Health Policy And Politics.

Degree Program: Social Administration / Social Administration and Political pathway (5th semester – compulsory)

Teaching hours: 3 per week-5 ECTS

Course tutor:Dr. Costas Dikeos, Assistant Professor

Health care absorbs a significant part of national income, whereas is usually a major employer, concerns all population. The course which is given to third year students, lasts for 12-13 3-hour lectures. It is divided into ‘modules’.

Module 1.

Why should there be political intervention in health care provision?

Political theory and the support for (or critique against) public funding of health care provision (reference to Aristotle, Mill, Marx, Marshall and the critique by the New Right Libertarians).

Who are the key players?Political parties and their ideologies.Pressure groups.Pressure groups of the main stakeholders in healthcare provision.

Module 2.

Structure and scope of health care provision.

Primary, secondary, tertiary healthcare.Promotion, protection, treatment, pharmaceuticals, rehabilitation; the latent ideological and fiscal parametres.The public-private and payer-provider relationships.The national healthcare services.

Module 3.

How to evaluate healthcare provision?

Key indicators; fiscal, infrastructure, personnel, functions, results; the public-private mix.

Module 4.

Health Inequalities.

Medical auctoritas within health care; supplier induced demand; health inequalities among social classes; the Black Report and its aftermath; the widening gap.

Module 5.

Health Care in Greece

The development of the Greek Health Care System within a context of Greek political History; and its functions.


Compulsory exam at the end of term. Students are required to respond to at least one ‘debate’ question (eg ‘do you agree that Marshall is central in health policy? Explain referring to his principles … …’). Optional mid term essays are also given and add up to final mark.


Acquainting students with issues related to political theory and politics surrounding health care, alongside issues of inequalities in health as to make them capable understand and assess health care systems in a changing world. Giving key knowledge on the Greek system