Posts Tagged ‘greek health care’

More Medical Experiences

Sunday, September 6th, 2009

We had our first experience of Greek hospitals a few weeks ago. In fact in one day Ken visited the dentist, doctor then hospital!

The local hospital in Kalamata is much smaller than we were used to in the UK. Our visit was because Ken woke up one morning with and found the white of one eye was suddenly half red – it looked more serious than a single burst blood vessel so we wanted to get it checked out. Our local doctor was unable to do this, lacking the specialist equipment needed to make a thorough examination of the eye, so suggested we go on up to the hospital.

Accident and emergency always conjures up the image of a waiting area crowded with all manner of challenges, and a wait of many hours. So before setting off on the 40 minute drive to the hospital we fortified ourselves with toast and coffee, then packed refreshments and reading material and off we went. The first pleasant surprise was a car park with ample free spaces – and no charges.

For a hospital in a tourist area we were a little surprised to find there was no signage other than Greek, and our first mistake was to follow the sign for the emergency department, which turned out to be for motorists and took us on a walk halfway round the outside of the building. Once inside we asked for directions, which were given mostly in Greek as few of the administrative staff spoke English.

We quickly got lost, and our second set of directions sent us to the second floor, where we found ourselves in the ophthalmology department. But unfortunately the doctor wasn’t there, so we were redirected down to a clinic on the ground floor. This turned out to be just inside the entrance nearest the car park, so we’d managed to walk right through the building. We were directed to some chairs, and settled down to wait.

After a little while we decided to check we were in the right place, and that we didn’t need to check in anywhere. It was a good job we did – the eye clinic was just closing and the doctor was about to leave. We almost ended up waiting for the wrong type of doctor. But the clinic’s closing didn’t mean we were too late. We were directed back up to the second floor, where the same doctor appeared a few minutes later.

After a wait of maybe 10 minutes more Ken was seen, his eyes examined and the ‘all clear’ given. The whole visit was over more quickly than we had anticipated, and with much less fuss than we would have experienced in the UK. There was no form filling. In fact, all Ken was asked for was his name and age (medical records are not really kept by doctors here in Greece). And he didn’t need to produce his IKA book to prove his entitlement to treatment.

As a child I spent many hours in hospital eye departments, both as an outpatient and an inpatient. In the last few years I also visited hospital a few times, including an operation as a day patient. No-one likes the idea of visiting a hospital, but our experience so far suggests that a Greek experience would be no worse than – and perhaps better than – a UK one.

But we have no more plans to put this to the test!

Eyes seem to receive good care in the Greek medical system

Eyes seem to receive good care in the Greek medical system

Share This Post

Medical Experiences

Sunday, July 26th, 2009

Don’t believe everything you hear about inferior health facilities outside the UK

Ken has spent several hours sitting in the dentist’s chair over the last few days, which seems a good opportunity to comment on our Greek dental experiences, compared to our previous UK ones.

There’s just one dental practice in Koroni, an unassuming surgery above a restaurant. Giannis (John) is a very friendly dentist with pretty good English. He works alone. He did have an assistant/receptionist last year but she doesn’t seem to be around any more. We’ve heard she now works in a local supermarket. Seems dental support services aren’t seen as an actual career in Greece.

Not like the UK, where the number of non-dentists in a practice would significantly outnumber the actual dentists. Receptionists, hygienists and dental surgery assistants almost tripping over each other, all of whom had to be utilized in delivering your treatment. Your appointment could only be arranged by the receptionist; you were expected to submit to the ministrations of a hygienist (this has to be high on my list of worst experiences ever); the dentist seemed incapable of operating without an assistant to deal with all the little things. And, of course, the cost of your treatment had to contribute to all their salaries.

Fixed appointments aren’t the norm with our Greek dentist. You can just drop in, and as long as you don’t mind waiting, you’ll get seen. If you need a lengthy appointment (such as for bridges or crowns) you go as soon as he’s open. But he doesn’t turn people away if they’re in the waiting room. Nor does he charge anyone an emergency fee. And however many people he has waiting, he never gives the impression of being harassed, or makes you feel you’re being rushed.

By comparison, getting to see a dentist without an appointment, even in an emergency, was a challenge in the UK. We had one dentist who insisted on fixed appointments (and charged you if you had the temerity to miss them) but who never felt the need to honor his side of the commitment. I’ve arrived early morning, believing mine was the first appointment of the day (having specifically requested this, and seen it booked into the diary), only to find at least half a dozen people ahead of me, and suffered an hour’s wait, with no explanation or apology. I’ve even seen my dentist meet with a salesman while I was waiting for my overdue appointment.

Almost as soon as they could, our UK dentist had us signing forms agreeing to pay for whatever treatment was needed. In some cases we had to pay on every visit, even though treatment wasn’t completed. There was definitely no possibility of getting out of the door without paying. In Greece things are much more relaxed. We’ve had check-ups, even fillings, and not been asked to pay until later. ‘Leave it a few days and see if it’s alright’, John will say when asked about payment. We could just disappear without paying, but there is that layer of trust running through the Greek psyche which means we won’t.

Facilities in Greece seem, on the surface, to be less sophisticated than in the UK. The surgery is basic, the waiting room just a few seats and a television. There are no posters or leaflets, no advertisements for the latest techniques, no frills in fact. But this is a false impression. The surgery has all the equipment and facilities we would expect, and if there’s anything they can’t do locally they can quickly and easily access specialist facilities in Kalamata. No waiting weeks for an appointment.

Greek dentists use A4 size x-rays where you can really see what’s happening inside the tooth, not those match-box sized pictures we’re used to from the UK. And the dentist takes time to really explain and discuss the treatment he’s suggesting. He makes sure you fully understand the implications of the treatment, what it will involve, and what it will cost. He doesn’t hassle or try to push you into something. He presents the information, gives you the time you need to make decisions, and accepts what you decide.

My non-NHS UK dentist almost denied me access to his surgery when I declined their decidedly unpleasant hygienist services, and made me feel like a second-class citizen when I was unsure about going ahead with lengthy, expensive treatment that wasn’t going to achieve anything other than a cosmetic improvement to teeth that couldn’t even be seen.

In fact, our experience with Greek dental services has been far superior to most of our encounters in the UK. Interestingly, our best experience of service in the UK was with an NHS dental practice, which we were fortunate to be able to join in our last couple of years there. A service that was staffed by dentists from Eastern Europe…

Surely you don't want a picture of teeth?

Surely you don't want a picture of teeth?

Share This Post

Health Matters

Wednesday, March 25th, 2009

I don’t know how many books and articles I’ve read that told me not to trust health care systems in foreign countries. I was promised old fashioned, out of date facilities, and low standards of care. The writers told me that I would be extremely foolish if I didn’t buy private health insurance, and hinted that I would live to regret it, often illustrating this with gory tales of injured or sick travellers.

This view is hopelessly out of date, especially when you contrast it with the dire state of the overburdened NHS.

What they also fail to tell you is that for many people in or approaching retirement, the cost of private health cover overseas is significant even when there is no history of illness. In fact it’s out of reach for many people especially in these days of poor exchange rates. None of the people we’ve met have private health cover; and several have used the public health system and speak glowingly about it.

Pension age people and their dependents moving to Greece can access the local equivalent of the NHS – the IKA system. When we first arrived a friend told us his experience of registering for IKA: find a local office, take several photographs and expect to spend hours trying to complete Greek paperwork with no translations. Not something to look forward to.

We actually found the system a whole lot easier than expected, partly because the UK authorities had been efficient in sending us the all the paperwork we needed, already completed with our NHS details.

Armed with photographs we went to the local IKA office, where the staff were helpful and understood English. Our paperwork  was European-wide so there were no problems about its being accepted. We were asked to leave the forms and our photographs and call back before the office closed.

An hour later we were the proud possessors of IKA books, our passport to all manner of services. These have to be revalidated annually in January or February, and are used to record all medicines issued. Our books are quite thin, but we’ve seen people in pharmacies with books the thickness of a hefty novel, the chemist tearing out slip after slip and delivering an increasing pile of medicines in return.

So far I’ve only visited the doctor once. I was disappointed to find he didn’t even want to see my precious IKA book.

Our passport to healthcare

Our passport to healthcare

Share This Post