Analysing the Cost of Immigrants to the National Health System in Eastern Macedonia and Thrace

The latest years the number of immigrants at Greece has increased dramatically. Their impact on the National Health System (NHS) has not been yet thoroughly investigated. This paper analyses the cost of immigrants to the NHS hospitals of the region of Eastern Macedonia and Thrace. The data are collected from 2005 to 2011 from five different hospitals and are analysed using linear mixed effects models in order to investigate the effects of nationality and year on the cost of hospitalization and treatment. The results show that generally the Greek nationality patients have a higher mean cost of hospitalization compared to the immigrants and that there is an increasing trend for the cost except for the year 2010.

Authors:

• T. Theodosiou
• P. Polychronidou
• A. G. Karasavvoglou

Keywords:

• Cost
• Eastern Macedonia
• Thrace
• immigrants
• national health system.

References:

[1] K. Vasileva, “Nearly two-thirds of the foreigners living in EU Member
States are citizens of countries outside the EU-27 – Eurostat, Statistics in
Focus, Issue number 31/2012.
[2] Hellenic Statistical Authority, Census of 2011, Athens: EL.STAT., 2011,
Table 10
[3] European Commission, Clandestino Project – Final Report.
Undocumented Migration: Counting the Uncountable. Data and Trends
Across Europe, 2009, pp. 63.
[4] D. Angeli, A. Dimitriadi, A. Triantafillidou, Evaluating the costeffectiveness
of control policies irregular migration in Greece, MIDAS
(Migration & Detention Assessment), 2014.
[5] S. Rompolis, Migration from and to Greece, Athens: Epikentro, 2007.
[6] K. Kalofolias, The migration problem in the Mediterranean, Athens:
Sideris, 2011.
[7] A. Kontis, T. Iosifidis, M. Lavrentiadou, Issues of social integration of
immigrants, Αθήνα: Papazisi, 2009.
[8] I. Emke-Polyopoulou, The immigration challenge, Athens: Papazisi,
2007.
[9] T. Maroukis, Economic migration in Greece, Athens: Papazisi, 2010,
Series Sociology and Labour.
[10] A. Triantafillidou, R. Gropa, Migration in the European Union, Athens:
Review Scientific Library, 2009.
[11] Kanellopoulos N., Gregou M., Petralias, A., 2009, Size, Profile and
Labour Market Analysis of Immigration in Greece, KEPE, Athens
[12] Pinheiro, J.C., & Bates, D.M. (2000). Mixed-Effects Models in S and SPLUS,
Springer.
[13] R Core Team (2013). R: A language and environment for statistical
computing. R Foundation for Statistical Computing, Vienna, Austria.
[14] Bretz,F., Hothorn, T., & Westfall, P. (2010). Multiple Comparisons
Using R, CRC Press, Boca Raton.