[Primary Healthcare Reform in Portugal on two fronts: autonomous family healthcare units and management of groupings of Health Centers]. / Reforma da Atenção Primária em Portugal em duplo movimento: unidades assistenciais autónomas de saúde familiar e gestão em agrupamentos de Centros de Saúde.
Cien Saude Colet
; 16(6): 2841-52, 2011 Jun.
Article
em Pt
| MEDLINE
| ID: mdl-21709981
In 2005, Portugal began a reform of Primary Health Care. This reform process through to April 2010 is described and analyzed. During this period the Mission for Primary Health Care was responsible for conducting a profound reconfiguration. The main objectives for this reform were to improve accessibility, efficiency, quality and continuity of care and increase the satisfaction of professionals and citizens. The main features are voluntary adhesion, teamwork, mandatory information system, performance-sensitive payment, contracting and evaluation. The reconfiguration of health centers was two pronged. First, there was the formation of small autonomous functional units, known as Family Health Units (USF) providing services with proximity and quality. The second measure involved the aggregation of resources and management structures, groups of health centers (ACES), seeking to achieve efficiency and economies of scale. The FHU proved to offer simultaneously more efficiency, accessibility, better working environment, greater citizen satisfaction, namely better quality. The importance of strong political support, the creation of a structure responsible for the design and implementation of reform and good liaison with the media are stressed.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Reforma dos Serviços de Saúde
País/Região como assunto:
Europa
Idioma:
Pt
Revista:
Cien Saude Colet
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Portugal
País de publicação:
Brasil