The Portuguese NHS 2024 reform

Detalhes bibliográficos
Autor(a) principal: Goiana-da-Silva, Francisco
Data de Publicação: 2024
Outros Autores: Sá, Juliana, Cabral, Miguel, Guedes, Raisa, Vasconcelos, Rafael, Sarmento, João, Morais Nunes, Alexandre, Moreira, Rita, Miraldo, Marisa, Ashrafian, Hutan, Darzi, Ara, Araújo, Fernando
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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spelling 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
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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
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instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv 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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