New Referal System in EOPPY

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Kilkis
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New Referal System in EOPPY

Postby Kilkis » Sat Aug 11, 2018 11:13 am

A friend, who is not a member of LiC, sent me some information from a Facebook page today. She copied it as an image so I can't post a link. It's from a member of a closed Facebook group called Brits in Greece basically saying that the way EOPPY operates changed as from the 1 August. If you want to see a specialist doctor registered within the EOPPY system you have to be referred by a Family Doctor. It is necessary to first register with a family doctor on line. Sounds like it is switching to how the NHS works, i.e. GPs are the gatekeepers to the whole system. Anybody got any further information on this? Could be important.

Warwick

YoMo2
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Re: New Referal System in EOPPY

Postby YoMo2 » Mon Aug 13, 2018 8:09 am

Not that many "Family Doctors" about are there? Could turn out to be just another level of bureaucracy we could do without.

Andrew

Kilkis
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Re: New Referal System in EOPPY

Postby Kilkis » Mon Aug 13, 2018 8:52 am

I think there are quite a lot, Andrew. I think every EOPPY pathologos is a family doctor.

What I am not certain about is why the sudden need to register now? When you get your IKA book you are registered to a family doctor. For all who went through the process of getting a renewal slip in their IKA book every year, if you look down the left hand side of the last slip, about half way down it gives the name, address and telephone number of the family doctor with whom you are registered. For example, I am registered with Dr Pateraki on the first floor of the IKA building on the Souda road. I have no idea if she is still there since they stopped putting slips in the book each year several years ago. I stopped going there because it was possible to queue for three hours and still not get seen.

If they have introduced a new referral system for specialists I would have thought that it should be possible to go to that doctor and get referred? I honestly don't know the answer which is why I raised the issue on this forum in the hope that somebody might know what is happening.

Warwick

Carolina
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Re: New Referal System in EOPPY

Postby Carolina » Thu Aug 16, 2018 1:06 am

Thanks for the heads up Warwick (and friend).

I've just done a bit of digging and found some info.

Short answers here as I haven't fully read it all and it's late.

The system to register is online now and requires your TAXISNET codes and AMKA number to register - go to https://www.e-syntagografisi.gr/p-rv/p
See also
http://www.idika.gr/pfy/ for online appointments system etc.

HOWEVER it will not become mandatory for referals from Family Doctors (Pathologos, oikogeniakos yiatros or paediatrician) for specialists with EOPPY until the end of this year.
See also, for more info -
https://www.dikaiologitika.gr/eidhseis/ ... os-giatros and
https://www.newsitamea.gr/oikogeneiakos ... avgoustou/

All of the above links are in Greek and the system to register also seems to be in Greek only.

You can use Google translate to translate the links.

Assume the referal system applies to EOPPY appointments only and we will still be able to directly visit specialists privately and pay the 30/40/50 euros consultation fee.

Kilkis
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Re: New Referal System in EOPPY

Postby Kilkis » Thu Aug 16, 2018 9:52 am

Thanks for the information, Carol. I normally pay to see a specialist privately and even pay a private pathologos for my IKA prescriptions. It's only €20 for three months and I would rather pay €7 per month than wait for hours in the village doctor's waiting room. Could you try to find one extra piece of information please Carol. Suppose you went to a private specialist and they diagnosed something that required major treatment in a general hospital, which also come under EOPPY. Can a private specialist still refer you to the general hospital or could you simply go to the general hospital yourself with the results?

As an example my late wife was diagnosed with a brain tumour in 2010. She first went to a neurologist at the IKA building on the Souda road and he sent her for a CAT scan. She had the scan done privately in Gavrilakis and took the results back to the neurologist. He immediately told her to consult a neurosurgeon at the general hospital. We went to the emergency room at the back of the general hospital, saw a general doctor there and she was immediately admitted to the neurosurgery wing of the hospital where she was subsequently treated by a neurosurgeon. Obviously in that case the referral was by an IKA doctor, although there was nothing in writing to show that. All the results we had were from Gavrilakis. Suppose a similar situation happened to somebody today but they had initially gone to a private neurologist. Would they still be able to go to the general hospital for treatment?

I realise the example is very specific but I know a number of cases where people have gone to a private specialist and been sent to a general hospital for operations so it is widely applicable.

Warwick

Stavros
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Re: New Referal System in EOPPY

Postby Stavros » Fri Aug 17, 2018 8:59 am

I will try to shed some light in this although the system is very complicated…

The family doctor is based on the NHS’s mentality of the General Practitioner who will keep someone’s complete medical file and will refer him / her to other specialties or hospital treatment.

In fact, when the Greek public health system was first introduced in 1983, it tried to be an exact copy of the very successful NHS (It was called Ε.Σ.Υ = National Health System).

Every citizen has already been allocated with a family doctor based on the AMKA number and has to remain with the doctor for at least 6 months as of January 2019. After this period he / she will be able to request a change of practitioner.

As of January 2019 we will only be allowed to visit the allocated family doctor and every other specialty must be referred by him / her.

The Public regulator EOPYY expected approximately 2.900 doctors to join the system back in January.

As of today, and according to the table published in https://familydoctors.eopyy.gov.gr, only 657 practitioners throughout Greece have joined, which means that the system will lack the personnel to be functional.

The Professional Association of Pathologists of Greece who participated in a meeting with EOPYY issued a statement according to which of the 3,000 self-employed Pathologists "the overwhelming majority refuses to be introduced into a system that forces us only to obligations without the slightest right, scientific or personal”.

It is reported that the low turnout has to do also with the expected payout, which will be approximately 1.600 Euros per month. Based on that and due to the recent changes in tax and insurance laws, the doctor must pay 30% to the tax office and another 30% for the insurance contributions. There is also the 100% tax downpayment for the next year.

So this is where we stand now….

Kilkis
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Re: New Referal System in EOPPY

Postby Kilkis » Fri Aug 17, 2018 9:42 am

Thanks Stavros.

If we are all already allocated to an EOPPY doctor based on our AMKA number how do we find out who that doctor is? I was allocated a doctor when I first got my IKA book. The doctor's name, address and telephone number used to be on the slip that was attached to my IKA book every year when I renewed it. The last time that was done was December 2012. I stopped using that doctor and started using a private pathologos many years ago, because I could queue for 3 hours and still not be seen, so I don't know if she is even still practising.

In general I am happy to pay to consult a private GP and private specialists. My main concern is what happens if one of those private doctors diagnoses some illness that needs major treatment that I cannot afford to pay for privately. How would I then gain access to the EOPPY system? For example if I needed a major operation that I could not afford in a private hospital or drug therapy that I could not afford to buy privately. As an example when my late wife was diagnosed with stage 4 cancer she was treated by a private oncologist. That only cost €50 per visit and he didn't charge for every visit. The treatment he prescribed, however, cost about €4,000 per month but he wrote an IKA prescription that we could get free from the IKA pharmacy. Will that sort of thing still be allowed?

I have some sympathy with the doctors. I was earning more than €1,600 per month 30 years ago and I was earning much less than a UK GP at that time.

Warwick

Stavros
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Re: New Referal System in EOPPY

Postby Stavros » Fri Aug 17, 2018 10:19 am

Hello dear Warwick,

This is the page to follow to see if you are already allocated or not:

https://www.e-syntagografisi.gr/p-rv/p

You will need your TaxisNet credentials and your AMKA number in order to log in.

Unfortunately:

1) It is in Greek only
2) The page keeps crashing every time I try to log in.

Several of my customers have told me that they succeeded in logging in, they were not allocated to someone and went through an electronic form which presented them with 4-5 doctor choices according to the area they lived in.

Regarding your referral question, I can only PRESUME that you will have to go through the system with your family doctor who will then refer you to a public hospital for treatment if you want to be covered under the EHIC or IKA book. Otherwise, for private clinics, you will have to use your own money (with a small participation from IKA) or private cover. But this is nothing official, just hypothesis.
Last edited by Stavros on Tue Aug 21, 2018 9:31 am, edited 1 time in total.

YoMo2
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Re: New Referal System in EOPPY

Postby YoMo2 » Mon Aug 20, 2018 8:12 am

Kilkis wrote:I think there are quite a lot, Andrew. I think every EOPPY pathologos is a family doctor.

What I am not certain about is why the sudden need to register now? When you get your IKA book you are registered to a family doctor. For all who went through the process of getting a renewal slip in their IKA book every year, if you look down the left hand side of the last slip, about half way down it gives the name, address and telephone number of the family doctor with whom you are registered. For example, I am registered with Dr Pateraki on the first floor of the IKA building on the Souda road. I have no idea if she is still there since they stopped putting slips in the book each year several years ago. I stopped going there because it was possible to queue for three hours and still not get seen.

If they have introduced a new referral system for specialists I would have thought that it should be possible to go to that doctor and get referred? I honestly don't know the answer which is why I raised the issue on this forum in the hope that somebody might know what is happening.

Warwick


You might think there are a lot, but not around here. Certainly not if you define a family doctor as one that has a separate clinic, not in a hospital, and where you can actually get seen.

My IKA booklet has blanks against the name and address of the family doctor.........

Andrew

Kilkis
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Re: New Referal System in EOPPY

Postby Kilkis » Mon Aug 20, 2018 8:49 am

Out in the villages there used to be OGA doctors, Andrew, but IKA patients could also use them. Typically they cover more than one village so they are only in any particular village one day per week, or possibly two for a large village. I presume they also come under EOPPY now.

Based on Stavros' post not many have signed up to the new system so it sounds like there are going to be far fewer going forward.

Warwick

YoMo2
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Re: New Referal System in EOPPY

Postby YoMo2 » Fri Aug 24, 2018 5:57 pm

Kilkis wrote:Out in the villages there used to be OGA doctors, Andrew, but IKA patients could also use them. Typically they cover more than one village so they are only in any particular village one day per week, or possibly two for a large village. I presume they also come under EOPPY now.

Based on Stavros' post not many have signed up to the new system so it sounds like there are going to be far fewer going forward.

Warwick


I'm well aware of the weekly visiting doctors, Warwick. I'd hardly call that a family doctor system.

Seems like another shambles in the offing.

Andrew

Kilkis
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Re: New Referal System in EOPPY

Postby Kilkis » Fri Aug 24, 2018 6:19 pm

Well it depends what you mean by a "family doctor" Andrew. In Greece their role is described as "family doctor" but up to now they haven't fulfilled the same roles as a family doctor in the UK. There again the role of "family doctor" in the UK is getting less and less like it used to be.

Which is better? A doctor who visits your village one or two days per week so you can walk to his/her surgery or a surgery open every day in town but you have to travel 20 km to 50 km to get there?

Warwick

YoMo2
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Re: New Referal System in EOPPY

Postby YoMo2 » Sun Aug 26, 2018 9:51 am

Kilkis wrote:.........Which is better? A doctor who visits your village one or two days per week so you can walk to his/her surgery or a surgery open every day in town but you have to travel 20 km to 50 km to get there?


A surgery open every day in town that you can walk to in 5 minutes?

Andrew


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