دورية أكاديمية
The Portuguese NHS 2024 reform: transformation through vertical integration.
| العنوان: | The Portuguese NHS 2024 reform: transformation through vertical integration. |
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| المؤلفون: | Goiana-da-Silva F; Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.; NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal.; Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal.; Portuguese National Health Service Executive Board, Porto, Portugal., Sá J; Faculdade de Ciências da Saúde, Universidade da Beira Interior, Covilhã, Portugal.; ULS Santo António, Porto, Portugal., Cabral M; ULS São João, Porto, Portugal., Guedes R; ULS São João, Porto, Portugal., Vasconcelos R; ULS Região de Leiria, Leiria, Portugal., Sarmento J; Public Health Research Center, NOVA National School of Public Health, Universidade NOVA de Lisboa, Lisbon, Portugal., Morais Nunes A; Centre for Public Administration and Public Policies, Institute of Social and Political Sciences, University of Lisbon, Lisbon, Portugal., Moreira R; Portuguese National Health Service Executive Board, Porto, Portugal., Miraldo M; Department of Management, Centre for Health Economics & Policy Innovation (CHEPI), Imperial College Business School, London, United Kingdom., Ashrafian H; Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.; Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom., Darzi A; Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London, United Kingdom.; Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, United Kingdom., Araújo F; Portuguese National Health Service Executive Board, Porto, Portugal.; Faculty of Medicine, University of Porto, Porto, Portugal. |
| المصدر: | Frontiers in public health [Front Public Health] 2024 May 23; Vol. 12, pp. 1389057. Date of Electronic Publication: 2024 May 23 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Editorial Office |
| مواضيع طبية MeSH: | Health Care Reform* , National Health Programs*/organization & administration , Delivery of Health Care, Integrated*/organization & administration, Portugal ; Humans ; State Medicine/organization & administration ; Primary Health Care/organization & administration ; Continuity of Patient Care |
| مستخلص: | Vertical integration models aim for the integration of services from different levels of care (e.g., primary, and secondary care) with the objective of increasing coordination and continuity of care as well as improving efficiency, quality, and access outcomes. This paper provides a view of the Portuguese National Health Service (NHS) healthcare providers' vertical integration, operationalized by the Portuguese NHS Executive Board during 2023 and 2024. This paper also aims to contribute to the discussion regarding the opportunities and constraints posed by public healthcare organizations vertical integration reforms. The Portuguese NHS operationalized the development and generalization of Local Health Units management model throughout the country. The same institutions are now responsible for both the primary care and the hospital care provided by public services in each geographic area, in an integrated manner. This 2024 reform also changed the NHS organic and organizational structures, opening paths to streamline the continuum of care. However, it will be important to ensure adequate monitoring and support, with the participation of healthcare services as well as community structures and other stakeholders, to promote an effective integration of care. Competing Interests: FG-d-S and RM serve on the Management Board of the Portuguese National Health Service Executive Board. JuS, MC, RG, and RV serve as advisors to the Portuguese National Health Service Executive Board. AD is Chair of the Health Security initiative at Flagship Pioneering UK Ltd. FA is the Executive Director of the Portuguese National Health Service Executive Board. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Goiana-da-Silva, Sá, Cabral, Guedes, Vasconcelos, Sarmento, Morais Nunes, Moreira, Miraldo, Ashrafian, Darzi and Araújo.) |
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| فهرسة مساهمة: | Keywords: Portuguese NHS; health outcomes; healthcare reform; integrated care; service innovation; vertical integration |
| تواريخ الأحداث: | Date Created: 20240607 Date Completed: 20240607 Latest Revision: 20240608 |
| رمز التحديث: | 20240608 |
| مُعرف محوري في PubMed: | PMC11153707 |
| DOI: | 10.3389/fpubh.2024.1389057 |
| PMID: | 38846606 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2296-2565 |
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| DOI: | 10.3389/fpubh.2024.1389057 |