Health care reform and cost containment in Portugal

Pereira, João; Campos, António Correia de; Ramos, Francisco; Simões, Jorge; Reis, Vasco

doi:10.4324/9780429426971-15

Cited by 2 publications

(1 citation statement)

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“…Several facts linked to the geographic inequities in the Portuguese health care system can explain this finding. First, there are remarkable inequities in the allocation of medical human resources and materials in Portugal (41,42). For example, doctors and human resources are concentrated in Lisbon and Porto, with a lack in the number of doctors in the remote areas (23,43).…”

Section: Discussionmentioning

confidence: 99%

Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study

Shaaban¹,

Dias

Muggli³

et al. 2020

Front. Public Health

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Background: Thirty-day hospital readmission is receiving growing attention as an indicator of the quality of hospital care. Understanding factors associated with 30-day hospital readmission among HIV patients in Portugal is essential given the high burden cost of HIV hospitalizations in Portugal, a country suffering from financial constrains for almost 10 years. Objectives: We aimed to estimate the 30-day hospital readmission rates among HIV patients in Portugal and to identify its determinants using population-based data for Portuguese public hospitals.

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Section: Discussionmentioning

confidence: 99%

Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study

Shaaban¹,

Dias

Muggli³

et al. 2020

Front. Public Health

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Nondecision Making and Inertia in Portuguese Health Policy

Oliveira

Magone²,

Pereira³

2005

Journal of Health Politics, Policy and Law

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Despite there having been a positive context for initiating health care reforms in Portugal in the past fifteen years (accompanied by political consensus on the nature of the structural problems within the health care system), there has been a lack of reform initiatives. We use a process-based framework to show how institutional arrangements have influenced Portuguese health care reform. Evidence is presented to demonstrate inertia and nondecision making in three critical areas of Portuguese health policy: clarifying the public-private mix in coverage and provision, creating financial incentives and motivation for human resources, and introducing changes in the pharmaceutical market. Several factors seem to explain these processes, namely, problems in the balance of power within the political system, which have contributed to a lack of proper policy discussion; a lack of pluralism in the formation of health care policies (with low participation from citizens and high mobilization among structural interest groups); and the low priority of health care in public sector reforms. Portuguese politicians should be aware of the pitfalls of the current political system that constrain participatory arrangements and pluralism in policy making. In order to pursue health care reform, future governments will need to counterbalance the strong influence of structural interest groups.

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Health care reform and cost containment in Portugal

Cited by 2 publications

References 0 publications

Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study

Risk of Readmission Among HIV Patients in Public Portuguese Hospitals: Longitudinal Multilevel Population-Based Study

Nondecision Making and Inertia in Portuguese Health Policy

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