Last update:

   15-Jul-2026
 

Arch Hellen Med, 43(6), November-December 2026, 742-752

ORIGINAL PAPER

Unmet health needs and socioeconomic inequalities in Greece: Barriers to access and (their) impact on quality of life

C. Liachnis, G. Fragkiadakis
School of Social Sciences, Postgraduate Course "Health Care Management", Hellenic Open University, Patras, Greece

OBJECTIVE Το investigate socioeconomic inequalities in access to healthcare and quality of life in Greece, focusing on the factors associated with unmet healthcare needs.

ΜETHOD A quantitative analysis was conducted on a sample of 712 individuals from the general population. Quality of life was assessed using the EQ-5D-5L instrument, while unmet healthcare needs were recorded through a structured questionnaire. Data collection took place between January and April 2024.

RESULTS A total of 47% of participants reported at least one unmet healthcare need. The main reasons were cost (20.2%) and long waiting lists (22.5%). Women, retirees, individuals with lower education, and those with chronic illnesses were more likely to report barriers to access. Psychological distress was highly prevalent: 81.2% reported some level of anxiety/depression, while 43% experienced pain or discomfort. Poor self-reported health was strongly associated with access barriers (e.g., odds ratio [OR] for distance=3.69, p<0.001). Additionally, individuals with poor health were more likely to distrust the healthcare system (OR=4.29, p=0.011) and to report lack of access to oncology care (OR=7.72, p<0.001).

CONCLUSIONS The findings confirm that socioeconomic inequalities disproportionately affect access to healthcare services in Greece. Targeted policy measures −such as increasing public funding, strengthening primary healthcare, and adopting digital technologies− are essential to address these challenges and promote health equity and sustainable development.

Key words: Greece, Health equity, Health services accessibility, Quality of life, Unmet healthcare needs.


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