Managing paradoxes of healthcare reform: the case of the General Healthcare System in Cyprus

Abstract

In 2019, Cyprus launched the General Healthcare System, aiming to make healthcare more accessible. This article discusses the implementation of this system using a paradox theory lens. Persistent and interdependent tensions in healthcare involve conflict between the aggregate needs of the collective on one ‘pole’ and needs of individual patients and medical practitioners on the other. This is represented by the performing and belonging paradox. The General Healthcare System aims to address this paradox using a public–private provider model that is funded by the public sector. However, this solution has given rise to other paradoxes. This article discusses how these paradoxes can be managed by oscillating between poles, through ongoing review, dialogue and policy updates to achieve greater individual and collective health and wellbeing.