A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services

Detalhes bibliográficos
Autor(a) principal: Nunes, Alexandre Morais
Data de Publicação: 2022
Outros Autores: Ferreira, Diogo Cunha
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.5/28087
Resumo: The Portuguese health system has a universal, public, general National Health Service (NHS), tending towards free healthcare access. Created in 1979, this delivery model developed from the integration and complementarity between the different response levels (primary, hospital, continuing, and palliative care). However, over the last 40 years, the initially centralized system underwent a decentralization process with the creation of Regional Health Administrations in the five mainland administrative regions. Since then, the entire NHS has settled around this new organization. The most recent step started in 2018 with the decentralization of primary healthcare skills to 190 municipalities. This paper presents the various critical issues involved in the latest gradual decentralization process in health, intending to bring services closer to the citizens, and to be more focused on their needs. The article identifies and discusses the implications of this experience based on the steps foreseen in the already-published legal texts.
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spelling A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision ServicesDecentralizationNational health serviceRegional health administrationPrimary healthcarePortugalThe Portuguese health system has a universal, public, general National Health Service (NHS), tending towards free healthcare access. Created in 1979, this delivery model developed from the integration and complementarity between the different response levels (primary, hospital, continuing, and palliative care). However, over the last 40 years, the initially centralized system underwent a decentralization process with the creation of Regional Health Administrations in the five mainland administrative regions. Since then, the entire NHS has settled around this new organization. The most recent step started in 2018 with the decentralization of primary healthcare skills to 190 municipalities. This paper presents the various critical issues involved in the latest gradual decentralization process in health, intending to bring services closer to the citizens, and to be more focused on their needs. The article identifies and discusses the implications of this experience based on the steps foreseen in the already-published legal texts.MDPIRepositório da Universidade de LisboaNunes, Alexandre MoraisFerreira, Diogo Cunha2023-08-17T07:50:52Z2022-10-172022-10-17T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.5/28087enghttps://doi.org/10.3390/ijerph192013390info: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:RCAAP2023-08-20T01:30:32Zoai:www.repository.utl.pt:10400.5/28087Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:27:22.646063Repositório 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 A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services
title A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services
spellingShingle A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services
Nunes, Alexandre Morais
Decentralization
National health service
Regional health administration
Primary healthcare
Portugal
title_short A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services
title_full A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services
title_fullStr A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services
title_full_unstemmed A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services
title_sort A Critical Analysis of Decentralizing the Portuguese Public Healthcare Provision Services
author Nunes, Alexandre Morais
author_facet Nunes, Alexandre Morais
Ferreira, Diogo Cunha
author_role author
author2 Ferreira, Diogo Cunha
author2_role author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Nunes, Alexandre Morais
Ferreira, Diogo Cunha
dc.subject.por.fl_str_mv Decentralization
National health service
Regional health administration
Primary healthcare
Portugal
topic Decentralization
National health service
Regional health administration
Primary healthcare
Portugal
description The Portuguese health system has a universal, public, general National Health Service (NHS), tending towards free healthcare access. Created in 1979, this delivery model developed from the integration and complementarity between the different response levels (primary, hospital, continuing, and palliative care). However, over the last 40 years, the initially centralized system underwent a decentralization process with the creation of Regional Health Administrations in the five mainland administrative regions. Since then, the entire NHS has settled around this new organization. The most recent step started in 2018 with the decentralization of primary healthcare skills to 190 municipalities. This paper presents the various critical issues involved in the latest gradual decentralization process in health, intending to bring services closer to the citizens, and to be more focused on their needs. The article identifies and discusses the implications of this experience based on the steps foreseen in the already-published legal texts.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-17
2022-10-17T00:00:00Z
2023-08-17T07:50:52Z
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/10400.5/28087
url http://hdl.handle.net/10400.5/28087
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://doi.org/10.3390/ijerph192013390
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.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
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
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
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