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Advisor(s)
Abstract(s)
As instituições de saúde, ao longo do tempo, têm sofrido alterações ao nível da gestão e organização dos serviços, com a finalidade de melhorar os cuidados prestados. A reforma dos cuidados de saúde primários (CSP) iniciada em 2005, representa um corte profundo com o passado. O objetivo deste trabalho foi descrever a evolução dos CSP em Portugal com destaque na atual reforma dos CSP, identificar sucessos e insucessos e concluir até que ponto a reforma em curso responde às questões que a motivaram e em que medida, o que foi feito até agora tem contribuído para a melhoria do estado de saúde dos portugueses. As mudanças organizacionais operadas tiveram impacto positivo na eficiência, eficácia, e equidade de acesso aos cuidados de saúde, embora nem todos os objetivos foram plenamente atingidos. O novo modelo organizacional, que pretende garantir a viabilidade sustentabilidade financeira dos CSP, terá que encontrar o equilíbrio na gestão dos recursos disponíveis procurando garantir saúde para todos. Os sistemas de informação permitiram também agilizar os processos. A procura de maior eficiência operacional, poderá passar pelo combate ao desperdício, como forma de reduzir a necessidade de mais recursos financeiros, para o mesmo volume de actividade desenvolvida.
Health institutions, over time, have changed in the management and organization of services, with the aim of improving health care services. The reform of primary health care (PHC), in 2005, represents a profound break with the past. This reform is based on what health professionals advocate for many years. The aim of this study was to describe the evolution of CSP in Portugal especially in the current reform of the CSP, identify successes and failures and conclude the extent to which the ongoing reform responds to the questions that motivated and to what extent, which so far has been done has contributed to improving the health status of the Portuguese. The organizational changes occurred had a positive impact on the efficiency, effectiveness, and equity of access to health care, although not all objectives were fully achieved. The new organizational model, which aims to ensure the viability financial sustainability of CSP, will have to find the balance in the management of available resources while ensuring health for all. Information systems also allowed streamline processes. The search for greater operational efficiency, you can go through combating waste, in order to reduce the need for more financial resources for the same volume of activity developed.
Health institutions, over time, have changed in the management and organization of services, with the aim of improving health care services. The reform of primary health care (PHC), in 2005, represents a profound break with the past. This reform is based on what health professionals advocate for many years. The aim of this study was to describe the evolution of CSP in Portugal especially in the current reform of the CSP, identify successes and failures and conclude the extent to which the ongoing reform responds to the questions that motivated and to what extent, which so far has been done has contributed to improving the health status of the Portuguese. The organizational changes occurred had a positive impact on the efficiency, effectiveness, and equity of access to health care, although not all objectives were fully achieved. The new organizational model, which aims to ensure the viability financial sustainability of CSP, will have to find the balance in the management of available resources while ensuring health for all. Information systems also allowed streamline processes. The search for greater operational efficiency, you can go through combating waste, in order to reduce the need for more financial resources for the same volume of activity developed.
Description
Keywords
Primary health care Cuidados de saúde primários Reform Reforma Reorganization Reorganização
Pedagogical Context
Citation
Magalhaes, A. R. dos S., & Faria, B. M. (2015). The evolution of health care in Portugal. 2015 10th Iberian Conference on Information Systems and Technologies (CISTI), 1–4. https://doi.org/10.1109/CISTI.2015.7170482
Publisher
Institute of Electrical and Electronics Engineers