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Health in Portugal under the Troika: What Happened to Health Reform and to Health System Performance?
Título Evento
The Welfare State in Portugal in the Age of Austerity
Ano (publicação definitiva)
2014
Língua
Inglês
País
Portugal
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Abstract/Resumo
The major purpose of this paper is to review the main changes in the Portuguese National
Health Service (SNS) features and performance that may result from the new wave of
austerity shaped by the Program of Financial Assistance. The implementation of policy
measures in the initial MoU is monitored and success in achieving their goal(s) is evaluated.
For comparative purposes, data on key indicators of health system performance (namely
concerning health care access and financing, and health status) are analyzed before and
after the initial MoU. Data sources include the original MoU and its updates, review reports
from the EC and the IMF, official journals, and the OECD and WHO health databases.
Policy measures implemented and not, changed, replaced or withdrawn from the MoU are
identified. Sectors and measures where implementation was more successful and
implementation obstacles are also identified. Finally, the extent of changes in programs that
derive from the MoU and the system performance itself will be assessed, in order to
determine if there are changes with implications concerning the constitutional principles of
the SNS: Is the universality in danger? Has the SNS lost its comprehensiveness? Has the
rise of copayments resulted in new access issues?
Agradecimentos/Acknowledgements
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