The Portuguese NHS 2024 reform: transformation through vertical integration

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 Port...

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Main Authors: Francisco Goiana- (Author), Juliana Sá (Author), Miguel Cabral (Author), Raisa Guedes (Author), Rafael Vasconcelos (Author), João Sarmento (Author), Alexandre Morais Nunes (Author), Rita Moreira (Author), Marisa Miraldo (Author), Hutan Ashrafian (Author), Ara Darzi (Author), Fernando Araújo (Author)
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Published: Frontiers Media S.A., 2024-05-01T00:00:00Z.
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100 1 0 |a Francisco Goiana-  |e author 
700 1 0 |a Francisco Goiana-  |e author 
700 1 0 |a Francisco Goiana-  |e author 
700 1 0 |a Francisco Goiana-  |e author 
700 1 0 |a Juliana Sá  |e author 
700 1 0 |a Juliana Sá  |e author 
700 1 0 |a Miguel Cabral  |e author 
700 1 0 |a Raisa Guedes  |e author 
700 1 0 |a Rafael Vasconcelos  |e author 
700 1 0 |a João Sarmento  |e author 
700 1 0 |a Alexandre Morais Nunes  |e author 
700 1 0 |a Rita Moreira  |e author 
700 1 0 |a Marisa Miraldo  |e author 
700 1 0 |a Hutan Ashrafian  |e author 
700 1 0 |a Hutan Ashrafian  |e author 
700 1 0 |a Ara Darzi  |e author 
700 1 0 |a Ara Darzi  |e author 
700 1 0 |a Fernando Araújo  |e author 
700 1 0 |a Fernando Araújo  |e author 
245 0 0 |a The Portuguese NHS 2024 reform: transformation through vertical integration 
260 |b Frontiers Media S.A.,   |c 2024-05-01T00:00:00Z. 
500 |a 2296-2565 
500 |a 10.3389/fpubh.2024.1389057 
520 |a 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. 
546 |a EN 
690 |a integrated care 
690 |a service innovation 
690 |a health outcomes 
690 |a vertical integration 
690 |a Portuguese NHS 
690 |a healthcare reform 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n Frontiers in Public Health, Vol 12 (2024) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fpubh.2024.1389057/full 
787 0 |n https://doaj.org/toc/2296-2565 
856 4 1 |u https://doaj.org/article/23b45a4ed0c949d38cbce2cad35f14df  |z Connect to this object online.