The Portuguese NHS 2024 reform
Autor(a) principal: | |
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Data de Publicação: | 2024 |
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/10362/169109 |
Resumo: | Funding Information: The author(s) declare financial support was received for the research, authorship, and/or publication of this article. After submission, Imperial College London kindly agreed to fund the open access fees for this paper. Publisher Copyright: Copyright © 2024 Goiana-da-Silva, Sá, Cabral, Guedes, Vasconcelos, Sarmento, Morais Nunes, Moreira, Miraldo, Ashrafian, Darzi and Araújo. |
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The Portuguese NHS 2024 reformtransformation through vertical integrationhealth outcomeshealthcare reformintegrated carePortuguese NHSservice innovationvertical integrationPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingFunding Information: The author(s) declare financial support was received for the research, authorship, and/or publication of this article. After submission, Imperial College London kindly agreed to fund the open access fees for this paper. Publisher Copyright: Copyright © 2024 Goiana-da-Silva, Sá, Cabral, Guedes, Vasconcelos, Sarmento, Morais Nunes, Moreira, Miraldo, Ashrafian, Darzi and Araújo.Vertical integration models aim for the integration of services from different levels of care (e.g., primary, and secondary care) with the objective of increasing coordination and continuity of care as well as improving efficiency, quality, and access outcomes. This paper provides a view of the Portuguese National Health Service (NHS) healthcare providers’ vertical integration, operationalized by the Portuguese NHS Executive Board during 2023 and 2024. This paper also aims to contribute to the discussion regarding the opportunities and constraints posed by public healthcare organizations vertical integration reforms. The Portuguese NHS operationalized the development and generalization of Local Health Units management model throughout the country. The same institutions are now responsible for both the primary care and the hospital care provided by public services in each geographic area, in an integrated manner. This 2024 reform also changed the NHS organic and organizational structures, opening paths to streamline the continuum of care. However, it will be important to ensure adequate monitoring and support, with the participation of healthcare services as well as community structures and other stakeholders, to promote an effective integration of care.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Escola Nacional de Saúde Pública (ENSP)RUNGoiana-da-Silva, FranciscoSá, JulianaCabral, MiguelGuedes, RaisaVasconcelos, RafaelSarmento, JoãoMorais Nunes, AlexandreMoreira, RitaMiraldo, MarisaAshrafian, HutanDarzi, AraAraújo, Fernando2024-06-26T22:26:01Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/169109eng2296-2565PURE: 93416568https://doi.org/10.3389/fpubh.2024.1389057info: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:RCAAP2024-09-23T01:38:37Zoai:run.unl.pt:10362/169109Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-09-23T01:38:37Repositório 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 |
The Portuguese NHS 2024 reform transformation through vertical integration |
title |
The Portuguese NHS 2024 reform |
spellingShingle |
The Portuguese NHS 2024 reform Goiana-da-Silva, Francisco health outcomes healthcare reform integrated care Portuguese NHS service innovation vertical integration Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
title_short |
The Portuguese NHS 2024 reform |
title_full |
The Portuguese NHS 2024 reform |
title_fullStr |
The Portuguese NHS 2024 reform |
title_full_unstemmed |
The Portuguese NHS 2024 reform |
title_sort |
The Portuguese NHS 2024 reform |
author |
Goiana-da-Silva, Francisco |
author_facet |
Goiana-da-Silva, Francisco Sá, Juliana Cabral, Miguel Guedes, Raisa Vasconcelos, Rafael Sarmento, João Morais Nunes, Alexandre Moreira, Rita Miraldo, Marisa Ashrafian, Hutan Darzi, Ara Araújo, Fernando |
author_role |
author |
author2 |
Sá, Juliana Cabral, Miguel Guedes, Raisa Vasconcelos, Rafael Sarmento, João Morais Nunes, Alexandre Moreira, Rita Miraldo, Marisa Ashrafian, Hutan Darzi, Ara Araújo, Fernando |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Escola Nacional de Saúde Pública (ENSP) RUN |
dc.contributor.author.fl_str_mv |
Goiana-da-Silva, Francisco Sá, Juliana Cabral, Miguel Guedes, Raisa Vasconcelos, Rafael Sarmento, João Morais Nunes, Alexandre Moreira, Rita Miraldo, Marisa Ashrafian, Hutan Darzi, Ara Araújo, Fernando |
dc.subject.por.fl_str_mv |
health outcomes healthcare reform integrated care Portuguese NHS service innovation vertical integration Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
topic |
health outcomes healthcare reform integrated care Portuguese NHS service innovation vertical integration Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being |
description |
Funding Information: The author(s) declare financial support was received for the research, authorship, and/or publication of this article. After submission, Imperial College London kindly agreed to fund the open access fees for this paper. Publisher Copyright: Copyright © 2024 Goiana-da-Silva, Sá, Cabral, Guedes, Vasconcelos, Sarmento, Morais Nunes, Moreira, Miraldo, Ashrafian, Darzi and Araújo. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-06-26T22:26:01Z 2024 2024-01-01T00:00:00Z |
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/10362/169109 |
url |
http://hdl.handle.net/10362/169109 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2296-2565 PURE: 93416568 https://doi.org/10.3389/fpubh.2024.1389057 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
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 |
reponame_str |
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 |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817546228411400192 |