, as well as obstacles that are caused by the system itself. These obstacles consist of the primary reasons for the delay of the second MMR jab, and the lack of HPV vaccination in the 5th Health Region. The delay of the second jab in the MMR vaccination process and the small percentages of HPV vaccination in the 5th Health Region, are the main drives for taking strategic decisions for the enhancement of the vaccination coverage in the local and periphery levels

Keywords: Childhood vaccination, 5th health region, vaccination decisions, improving vaccination coverage, MMR vaccine, HPV vaccine

Social policy and costs of social protection and health | 346-364

Ioannis Koukoufilippou , Evanthia Papavasileiou , Aristotelis Koinis


The understanding of theoretical models and typologies of social systems is a prerequisite for the study and policy formulation in the health sector. The analysis of health expenditure in Greece in relation to the European Union-15 (EU- 15) countries, is the first step for policymakers. Through literature review and Eurostat databases (ESSPROS) and the OECD (OECD), compiled and presented the necessary statistical and theoretical data reveal deviations of Greece from the average of the EU-15. There is a similarity of pathogens with the other southern European countries and highlighted the major problem of unmet needs of citizens in the health sector. The factors that determine the health costs are understood and indicate the way the country is restructuring and reforming the health sector should follow as part of the overall effort to exit from the eight-year economic crisis and return to growth of the country and welfare of citizens


Primary health care in Greece and in Western Europe during the years of economic crisis | 365-379

Matthaios Petrelis , Philip Richard Domeyer


Primary Health Care (PHC) in Greece lags behind over time in adopting the principle of Alma Ata. From the description of Introduction of PHC of Germany, Great Britain, Sweden and Nederland, we conclude several similarities and significant differences in the organization, providing, financing and compensation of medical staff depending on special feature of each health care system. On the other hand, PHC in Greece shows significant weaknesses –fragmentation and lack of strategic planning, understaffing and underfunding, not highly qualified and goal-oriented staff in PHC, inequalities, discontinuity in care, low efficiency, absence of planning- which make it difficult and fragmented the operation of new outpatient clinics. The reforms of the health sector from 2009 until today, mainly with the law 3918/2011 and 4338/2014 for the establishment of E.O.P.Y.Y and P.E.D.Y, have focused on horizontal cuts and sharing the cost to the citizens. For the requirements of the review, research and review papers were searched within the PubMed, Scopus and Google Scholar database, while data were drawn upon O.E.C.D (Organization for Economic COoperation and Development), ELSTAT (Hellenic Statistical Authority) and WHO (World Health Organization) about PHC in those countries from 2008 up to March 2016


Research Protocol

The effect of the phenomenon of mobbing at the quality of life of health professionals | 380-393

Aristotelis Koinis , Emmanouil Velonakis , Foteini Tzavella , Styliani Tziaferi


In the last 15 years, a significant increase of incidents of mobbing in occupational health professionals (Hospitals), mainly in nursing, medical, and administrative staff. The phenomenon of mobbing and its effects on mental and physical health of health professionals, and consequently on the quality of life, in workplace is a significant limitation in the psycho-spiritual balance of employees as well as for the proper functioning of the organization Over time, moral harassment incidents in health workplaces are constantly increasing in numbers. Aim: The study will be based on the research protocol. This study is aimed at documenting the effects of mobbing at the quality of life at health professionals who work at Greek public hospitals. Methods: The methodology followed, included the search for review and research studies, in electronic databases as well as (PubMed, Cinahl, Scopus) and Iatrotek the last fifteen years, using key words as mobbing, health professionals, effects, health facilities, prevent and treatment of mobbing. At the study were used four questionnaires that assess the quality of life (WHOQOOL-BREF), the violent psychological behavior that may be exercised (Workplace Psychologically Violent Behaviours), the general health (General Health Questionnaire-GHQ-28) and the perception of social support (MSPS). The research protocol was submitted for approval to the Ministry of Health in Greece. Expected results: This study aims at giving information about mobbing, the effects on mental and physical health of health professionals in Greece and its effect on their quality of life as well as prevention and treatment measures thereof. The results from this study will be published and enrich the scientific knowledge, and will also activate health education programmes regarding mobbing at health professionals in the future

Keywords: Mobbing, health professionals, effects, health facilities, prevention and treatment of mobbing

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