Health systems at the stage of complexity

Sakellarides, Constantino; Escoval, Ana; Barbosa, Patrícia; Santos, Ana Isabel González; Pedro, Ana Rita; Miranda, Débora Marques de

doi:10.4000/books.cidehus.8291

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…Unfortunately, this trend was reversed due to the austerity measures that were implemented in Portugal to cope with the 2008 worldwide financial crisis ( 7 ). The general impact of these measures on healthcare staff and patients, including reductions in the salaries of hospital staff and the introduction of user charges have been considered in previous publications ( 36 , 37 ). Funding for donation activities was effectively cut in half ( 7 ).…”

Section: Resultsmentioning

confidence: 99%

Lessons From the Portuguese Solid Organ Donation and Transplantation System: Achieving Success Despite Challenging Conditions

Streit¹,

Johnston-Webber²,

Mah³

et al. 2023

Transpl Int

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Over the past two decades, Portugal has become one of the world leaders in organ donation and transplantation despite significant financial constraints. This study highlights how Portugal achieved success in organ donation and transplantation and discusses how this information might be used by other countries that are seeking to reform their national programs. To accomplish this goal, we performed a narrative review of relevant academic and grey literature and revised our results after consultation with two national experts. Our findings were then synthesized according to a conceptual framework for organ donation and transplantation programs. Our results revealed several key strategies used by the Portuguese organ donation and transplantation program, including collaboration with Spain and other European nations, a focus on tertiary prevention, and sustained financial commitment. This report also explores how cooperative efforts were facilitated by geographical, governmental, and cultural proximity to Spain, a world leader in organ donation and transplantation. In conclusion, our review of the Portuguese experience provides insight into the development of organ donation and transplantation systems. However, other countries seeking to reform their national transplant systems will need to adapt these policies and practices to align with their unique cultures and contexts.

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Section: Resultsmentioning

confidence: 99%

Lessons From the Portuguese Solid Organ Donation and Transplantation System: Achieving Success Despite Challenging Conditions

Streit¹,

Johnston-Webber²,

Mah³

et al. 2023

Transpl Int

View full text Add to dashboard Cite

show abstract

“…Second, the increase in the proportion of EU citizens who incurred a rise in out-of-pocket expenditures, or experienced catastrophic expenditures, has consequences for health, namely delaying care which impacts health outcomes, especially for the most vulnerable living in disadvantaged areas ( Legido-Quigley et al, 2016 ; Palladino et al, 2016 ). Thus, cost constituted one major barrier during the recession period, leading several patients with chronic diseases to cut down on use of medication and adherence to treatments ( Sakellarides et al, 2014 ). Both pathways explain the increase of amenable death due to healthcare in the long-term ( Correia et al, 2015 ; Costa & Santana, 2021 ; Karanikolos et al, 2013 ; Legido-Quigley et al, 2016 ; Perelman et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education

Costa

Santana

2021

SSM - Population Health

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The study of premature deaths from causes that are generally preventable given the current availability of healthcare – called amenable deaths due to healthcare – provides information on the quality of services. However, they are not only impacted by healthcare characteristics: other factors are also likely to influence. Therefore, identifying the association between amenable deaths due to healthcare and health determinants, such as education, might be the key to preventing these deaths in the future. Still unclear however, is how this works and how amenable deaths due to healthcare are distributed and evolve within the European Union (EU) below the national level. We therefore studied the geographical and temporal patterns of amenable deaths due to healthcare in the 259 EU regions from 1999 to 2016, including the 2007–2008 financial crisis and the post-2008 economic downturn, and identified whether any association with education exists. A cross-sectional ecological study was carried out. Using a hierarchical Bayesian model, we estimated the average smoothed Standardized Mortality Ratios (sSMR). A regression model was also applied to measure the relative risks (RR) at 95% credible intervals for cause-specific mortality association with education. Results show that amenable deaths due to healthcare decreased globally. Nevertheless, the decrease is not the same across all regions, and inequalities within countries do persist, with lower mortality ratios seen in regions from Central European countries and higher mortality ratios in regions from Eastern European countries. Also, the evolution trend reveals that after the financial crisis, the number of these deaths increased in regions across almost all EU countries. Moreover, educational disparities in mortality emerged, and a statistical association was found between amenable deaths due to healthcare and early exit from education and training. These results confirm that identifying and understanding the background of regional differences may lead to a better understanding of the amenable deaths due to healthcare and allow for the application of more effective policies.

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Health systems at the stage of complexity

Cited by 2 publications

References 13 publications

Lessons From the Portuguese Solid Organ Donation and Transplantation System: Achieving Success Despite Challenging Conditions

Lessons From the Portuguese Solid Organ Donation and Transplantation System: Achieving Success Despite Challenging Conditions

Trends of amenable deaths due to healthcare within the European Union countries. Exploring the association with the economic crisis and education

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