Athanassios Vozikis

University of Piraeus · Department of Economic

Access to healthcare significantly impacts the health outcomes of individuals with hearing disability, underscoring the necessity for enhanced accessibility to health services. Despite this situation, there is a paucity of data regarding the provision of postpartum care for women with hearing disability. Understanding the unique experiences and nee...

This study investigates the dynamics of the Greek General Private Clinics Sector from 2012 to 2020, focusing on the interplay between market concentration, measured by the Herfindahl Hirschman Index (HHI), and key financial ratios including Return on Equity (ROE), Gross Profit Margin, Operating Profitability, Net Profit Margin, Earnings After Tax M...

1520 Background: The purpose of this trial is to investigate the effectiveness of online digital intervention to NSCLC patients in terms of quality of life (QoL), cost and the interrelation with clinical and molecular characteristics. Methods: This prospective randomized trial recruited 200 advanced NSCLC patients (3/22-10/23). All had NGS tissue a...

Medical tourism is a rapidly growing sector, and could become a major driver of tourism in Greece. This research examines the status quo and the potential of medical tourism on the island of Crete, Greece. A cross-sectional study was conducted from January 2021 to February 2022, with the administration of questionnaires. The study involved the part...

Objectives: Development Assistance for Health (DAH) is one of the main pillars of health financing in Sub-Saharan Africa. This research focuses on the cost-effective- ness of DAH-derived interventions for HIV, Malaria and Tuberculosis by country, in order to identify and prioritize alternative uses of these funding resources. Meth- ods: Data were d...

The healthcare system’s major purpose is quality, but many times, it is getting challenging due to economic and health crises. One of these aspects is corruption with informal payments, expressed by illegal amounts from patients to healthcare staff to receive qualitative care. Contains black payments (better treatment), lost payments (equal or wors...

OBJECTIVES: The need for highly skilled executives in market access emerged as a response to the increasing importance of the pricing, assessment and reimbursement processes in the pharmaceutical policy. This research attempts to perform a mapping of the pharma market access executives in Greece, presenting their educational and professional backgr...

OBJECTIVES: Lack or reduced physical activity is an important modifiable risk factor for non-communicable diseases (NCDs). The present study analyze the cost-effectiveness of investment in behavioural interventions to foster and enable more people in Greece to be more active. METHODS: We used two (2) simulation models for the economic evaluation of...

OBJECTIVES: Development Assistance for Health (DAH) is one of the main pillars of health financing in Sub-Saharan Africa. This research focuses on the cost-effectiveness of DAH-derived interventions for HIV, Malaria and Tuberculosis by country, in order to identify and prioritize alternative uses of these funding resources. METHODS: Data were drawn...

Background Cardiovascular diseases and especially Acute Coronary Syndrome (ACS) constitute a major health issue impacting millions of patients worldwide. Being a leading cause of death and hospital admissions in many European countries including Spain, it accounts for enormous amounts of healthcare expenditures for its management. Clopidogrel is on...

Background/aim: Nivolumab is an FDA-approved immune checkpoint inhibitor (ICI) for patients with advanced, pre-treated non-small cell lung cancer (NSCLC). However, treatment profiles and patient outcomes often differ in routine clinical practice while the financial impact of approved therapies is largely unknown. In this study, we investigated the...

Pharmaceutical companies are major donors to medical-related civil society organizations worldwide, which has raised concerns about their influence on public health policy. The support provided includes financial donations, in-kind contributions and collaborations in research and awareness initiatives. However, there is a lack of transparency when...

The EU National Recovery and Resilience Plan "Greece 2.0" includes, among other priorities, a framework to promote and reform the health system, with a focus on digitalization of health and the use of information technology applications. Greece 2.0 may offer a chance to address the current scarcity of high-quality, reliable data sources, which is l...

Cardiovascular diseases could be characterized as a modern-day epidemic; they rank first on the list of diseases that lead to fatality percentages in both developed and developing countries. On an international level, the medical research community carries out vigorous action concerning those diseases as well as concerning the ways of limiting thei...

NGOs/ CBOs have emerged as an integral pillar of both global and national governance, and are recognized as such by the official institutions founded after World War II. This is evident from the important gaps they are called upon to fill, their formal partnerships with international organizations and national governments, and the funding they mana...

In today's globalized society, financial aid for health is not only an obligation, but also a necessity to safeguard public health. Although efforts began long before the organization of the United Nations and later the targeted actions of the World Health Organization, a strong increase in DAH has been identified since our entry into the last mill...

Greek economy suffers from economic crisis for over a decade. A continuing problem has been the persistence of a large shadow economy which results in a gap between the tax and social security contribution owed and collected. In this paper, the size of shadow economy (SE) in Greece is estimated using a flexible MIMIC approach with time series data...

Global governance is particularly concerned about migration and asylum issues. Immigrants, Asylum Seekers and Refugees in Times of Crises: A. An International Handbook on Migration and Refugee Studies, Management Policies and Governance offers a comprehensive and cutting-edge analysis of international migration and asylum research and studies under...

The shocking photo of the drowned Syrian refugee child that washed up on the shores of Turkey on September 2015 , as well as the hundreds of lives lost at the Mediterranean Sea from capsized boats overloaded with refugees, have brought the migration and refugee crisis to the world’s attention . Greek society has witnessed large flows of migrants fr...

Research Question: Our study examines the development of a reliable internal audit plan in the Greek public hospitals, focusing on how to identify, assess and evaluate the relevant risks by the Boards of Directors. Data: We use an exceptional database drawing information from a large sample of Greek hospitals based on a structured questionnaire for...

Nowadays, many relevant drug–gene associations have been discovered, but pharmacogenomics (PGx)-guided treatment needs to be cost-effective as well as clinically beneficial to be incorporated into standard health care. To address current challenges, this systematic review provides an update regarding previously published studies, which assessed the...

Purpose: Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors (TKIs) are the preferred first-line option for patients with advanced, EGFR-mutant non-small cell lung cancer (NSCLC). Afatinib, a second-generation irreversible EGFR-TKI, has been extensively used in Greece in this setting; however, real-world data regarding molecular epi...

The healthcare system in Greece faces challenges based on underfunding, lack of staff, and the SARS-CoV-2 pandemic, have severe consequences like informal payments because of preventive and tackling measures absence. Even though the MIMIC model, normally employed in shadow economy size estimation, is for the first time used to estimate informal hea...

Background : Informal out-of-pocket payments to healthcare providers are not uncommon in the Greek health system. We explore individuals’ willingness-to-pay (WTP) to secure zero out-of-pocket full coverage for healthcare services and medications and we estimate the impact of past informal payments and individuals’ opinion about the legalization of...

Introduction Nowadays, many relevant gene-drug associations have been discovered, but pharmacogenomics (PGx)-guided treatment needs to be cost-effective as well as clinically beneficial to be incorporated into standard health-care. Objectives To address current challenges, this systematic review provides an update regarding previously published st...

Surgical site infections represent a considerable burden for healthcare systems. To obtain a consensus on the impact and future clinical and economic needs regarding SSI management in an era of multidrug resistance. A modified Delphi method was used to obtain consensus among experts from five European countries. The Delphi questionnaire was assembl...

Background: The hospitalization of patients post cardiac surgery ICU constitutes a complex mixture of procedures affected by a variety of clinical, administrational and technical aspects of care. The respective cost may drastically increase due to these patients' increased clinical needs, including also the clinical state of delirium which is a qui...

Background: The hospitalization of patients post cardiac surgery ICU constitutes a complex mixture of procedures affected by a variety of clinical, administrational and technical aspects of care. The respective cost may drastically increase due to these patients' increased clinical needs, including also the clinical state of delirium which is a qui...

The socioeconomic and behavioral risk factors, as well as advances in technology and medicine, have led to an unprecedented increase in the prevalence of chronic diseases, which have become the leading causes of morbidity and mortality. In this chapter, the authors aim to unveil the relation between socioeconomic and behavioral risk factors and chr...

The chapter aims to analyze the impact of cigarette taxes evolution over the period 1992-2017 on the revenue share of the main tobacco supply chain stakeholders in Greece. This empirical analysis uses a pooled time series from 1992 through 2017 including a data set of retail prices, three tax groups levied on cigarettes (specific tax, ad valorem ta...

Asylum seekers, refugees, and migrants, who are living in RICs, are faced with multiple challenges and vulnerabilities that must be taken into consideration when responding to the COVID-19 pandemic. The chapter focuses on the COVID-19 pandemic concerns over increasing cases recorded in the RICs in Greece. The impact of migration on public health is...

Rapid globalisation challenges many of the traditional assumptions about International law, which is linked to domestic law, especially the ways in which it is formed and the methods of its implementation. This phenomenon led governments to be more focused on international collaboration to achieve national public health purposes and succeed some au...

Autoimmune diseases (ADs) are chronic disorders characterized by the loss of self-tolerance, and although being heterogeneous, they share common pathogenic mechanisms. Self-antigens and inflammation markers are established diagnostic tools; however, the metabolic imbalances that underlie ADs are poorly described. The study aimed to employ metabolom...

The latest developments in artificial intelligence (AI)-a general-purpose technology impacting many industries-have been based on advancements in machine learning, which is recast as a quality-adjusted decline in forecasting ratio. The influence of Policy on AI and big data has impacted two key magnitudes which are known as diffusion and consequenc...

Asylum seekers, refugees, and migrants, who are living in RICs, are faced with multiple challenges and vulnerabilities that must be taken into consideration when responding to the COVID-19 pandemic. The chapter focuses on the COVID-19 pandemic concerns over increasing cases recorded in the RICs in Greece. The impact of migration on public health is...

Cardiovascular diseases could be characterized as a modern-day epidemic; they rank first on the list of diseases that lead to fatality percentages in both developed and developing countries. Greece holds one of the highest positions on the list of the most affected countries. On an international level, the medical research community carries out a v...

Background We evaluated real-world clinical outcomes and toxicity data and assessed treatment-related costs in patients with advanced breast cancer who received treatment with cyclin-dependent kinase inhibitors (CDKi). Patients and methods We conducted a prospective–retrospective analysis of patients with advanced hormone receptor-positive, human...

The dawn of artificial intelligence (AI) as a platform for improved health care provides unparalleled opportunity to enhance patient and clinical team performance, minimize costs, and reduce the health effects of the community. It provides a broad description of the legal and legislative context of the AI tools intended for the implementation of he...

Background Informal out-of-pocket (OOP) payments for healthcare services are not unusual in Greece. Aim This study estimates the association between respondent and incident-level characteristics and informal payments. Methods A survey of 4218 households was conducted from November 2016 to February 2017. We analyzed healthcare incidents by all hou...

Clopidogrel is an antiplatelet drug given to patients before and after having a percutaneous coronary intervention (PCI). Genomic variants in the CYP2C19 gene are associated with variable enzyme activities affecting drug metabolism and hence, patients with reduced or increased enzymatic function have increased risk of bleeding. We conducted a cost-...

The purpose of the present study is to explore the impact of the 2008 economic crisis on expenditure of OECD countries. Moreover, focusing on Greece, the researcher attempts to create homogenous groups of countries based on healthcare resources, in order to investigate possible shifts between groups during the crisis. The main body of the study is...

Objective The aim of the analysis is to assess the organisational and economic consequences of adopting an early discharge strategy for the treatment of acute bacterial skin and skin structure infection (ABSSSI) and osteomyelitis within infectious disease departments. Setting Infectious disease departments in Greece, Italy and Spain. Participants...

Background: The incorporation of genomic testing into clinical practice constitutes an opportunity to improve patients’ lives, as it makes possible the implementation of innovative, individualized clinical interventions that maximize efficacy and/or minimize the risk of adverse drug reactions. In order to ensure equal access to genomic testing for...

Background Migraine is a common, chronic neurovascular brain disorder with non-negligible multifaceted economic costs. Existing preventive treatments involve the selective use of onabotulinumtoxinA, which aims at migraine morbidity reduction for patients who have failed initial preventive treatment with oral agents. Erenumab is a new preventive tre...

The last decades, many scholars highlighted the shadow economic activities, regarding their disadvantages (unemployment, impoverishment etc) and advantages (intensifies competition, flexibility in employment etc). During the financial crisis, informal activities rose in noisy way, which triggered the development of special definitions to describe a...

Advances in Management & Applied Economics, 9 (5), pp. 35 - 57.

Health care, health care systems and consequently health care management is constantly evolving. Systems theory, the twentieth-century conceptual development, led to the widespread of Cybernetics (CS) and Sociocybernetics (SCS). In the framework above, SCS main ideas and tools can be implemented toward a new, evolving and efficient management model...

The article addresses aspects of public health of migrant and refugee populations in Greece. Migrants, asylum seekers and refugees have often been seen as "unwanted individuals" or as "a threat", and particularly as a "health time-bomb" due to their poor health before, during and their unhealthy living and working conditions after their arrival in...

This article examines the notions and patterns of power employed in the case of health policy reformation in the United States of America in 1990s. For the needs of this paper, a brief analysis of the American healthcare system background during this period will be provided, since this is an eventful period concerning health care in the U.S. Additi...

Health is not characterized only by the absence of disease; nowadays, health can be perceived as a human right. Health policies all over the world aim to increase the life expectancy, the health and the quality of life of citizens, within the limits of the available resources. In this opinion paper, innovation aspects in medicine, healthcare, and h...

Introduction: The evolution of health and policy systems is identifiable and shaped by the course of an economy. This is also the case for Greece, as after its entry into the Financial Stability Mechanism, public expenditure restraint is implemented, with an increase in private health expenditure (especially informal/unofficial payments). Aim: To...

Ανάλυση των διατροφικών και άλλων συνηθειών τωννέων που σχετίζονται με τον κίνδυνο για την ανάπτυξηκαρδιαγγειακών νοσημάτων.Εξαγωγή συμπερασμάτων Η έρευνα αποτελείται έντυπο ερωτηματολόγιο το οποίοσυμπληρώθηκε στο ακαδημαϊκό έτος 2017-2018. Τυχαίο δείγμα 1347 φοιτητών από το Πανεπιστήμιο Πειραιά. 48,26% άνδρες, 51,74% γυναίκες Διανεμήθηκε και σε...

We explore the EU and Greek health policies that are being applied concerning rare diseases and specifically for the case of myasthenia; a chronic and rare non-hereditary a disease that affects 5-15 individuals per 100.000, affected individuals can be of both sexes and any age. We (1) present the health policies which are applied for dealing with m...

Nikoleta Mikeleti 1 , Iris - Panagiota Efthymiou 2,3 , Athanassios Vozikis 1,2 Symeon Sidiropoulos 2,3 1 M.Sc. in Health Economics & Management, University of Piraeus 2 Laboratory of Health Economics & Management (LabHEM), University of Piraeus, Economics Dept. 3 PhD (Cand) University of Piraeus, Economics Dept. Our research explores the evaluatio...

This book tries to give an approach of the implications of crisis, especially in health and social systems. The economic crisis, as a global phenomenon of the first decade of the twentieth century, has had a negative impact on all health and social indicators. Therefore, severe austerity measures and inadequacy of resources can lead to worse health...