Healthcare Equity and Commissioning
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/148459 |
Resumo: | Funding Information: We thank all the support given by the project “1st.IndiQare—Quality indicators in primary health care: validation and implementation of quality indicators as an assessment and comparison tool” (POCI01-0145-FEDER-030766) and the project “Contracting in primary health care in Portugal: Research and practice” (INSA/2011EXT554). I.C. thanks the Laidlaw Foundation for their financial support as part of the UCL Laidlaw Research and Leadership programme. Publisher Copyright: © 2022 by the authors. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Healthcare Equity and CommissioningA Four-Year National Analysis of Portuguese Primary Healthcare Unitscommissioningcommunity healthcommunity health servicescommunity-based health financingfamily health unitshealth equityhealth policyprimary healthcaresocio-economic factorsR Medicine (General)PollutionPublic Health, Environmental and Occupational HealthHealth, Toxicology and MutagenesisHealth PolicyHealth(social science)SDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesSDG 5 - Gender EqualityFunding Information: We thank all the support given by the project “1st.IndiQare—Quality indicators in primary health care: validation and implementation of quality indicators as an assessment and comparison tool” (POCI01-0145-FEDER-030766) and the project “Contracting in primary health care in Portugal: Research and practice” (INSA/2011EXT554). I.C. thanks the Laidlaw Foundation for their financial support as part of the UCL Laidlaw Research and Leadership programme. Publisher Copyright: © 2022 by the authors.Equal and adequate access to healthcare is one of the pillars of Portuguese health policy. Despite the controversy over commissioning processes’ contribution to equity in health, this article aims to clarify the relationship between socio-economic factors and the results of primary healthcare (PHC) commissioning indicators through an analysis of four years of data from all PHC units in Portugal. The factor that presents a statistically significant relationship with a greater number of indicators is the organizational model. Since the reform of PHC services in 2005, a new type of unit was introduced: the family health unit (USF). At the time of the study, these units covered 58.1% of the population and achieved better indicator results. In most cases, the evolution of the results achieved by commissioning seems to be similar in different analyzed contexts. Nevertheless, the percentage of patients of a non-Portuguese nationality and the population density were analyzed, and a widening of discrepancies was observed in 23.3% of the cases. The commissioning indicators were statistically related to the studied context factors, and some of these, such as the nurse home visits indicator, are more sensitive to context than others. There is no evidence that the best results were achieved at the expense of worse healthcare being offered to vulnerable populations, and there was no association with a reduction in inequalities in healthcare. It would be valuable if the Portuguese Government could stimulate the increase in the number of working USFs, especially in low-density areas, considering that they can achieve better results with lower costs for medicines and diagnostic tests.Instituto de Higiene e Medicina Tropical (IHMT)Global Health and Tropical Medicine (GHTM)Population health, policies and services (PPS)RUNPereira, AntónioBiscaia, AndréCalado, IsisFreitas, AlbertoCosta, AndreiaCoelho, Anabela2023-01-31T22:21:14Z2022-112022-11-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article12application/pdfhttp://hdl.handle.net/10362/148459eng1661-7827PURE: 50659185https://doi.org/10.3390/ijerph192214819info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:29:51Zoai:run.unl.pt:10362/148459Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:21.933256Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Healthcare Equity and Commissioning A Four-Year National Analysis of Portuguese Primary Healthcare Units |
| title |
Healthcare Equity and Commissioning |
| spellingShingle |
Healthcare Equity and Commissioning Pereira, António commissioning community health community health services community-based health financing family health units health equity health policy primary healthcare socio-economic factors R Medicine (General) Pollution Public Health, Environmental and Occupational Health Health, Toxicology and Mutagenesis Health Policy Health(social science) SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 5 - Gender Equality |
| title_short |
Healthcare Equity and Commissioning |
| title_full |
Healthcare Equity and Commissioning |
| title_fullStr |
Healthcare Equity and Commissioning |
| title_full_unstemmed |
Healthcare Equity and Commissioning |
| title_sort |
Healthcare Equity and Commissioning |
| author |
Pereira, António |
| author_facet |
Pereira, António Biscaia, André Calado, Isis Freitas, Alberto Costa, Andreia Coelho, Anabela |
| author_role |
author |
| author2 |
Biscaia, André Calado, Isis Freitas, Alberto Costa, Andreia Coelho, Anabela |
| author2_role |
author author author author author |
| dc.contributor.none.fl_str_mv |
Instituto de Higiene e Medicina Tropical (IHMT) Global Health and Tropical Medicine (GHTM) Population health, policies and services (PPS) RUN |
| dc.contributor.author.fl_str_mv |
Pereira, António Biscaia, André Calado, Isis Freitas, Alberto Costa, Andreia Coelho, Anabela |
| dc.subject.por.fl_str_mv |
commissioning community health community health services community-based health financing family health units health equity health policy primary healthcare socio-economic factors R Medicine (General) Pollution Public Health, Environmental and Occupational Health Health, Toxicology and Mutagenesis Health Policy Health(social science) SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 5 - Gender Equality |
| topic |
commissioning community health community health services community-based health financing family health units health equity health policy primary healthcare socio-economic factors R Medicine (General) Pollution Public Health, Environmental and Occupational Health Health, Toxicology and Mutagenesis Health Policy Health(social science) SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities SDG 5 - Gender Equality |
| description |
Funding Information: We thank all the support given by the project “1st.IndiQare—Quality indicators in primary health care: validation and implementation of quality indicators as an assessment and comparison tool” (POCI01-0145-FEDER-030766) and the project “Contracting in primary health care in Portugal: Research and practice” (INSA/2011EXT554). I.C. thanks the Laidlaw Foundation for their financial support as part of the UCL Laidlaw Research and Leadership programme. Publisher Copyright: © 2022 by the authors. |
| publishDate |
2022 |
| dc.date.none.fl_str_mv |
2022-11 2022-11-01T00:00:00Z 2023-01-31T22:21:14Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/148459 |
| url |
http://hdl.handle.net/10362/148459 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
1661-7827 PURE: 50659185 https://doi.org/10.3390/ijerph192214819 |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
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openAccess |
| dc.format.none.fl_str_mv |
12 application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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