A5018104935- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Geriatric Care and Nursing Homes
- Global Health Care Issues
- Clinical practice guidelines implementation
- Geography and Environmental Studies
- Health Promotion and Cardiovascular Prevention
- Healthcare Systems and Reforms
- Environmental and Social Impact Assessments
- Global Healthcare and Medical Tourism
- Health, Medicine and Society
- Healthcare Systems and Challenges
- Agricultural and Food Sciences
- Eosinophilic Esophagitis
Universidade Nova de Lisboa
2015-2025
Escola Nacional de Saúde Pública
2018-2020
University of Lisbon
2019-2020
The high financial burden of avoidable hospitalizations has led to an increase the study for ambulatory care sensitive conditions (ACSC). There is limited information on impact secondary diagnoses these hospitalizations, although patients' social and demographic characteristics, as well coexistence multiple diseases are often identified in literature risk factors hospitalizations. This explores chronic likelihood ACSC. Data were extracted from Portuguese hospital discharge database....
The Portuguese NHS has embarked on an administrative restructuring aimed at enabling healthcare professionals, particularly family doctors, to focus direct patient care and improve overall outcomes. This article details these measures, their initial benefits for patients explores future strategies further integrate levels of leverage technology enhance efficiency, patient-centeredness, ultimately, population health. Each measure was evaluated estimate its potential impact the four pillars...
O município de Maracás, na Bahia, possui grande potencial para o cultivo flores, sendo um dos principais polos produtores da região. No entanto, essa produção enfrenta desafios relacionados ao reconhecimento e à valorização sua qualidade autenticidade. A concessão Indicação Geográfica (IG) pode ser uma estratégia importante agregar valor às flores cultivadas no município, que é afamada como a “Cidade das Flores”, promovendo inserção em mercados mais amplos fortalecendo economia local....
Abstract Background Ambulatory Care Sensitive Conditions (ACSCs) are health conditions for which adequate management, treatment and interventions delivered in the ambulatory care setting could potentially prevent hospitalization. Which sensitive to varies according scope of services context indicator is used. The need a country-specific validated list Portugal has already been identified, but currently no national exists. objective this study was develop Portugal. Methods A modified...
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...
The aim of this study is to evaluate the health systems performance through avoidable hospital admissions, once these have gained international relevance. We used two different methods identify admissions for Ambulatory Care Sensitive Conditions, describing Portuguese reality and evolution.Over 12 million hospitalizations were analyzed between 2000 2012 using national discharge databases. methodologies determining their concordance. also estimated potential improvement scenarios.In 2012,...
Ambulatory care sensitive conditions (ACSC) can be avoided through effective in the ambulatory setting. Patients are most qualified individuals to express social and individual contexts of their own experience. Thus, understanding why potentially preventable hospitalizations occur is important develop patient-centred policies or interventions that may reduce them. This study aims validate a questionnaire capture patients’ perspective on causes for ACSC. The development new involved four...
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 2.913 (2021 JCR, received June 2022)The IJIC 20th Anniversary Issue was published 2021.
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...
Introduction:The healthcare systems worldwide face a challenge posed by the increasing life expectancy, growing prevalence of non-communicable diseases and resulting increased demand for resources(1).The integration care, with purpose quality access (among others) has been widely discussed as possible solution in this context(1).The Ambulatory Care Sensitive Conditions (ACSC) have proven to be valid indicator both Primary quality(2).In Portugal there is no framework on ACSC or any knowledge...
<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...
Introduction: One of the most recent important policy reforms in Portuguese healthcare sector was creation seven new vertically integrated organizations, known as Local Health Units (LHU). These organizations are responsible for primary and secondary levels care, providing comprehensive services on a population based approach. Currently LHUs cover approximately 12% total have global yearly budget 650 million euros. Theory/ Methods: Despite lack evidence about empirical benefits it is...
Introduction: Ambulatory care sensitive conditions (ACSC) have been robustly studied as an indirect indicator of access and quality (primary) (1–6). Once these coincide with two fundamental objectives integrated (7) it makes sense to use the admissions for ACSC care. In Portugal this is a relevant phenomenon in National Health Service that needs further depth studying (8). The present study aims identify if patients are admitted multiple times ACSC.Objectives: Identify characterize...
Introduction: The high financial burden of avoidable hospitalizations has led to an increase the study for ambulatory care sensitive conditions (ACSC). Although patients’ social and demographic characteristics are frequently identified in literature as factors that risk hospitalization, there is little information on impact multiple chronic these hospitalizations. Our looks relationship between ACSC hospitalizations.Theory/Methods: Data consists all portuguese health system 2008 2012....
Introduction:Local Health Units (LHU) provide vertical integrated healthcare services in Portugal.The first LHU was created 1999, and since 2007, seven more followed.In 2012, the LHUs cover approximately 10% of Portuguese population, using 630M€ public financing.Until this moment, little evidence about performance LHUs.Objective: Identify analyze variation rate Hospitalizations for Ambulatory Care Sensitive Conditions (HACSC), before after creation LHUs. Methods:The HACSC rates were...
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)
Abstract Background Ambulatory Care Sensitive Conditions (ACSCs) are health conditions for which adequate management, treatment and interventions delivered in the ambulatory care setting could potentially prevent hospitalization. Which sensitive to varies according scope of services context indicator is used. The need a country-specific validated list Portugal has already been identified, but currently no national exists. objective this study was develop Portugal. Methods A modified...
Abstract BackgroundAmbulatory Care Sensitive Conditions (ACSCs) are health conditions for which adequate management, treatment and interventions delivered in the ambulatory care setting could potentially prevent hospitalization. Which sensitive to varies according scope of services context indicator is used. The need a country-specific validated list Portugal has already been identified, but currently no national developed yet. MethodsA modified web-based Delphi panel approach was designed,...