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Ymittos Athens, Greece

The Panteion University of Social and Political science , usually referred to simply as the Panteion University, is a university located in Athens, Greece. Founded in 1927, it is among the three oldest universities of political science in Europe. Wikipedia.

Theofilou P.,Panteion University
International Urology and Nephrology | Year: 2012

Background and objective Patients' beliefs regarding their health are important to understand responses to chronic disease. The present study aimed to determine (i) whether beliefs about health differ between different renal replacement therapies in endstage renal disease (ESRD) patients and (ii) whether these beliefs are associated with health-related quality of life (HQoL), as well as with mental health. Methods A sample of 89 ESRD patients, 41 on hemodialysis (HD) treatment and 48 on peritoneal dialysis (PD) treatment, completed the World Health Organization Quality of Life instrument, the General Health Questionnaire, the State-Trait Anxiety Inventory, the Center for Epidemiologic Studies Depression Scale, and the Multidimensional Health Locus of Control. Results Regarding differences in health beliefs between the two groups, HD patients focused more on the dimension of internal health locus of control than PD patients. This dimension was associated with better QoL (P =<0.01) and general health (P = 0.03) in the total sample. On the contrary, the dimension of important others in health locus of control was associated with higher depression (P = 0.02). Conclusions The beliefs that dialysis patients hold about their illness appear to be related to the type of renal replacement therapy. These cognitions are associated with HQoL and with mental health. © 2010 Springer Science+Business Media, B.V.

Theofilou P.,Panteion University
International Journal of Behavioral Medicine | Year: 2013

Background: Several studies have shown that non-adherence is a common and increasing problem among individuals with chronic illnesses, including hemodialysis patients. Purpose: The present study aimed to investigate the influence of depression and health cognitions on medication adherence among patients undergoing hemodialysis. Method: A sample of 168 participants was recruited from six general hospitals in the broader area of Athens, consisting of patients undergoing in-center hemodialysis. Measurements were conducted with the following instruments: the Medication Adherence Rating Scale, the Center for Epidemiologic Studies Depression Scale (CES-D), and the Multidimensional Health Locus of Control (MHLC) scale. Results: The results indicated that medication adherence was associated positively with the dimensions of internal and doctor-attributed health locus of control, measured by the MHLC. It was also related negatively to depression, measured by the CES-D. Conclusions: The present study demonstrates the importance of depression in understanding the medication adherence of hemodialysis patients, as well as the contribution of heath cognitions. © 2012 International Society of Behavioral Medicine.

Theofilou P.,Panteion University
Psychology, Health and Medicine | Year: 2013

Results of many studies indicate that sleep disorders can reduce quality of life (QoL) in patients with chronic kidney disease. This study aimed to investigate therelation of insomnia symptoms to QoL among haemodialysis (HD) and peritoneal dialysis patients. A sample of 144 patients was recruited from three General Hospitals in the broader area of Athens, consisting of 84 patients undergoing in-centre HD and 60 patients in continuous ambulatory peritoneal dialysis. Measurements were conducted with the following instruments: The World Health Organization Quality of Life (WHOQOL) instrument, the General Health Questionnaire, the State-Trait Anxiety Inentory and the Center for Epidemiologic Studies Depression Scale. The results indicated that insomnia symptoms had negative association with all the domains of WHOQOL questionnaire (physical health, psychological well-being, social relationships and environment). Insomnia symptoms were also related positively to depression as well as state and trait anxiety. The findings provide evidence that the presence of insomnia symptoms relates significantly to the negative evaluation of mental health and QoL in patients with chronic kidney disease. © 2013 Taylor and Francis Group, LLC.

Economou C.,Panteion University
Health systems in transition | Year: 2010

The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The health status of the Greek population has strongly improved over the last few decades and seems to compare relatively favourably with other OECD and European Union (EU) countries. The health system is a mixture of public integrated, public contract and public reimbursement models, comprising elements from both the public and private sectors and incorporating principles of different organizational patterns. Access to services is based on citizenship as well as on occupational status.The system is financed by the state budget, social insurance contributions and private payments.The largest share of health expenditure constitutes private expenditure, mainly in the form of out of pocket payments which is also the element contributing most to the overall increase in health expenditure. The delivery of health care services is based on both public and private providers. The presence of private providers is more obvious in primary care,especially in diagnostic technologies, private physicians' practices and pharmaceuticals. Despite success in improving the health of the population, the Greek health care system faces serious structural problems concerning the organization, financing and delivery of services. It suffers from the absence of cost-containment measures and defined criteria for funding, resulting in sickness funds experiencing economic constraints and budget deficits. The high percentage of private expenditure goes against the principle of fair financing and equity in access to health care services. Efficiency is in question due to the lack of incentives to improve performance in the public sector. Mechanisms for needs assessment and priority-setting are underdeveloped and, as a consequence, the regional distribution of health resources is unequal. Centralization of the system is coupled with a lack of planning and coordination, and limited managerial and administrative capacity. In addition, the oversupply of physicians, the absence of a referral system, and irrational pricing and reimbursement policies are factors encouraging under-the-table payments and the black economy. These shortcomings result in low satisfaction with the health care system expressed by citizens. The landmark in the development of the Greek health care system was the creation of the national health system (ESY) in 1983. This report describes the development of the ESY at the structural level and generally, the process of implementing reforms. The strategic targets of health reform initiatives have been to structure a unified health care sector along the lines of the original ESY proposal and to cope with current inefficiencies. However, the three reforms attempted in the 1990s were never fully implemented, while the ambitious reform project of the period 2000-2004, which provided for the regionalization of the system, new management structures, prospective reimbursement, new employment conditions for hospital doctors, modernization of public health services and reorganization of primary health care, was abolished after the elections of 2004 and a change in government. While the new strategy, launched in 2005 with the stated aims of securing the financial viability of the health care system in the short term and its sustainability in the long term, addressed specific weaknesses, it has been rather controversial: the introduction of a centralized administrative public procurement system, the development of public-private partnerships (PPPs) for the construction of public hospitals and the reform of pharmaceutical care have been accompanied by the abolition of professional hospital management and its replacement by political administration. The dominance of clientelism and party thinking instead of consensus-building has resulted in a health policy that lacks continuity and the ability to bring about change. World Health Organization 2010, on behalf of the European Observatory on health systems and Policies.

Recent years have seen a relative flourishing in the Greek countryside of small women's businesses engaged in the production of local traditional agrofood products for an emerging consumer demand for foods of specific quality. In the present article the central research question may be summarized as: " to what extent do these women perceive their business more as a means of supplementing family income than as a point of departure for a personal professional career?" We argue that women as entrepreneurs probably adhere to different behavioural patterns from men and have different expectations in the sense that they attach more importance to maintaining equilibrium between the requirements of profession and the demands of family life than they do to achieving economically rational goals through business success.The findings of the empirical research carried out in the Peloponnese (2006-2007) indicated that these were small individual businesses utilizing local resources (farm production, traditional recipes, family labour). The women started up their businesses making use of tacit knowledge and know-how, with the small and flexible scale of the production and the family character of the business minimizing entrepreneurial risk. These are dynamic and often innovative businesses with a capacity to adapt to the demands of the consumer market. © 2009.

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