The primary care health reform in 2005: a public health problem
DOI:
https://doi.org/10.32385/rpmgf.v40i2.13856Keywords:
Reform, Primary health care, Health inequalitiesAbstract
The authors address some problems created by the Portuguese primary care reform in 2005, namely management by Primary Care Trust like organisations, the impact of pay for performance, and the increase of inequality in delivering primary care across the country due to different types of practices.
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References
Gil VM, Ribeiras R, Pinto FJ, Baptista JM. Medical leadership: different perspectives. Acta Med Port. 2022;35(6):409-10.
Weibel A, Rost K, Osterloh M. Pay for performance in the public sector: benefits and (hidden) costs. J Public Adm Res Theory. 2010;20(2):387-412.
Campbell SM, Reeves D, Kontopantelis E, Sibbald B, Roland M. Effects of pay for performance on the quality of primary care in England. N Eng J Med. 2009;361(4):368-78.
Roland M, Guthrie B. Quality and outcomes framework: what have we learnt? BMJ. 2016;354:i4060.
British Medical Association. Let GPs do their job [homepage]. BMA; 2023 Jul 04. Available from: https://www.bma.org.uk/news-and-opinion/let-gps-do-their-job
Serviço Nacional de Saúde. Transparência [homepage]. Lisboa: Ministério da Saúde; 2024. Available from: https://www.sns.gov.pt/transparencia/
Conselho Nacional de Ética para as Ciências da Vida. Conselho Nacional de Ética apreensivo face ao aumento de 8,7% de interrupção da gravidez entre mulheres não portuguesas [homepage]. Lisboa: CNECV; 2022 Jul 22. Available from: https://www.cnecv.pt/pt/noticias/conselho-nacional-de-etica-apree
Dobson J. Time is running out to resolve the NHS workforce crisis. BMJ. 2023;380:p681.
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