A Reforma dos Cuidados de Saúde Primários em Portugal: portuguesa, moderna e inovadora

Gava, Gustavo Bonin; Dias, Hugo

doi:10.1590/1413-81232017223.33152016

Cited by 37 publications

(27 citation statements)

References 2 publications

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“…In many countries, this means a shift in focus towards education and training that prepares the workforce to deliver effective primary care and meet the increasing challenge of noncommunicable diseases. 22,23 There are good examples of education for primary care practice in medicine and nursing in Portugal, 24 South Africa 25 and Thailand. 26…”

Section: Competency-based Educationmentioning

confidence: 99%

Developing the health workforce for universal health coverage

Cometto

Buchan

Dussault

2019

Bull. World Health Organ.

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Section: Competency-based Educationmentioning

confidence: 99%

Developing the health workforce for universal health coverage

Cometto

Buchan

Dussault

2019

Bull. World Health Organ.

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“…Despite the increasing response of PC to urgent care in Portugal (Biscaia & Heleno, ), roughly one‐third of ED visits are estimated to be inappropriate, namely 32.56% in 2015 and 34.12% in 2016. As for the public hospital in Braga (in Northern Portugal), which is the district where we implement our study, the share of standard and non‐urgent patients in 2015 is 33.01% and in 2016 33.38% (data available from Portuguese National Health Ministry https://transparencia.sns.gov.pt).…”

Section: Introductionmentioning

confidence: 99%

Overestimation of health urgency as a cause for emergency services inappropriate use: Insights from an exploratory economics experiment in Portugal

Botelho

Correia

Fernandes

et al. 2019

Health Soc Care Community

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Increasing visits to emergency departments add strain to public healthcare systems.The misperception of symptoms' severity can partly explain inappropriate use of hospitals' emergency departments by non-urgent patients. This paper focuses on the misperception of symptoms' severity as a cause for the inappropriate use of emergency departments. It explores the role that informing potential patients of the correct severity level can play in correcting this inefficiency. We implement in an incentivised manner an exploratory economic experiment to elicit the degree of severity of five sets of symptoms, corresponding to frequent causes of emergency department visits. The study was setup in Braga, Northern Portugal, recruiting voluntary participants through civic local organisations. We ask participants to indicate the more suitable health service, before and after revealing the true degree of severity. Results show that there is an overestimation of the degree of severity of some clinical profiles, and when confronted with the real severity, in only half of the cases are choices changed to other health services.Although exploratory, this study provides insights into the potential role of health education policies concerning symptoms' severity but it also highlights the limits of such policies. Furthermore, the use of economic experiments can provide meaningful insights for the design of policies addressing demand-side healthcare inefficiencies. K E Y W O R D S economic experiment, elicitation of beliefs, emergency department demand, health services research, healthcare economics and organizations, non-urgent patients

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“…The pay scale for USF staff varies according to health profession and USF model. In addition, the attainable incentives are determined by the overall work done by the entire team and not according to individual work 6,7 .…”

Section: Following the Primary Health Care Reform Of 2005 (2005-2015)mentioning

confidence: 99%