Primary health care in Portugal: a history with more than 50 years – the perspective of a future family doctor
DOI:
https://doi.org/10.32385/rpmgf.v39i4.13732Keywords:
Primary health care, General practice, Family practice, History of medicineAbstract
Primary health care in Portugal has a history of more than fifty years, which began in the 70s and was marked by the creation of the general practice career and residency, and the great reform of 2005 which led to the creation of the family health units. Nowadays, primary health care has presented good results, standing out in the international panorama, despite the multiple difficulties that it finds every day. We must keep up the good work of the past generations, never forgetting the cornerstone of its practice: the doctor-patient relationship.
Downloads
References
World Health Organization, Regional Office for Europe. Declaration of Alma-Ata [homepage]. Copenhagen: WHO; 1978. Available from: https://apps.who.int/iris/handle/10665/347879
World Health Organization. United Nations Children's Fund. A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals [homepage]. Geneva: WHO; 2018. Available from: https://apps.who.int/iris/handle/10665/328065
Santos P, Sá AB, Santiago L, Hespanhol A. A árvore da WONCA: tradução e adaptação cultural para português [The WONCA tree: Portuguese translation and cultural adaptation]. Rev Port Med Geral Fam. 2021;37(1):28-35. Portuguese
Biscaia AR, Fehn AC, Pereira A. The Portuguese family physician: a narrative. Cad Saude Publica. 2019;35(1):e00127118.
Branco AG, Ramos V. Cuidados de saúde primários em Portugal [Primary health care in Portugal]. Rev Port Saúde Pública. 2001;vol. temático 2:5-12. Portuguese
Decreto-Lei nº 580/76, de 21 de julho. Diário da República. I Série;(169).
Pereira TL. Unidades de saúde familiar: a evolução na gestão dos cuidados de saúde primários em Portugal [dissertation]. Porto: Faculdade de Medicina da Universidade do Porto; 2012. Available from: https://hdl.handle.net/10216/61085
Sousa JC, Sardinha AM, Perez Y Sanchez J, Melo M, Ribas MJ. Os cuidados de saúde primários e a medicina geral e familiar em Portugal [Primary health care and general practice in Portugal]. Rev Port Saúde Pública. 2001;Vol. Temático(2):63-74. Portuguese
Jordão JG. A medicina geral e familiar: caracterização da prática e sua influência no ensino pré-graduado [dissertation]. Lisboa: Faculdade de Medicina da Universidade de Lisboa; 1995. Available from: http://hdl.handle.net/10451/2031
Sousa JC. A raposa e as uvas: um olhar sobre a reforma dos cuidados de saúde primários [The fox and the grapes: a look at primary health care reform]. Rev Port Clin Geral. 2007;23(2):117-22. Portuguese
Sousa JC. Celebrando 20 anos do regime remuneratório experimental em cuidados de saúde primários: uma reflexão pessoal sobre um percurso único. Rev Port Med Geral Fam. 2019;35(5):340-4.
Biscaia AR. A reforma dos cuidados de saúde primários e a reforma do pensamento [The reform of primary care and thought reform]. Rev Port Clin Geral. 2006;22(1):67-79. Portuguese
Simões JA. Momento atual e futuro da medicina geral e familiar em Portugal. Acção Méd. 2020;84(1):7-14.
Decreto-Lei nº 28/2008, de 22 de fevereiro. Diário da República. I Série;(38).
Associação Portuguesa de Médicos de Clínica Geral. Um futuro para a medicina de família em Portugal. Lisboa: Associação Portuguesa de Medicina Geral e Familiar; 2016.
Organisation for Economic Co-operation and Development, Observatório Europeu dos Sistemas e Políticas de Saúde. Portugal: perfil de saúde do país 2021 (estado de saúde na UE) [Internet]. Paris: OCDE; 2021. Available from: https://health.ec.europa.eu/system/files/2021-12/2021_chp_pt_portuguese.pdf
Biscaia AR, Pereira A, Alves AM, Cardeira R, Rocha L. O momento atual da reforma dos cuidados de saúde primários em Portugal 2021/2022: questionário aos coordenadores de USF (relatório do estudo) [homepage]. Lisboa: Associação Nacional de Unidades de Saúde Familiar (USF-AN); 2022. Available from: https://app.box.com/s/hgqj72ajjfjrsr4uglqv5ez2wxdbomts?utm_term=Dados+do+Estudo+Momento+Atual+da+Reforma+dos+Cuidados+de+Saude+Primarios+em+Portugal+2021%2F2022++USF-AN&utm_campaign=S%3Fcios+USF-AN_17novembro2021&utm_source=e-goi&utm_medium=email
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Portuguese Journal of Family Medicine and General Practice

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The authors will assign to the RPMGF the sole right to publish and distribute the content of the manuscript specified in this declaration via physical, electronic, broadcasting or any other medium that may come into existence. They also grant the RPMGF the right to use and exploit this manuscript, in particular by assigning, selling or licensing its content. This permission is permanent and takes effect from the moment the manuscript is submitted, has the maximum duration allowed by applicable Portuguese or international law and is of worldwide scope. The authors further declare that this assignment is made free of charge. If the RPMGF informs the authors that it is not going to publish their manuscript, the exclusive assignment of rights ceases forthwith.
The authors authorise the RPMGF (or any entity it may appoint) to act on their behalf when it believes that copyright may have been infringed.