Investigating the Governmental Accounting Reform of Greek National Health System (ESY): Some Preliminary Evidence

International Journal on Governmental Financial Management, Vol. 9, No. 2, pp. 73-97, 2009

26 Pages Posted: 18 Feb 2011 Last revised: 22 Feb 2011

See all articles by Filippos Stamatiadis

Filippos Stamatiadis

Technological Educational Institute (TEI) of Athens

Date Written: December 21, 2009

Abstract

During the last decades, several countries worldwide have introduced financial management reforms as an important part of the New Public Management (NPM) initiative at one or more levels of government sector, by replacing or transforming their traditional budgetary cash accounting systems towards business-like accrual accounting. Following the example of this upcoming managerial trend, the Greek government introduced in 1997 an accrual-based accounting system (ABAS) and double-entry book-keeping method in all public hospitals. The hospital sector is one of the areas where NPM reforms have been introduced in search of higher efficiency in service production. The purpose of this paper is twofold. Our first goal is to provide an overview of the government sector reform initiatives in Greece and to present evidence regarding the adoption rate of the new accounting system by the Greek public health sector. The second goal of our research is to present the perceived usefulness of the accounting information provided by the proposed accounting reform as well as the implementation problems encountered in implementing ABAS. Our analysis is based on the results of an empirical survey that took place during 2009. For the purposes of this survey, a structured questionnaire was prepared and sent to the Finance Directors of 132 Greek public hospitals.

Keywords: Accrual Accounting, Public Sector Accounting, New public Management, Public Hospitals

JEL Classification: M4, M48

Suggested Citation

Stamatiadis, Filippos, Investigating the Governmental Accounting Reform of Greek National Health System (ESY): Some Preliminary Evidence (December 21, 2009). International Journal on Governmental Financial Management, Vol. 9, No. 2, pp. 73-97, 2009, Available at SSRN: https://ssrn.com/abstract=1529306

Filippos Stamatiadis (Contact Author)

Technological Educational Institute (TEI) of Athens ( email )

Agiou Spyridonos Street
Aigaleo
Athens, Attiki 12210
Greece