Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?

Detalhes bibliográficos
Autor(a) principal: Fronteira, Inês
Data de Publicação: 2018
Outros Autores: Simões, Jorge, Figueiredo Augusto, Gonçalo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.25761/anaisihmt.250
Resumo: In 2011, Portugal signed a financial rescue plan that included a Memorandum of Understanding to reduce the deficit and the public debt, and contain the growth of public spending.  Health sector policies included changes in the financing of the NHS and public sub-systems, pharmaceutical market and pharmacies, prescription and monitoring of prescription, centralization of purchasing and public hiring, primary health care, hospital services and cross-sectional services. Five years have passed and most of the policies are still in force. However, the majority of them are still waiting for an assessment on their ability and suitability to solve structural problems of the NHS.  Despite the crisis, the different players, stakeholders and interests, it is common to all sectors of the Portuguese society that the constitutional right to health ought to be maintain through the NHS, thus guaranteeing universal health coverage. Nevertheless, the provision of care is to continue to be assured by the public, private and social sector and the challenge is to respond to the health needs while guaranteeing the quality and sustainability of the public provision of care, mainly through the NHS. 
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spelling Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?Um olhar sobre a crise portuguesa: qual o legado para o SNS?In 2011, Portugal signed a financial rescue plan that included a Memorandum of Understanding to reduce the deficit and the public debt, and contain the growth of public spending.  Health sector policies included changes in the financing of the NHS and public sub-systems, pharmaceutical market and pharmacies, prescription and monitoring of prescription, centralization of purchasing and public hiring, primary health care, hospital services and cross-sectional services. Five years have passed and most of the policies are still in force. However, the majority of them are still waiting for an assessment on their ability and suitability to solve structural problems of the NHS.  Despite the crisis, the different players, stakeholders and interests, it is common to all sectors of the Portuguese society that the constitutional right to health ought to be maintain through the NHS, thus guaranteeing universal health coverage. Nevertheless, the provision of care is to continue to be assured by the public, private and social sector and the challenge is to respond to the health needs while guaranteeing the quality and sustainability of the public provision of care, mainly through the NHS. Em 2011, Portugal assinou um plano de resgate financeiro, que incluía um Memorando de Entendimento, com o objetivo de reduzir o défice e a dívida pública e conter o crescimento da despesa pública. As políticas para o setor da saúde abrangeram o financiamento do SNS e dos subsistemas, o mercado do medicamento e as farmácias, a prescrição e a monitorização da prescrição, a centralização das compras e da contratação pública, os cuidados de saúde primários, os serviços hospitalares e os serviços transversais. Passados cinco anos, a maioria das políticas continua vigente. Contudo, a maior parte aguarda uma avaliação da sua adequação e capacidade para resolver os problemas estruturais do SNS.  Apesar da crise, dos diferentes interesses e atores, é consensual, em todos os sectores da sociedade portuguesa, que o direito constitucional à saúde deve continuar a ser efetivado através do SNS, garantindo, desta forma, a cobertura universal de cuidados. Contudo, a prestação de cuidados deve continuar a ser garantida pelos sectores público, privado e social sendo que o desafio será responder às necessidades de saúde mantendo a qualidade e sustentabilidade da prestação pública de cuidados essencialmente através do SNS. Universidade Nova de Lisboa2018-12-15T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25761/anaisihmt.250oai:ojs.anaisihmt.com:article/250Anais do Instituto de Higiene e Medicina Tropical; Vol 17 No 1 (2018): Suplemento Nº1; 37-46Anais do Instituto de Higiene e Medicina Tropical; v. 17 n. 1 (2018): Suplemento Nº1; 37-462184-23100303-7762reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://anaisihmt.com/index.php/ihmt/article/view/250https://doi.org/10.25761/anaisihmt.250http://anaisihmt.com/index.php/ihmt/article/view/250/210http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFronteira, InêsSimões, JorgeFigueiredo Augusto, Gonçalo2022-09-23T15:30:24Zoai:ojs.anaisihmt.com:article/250Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:03:58.731809Repositório 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 Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?
Um olhar sobre a crise portuguesa: qual o legado para o SNS?
title Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?
spellingShingle Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?
Fronteira, Inês
title_short Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?
title_full Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?
title_fullStr Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?
title_full_unstemmed Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?
title_sort Looking back at the Portuguese crisis: what legacy for the Portuguese NHS?
author Fronteira, Inês
author_facet Fronteira, Inês
Simões, Jorge
Figueiredo Augusto, Gonçalo
author_role author
author2 Simões, Jorge
Figueiredo Augusto, Gonçalo
author2_role author
author
dc.contributor.author.fl_str_mv Fronteira, Inês
Simões, Jorge
Figueiredo Augusto, Gonçalo
description In 2011, Portugal signed a financial rescue plan that included a Memorandum of Understanding to reduce the deficit and the public debt, and contain the growth of public spending.  Health sector policies included changes in the financing of the NHS and public sub-systems, pharmaceutical market and pharmacies, prescription and monitoring of prescription, centralization of purchasing and public hiring, primary health care, hospital services and cross-sectional services. Five years have passed and most of the policies are still in force. However, the majority of them are still waiting for an assessment on their ability and suitability to solve structural problems of the NHS.  Despite the crisis, the different players, stakeholders and interests, it is common to all sectors of the Portuguese society that the constitutional right to health ought to be maintain through the NHS, thus guaranteeing universal health coverage. Nevertheless, the provision of care is to continue to be assured by the public, private and social sector and the challenge is to respond to the health needs while guaranteeing the quality and sustainability of the public provision of care, mainly through the NHS. 
publishDate 2018
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dc.publisher.none.fl_str_mv Universidade Nova de Lisboa
publisher.none.fl_str_mv Universidade Nova de Lisboa
dc.source.none.fl_str_mv Anais do Instituto de Higiene e Medicina Tropical; Vol 17 No 1 (2018): Suplemento Nº1; 37-46
Anais do Instituto de Higiene e Medicina Tropical; v. 17 n. 1 (2018): Suplemento Nº1; 37-46
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