Hospitalizations for ambulatory care sensitive conditions are commonly used to evaluate primary health performance, as the hospital admission could be avoided if was timely and adequate. Previous evidence indicates that avoidable hospitalizations carry a substantial direct financial burden in some countries. However, no attention has been given economic on society they represent. The aim of this study is estimate lost productivity costs admissions Portugal.Hospitalizations occurring Portugal...

Abstract Hospitalizations for ambulatory care sensitive conditions have been used to measure access, quality and performance of the primary health delivery system, as timely adequate could potentially avoid need hospitalization. Comparative research provides opportunity cross-country learning process. Brazil Portugal reformed their services in last years, with similar organizational characteristics. We hospitalization data year 2015 compare hospitalizations between two countries, discussed...

Vertical integration is expected to improve communication and coordination between inpatient care after discharge. Despite being used across health systems worldwide, evidence about its impact on readmissions sparse contradictory.To assess the of vertical hospital readmissions.Using difference-in-differences we compared before in 6 Portuguese hospitals for years 2004-2013. A control group with similar not integrated was utilized. Considered outcome 30-day unplanned readmission. We logistic...

Multiple admissions for ambulatory care sensitive conditions (ACSC) are responsible an important proportion of health expenditures. Diabetes is one the consensually classified as ACSC being considered a major public concern. The aim this study was to analyse impact diabetes on occurrence multiple ACSC.We analysed inpatient data all Portuguese NHS hospitals from 2013 2015 among adults aged 18 or older. users were identified if they had two more any during period analysis. Two logistic...

Objectives Identification of rehospitalisations for heart failure and contributing factors flags health policy intervention opportunities designed to deliver care at a most effective efficient level. Recognising that is condition which timely appropriate outpatient can potentially prevent the use inpatient services, we aimed determine what extent comorbidities material deprivation were predictive 1 year specific rehospitalisation. Setting All Portuguese mainland National Health Service (NHS)...

The utilization of emergency department (ED) during the post-discharge period may provide relevant insights to reduce fragmentation care, particularly in a context general intense use. We aimed describe frequency and patient attributes associated with visits within 30 days inpatient discharge Portuguese health region-Algarve.Secondary data on for adult patients discharged 2016. To analyse association between outcome-ED visit discharge-and selected variables (admission type groups or...

pathways 2) governance, innovation and sustainability models, 3) value based perspective.The multi-SHs panel agreed on three main pillars for diabetes governance: i) promoting digital healthcare to support decision makers choices; ii) introducing solutions models an integrated management of according the VBHC; iii) new persons' centeredness.According multi SHs panel, governance should be a multi-professionals approach involving GPs in managing guided by population medicine principles.The...

<b><i>Background:</i></b> In Portugal, a public policy established the Local Health Units (LHUs), merging primary and hospital care providers. LHUs are expected to provide better continuity coordination of care, thus decreasing number unplanned readmissions among those with chronic conditions. This study aims evaluate influence conditions on risk readmission at LHUs. <b><i>Methods:</i></b> We used inpatient administrative databases for years...

A recente evolução do registo informático dos atos de prescrição e levantamento medicação disponibiliza um conjunto dados que possibilita a mensuração comportamentos adesão terapêutica, por recurso Fontes administrativas dados. Pretendeu‐se caracterizar o comportamento no subgrupo fármaco‐terapêutico antagonistas recetores da angiotensina, doentes hipertensos residentes na região saúde Alentejo nos anos 2010‐2011. Constatou‐se terapêutica primária foi 61,2% total se situou entre 55,7‐69,5%,...

Background: Portugal began the implementation of an integrated care network for Long Term Care (LTCIN) in 2006. Its main objective is to deliver services health and social support including post-acute long term care. There are four different types inpatient LTC units: Palliative Units (PCU), Convalescent (CCU), Medium Stay Rehabilitation (MSRCU) Long-Stay Maintenance (LSMCU) (1). These units financed both by Ministry Health Social Affairs.In 2014 represented roughly 0.1% Portuguese GDP....

<b><i>Introdução:</i></b> O envelhecimento populacional, o aumento da prevalência de doenças crónicas e multipatologia, são fenómenos que encontraram novas respostas com a criação Rede Nacional Cuidados Continuados Integrados (RNCCI) em Portugal, partir 2006. É esperado esta estrutura adicional oferta cuidados permita contribuir para valor aos seus utentes. <b><i>Objetivo:</i></b> presente estudo teve como objetivos estimar consumo recursos...

<b><i>Introduction:</i></b> Breast cancer (BC) is the most common among Portuguese women and it associated with high hospitalization rates. Therefore, this study aims to characterize BC hospital admission rate (HAR) in period of 2002–2016, an additional focus on spatiotemporal patterns hospitalizations by (main code). <b><i>Methods:</i></b> After a descriptive analysis all hospitalizations, main code HAR was studied using mapping techniques,...

Abstract Background About 20%-25% of patients return to the emergency department (ED) within 30 days after inpatient discharge. This outcome is relevant since it may signal failures in care and transitions. However, literature on topic still scarce. Our study aims describe frequency patient attributes associated with ED visits (30d) discharge one public Portuguese hospital. Methods The included adult discharged 2016. Admissions deceased or transferred were excluded. rate 30d was computed for...