<b><i>Introduction:</i></b> Since December 2019, more than 925,000 cases of COVID-19 have been reported worldwide, 8,251 in Portugal by the end March. Previous studies related to SARS pandemic showed a decrease up 80% emergency care episodes. Hence, objective this study is analyze use services during first month, compared historical records. <b><i>Methods:</i></b> Data from episodes mainland Portugal, January 2014 March 2020, were downloaded...

Background Heart failure (HF) is a significant global health problem, affecting approximately 64.34 million people worldwide. The worsening of HF, also known as HF decompensation, major factor behind hospitalizations, contributing to substantial care costs related this condition. Objective This study aimed explore the perspectives professionals and data scientists regarding relevance, challenges, potential benefits using machine learning (ML) models predict decompensation from patients with...

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....

Despite the significant body of evidence on efficacy and cost-effectiveness internet interventions, implementation such programs in Portugal is virtually non-existent. In addition, Portuguese psychologists' use their attitudes towards interventions largely unknown.

Despite the potential of digital mental health to provide cost-effective care, its adoption in clinical settings is limited, and little known about perspectives practices professionals regarding implementation or factors influencing these practices.

ABSTRACT The practice of healthcare management is essential for the efficient operation health services, encompassing leadership, management, and direction within organisations. ‘Health management’ extends beyond by integrating principles public policy. As commonly practised but not cohesively recognised, European Health Management Association (EHMA) conducted this study to develop a cohesive definition management. Developed through qualitative methodology comprising focus group discussions...

Abstract Purpose Generic instruments to assess health utilities can be used express the burden of problems in widely indexes. That is contrast with what obtained condition‐specific instruments, outcomes are very specific and difficult compare across conditions. The purpose this study was visual its determinants patients impairment ( VI ) using EQ ‐5D‐3L Activity Inventory AI ). Methods Participants were recruited different hospitals during PCVIP ‐study. A total 134 acuity 0.30 logMAR or less...

COVID-19 mitigation measures present unprecedent challenges in mental healthcare delivery, posing high risk to the health of at-risk populations namely, patients diagnosed with COVID-19, front-line providers and those submitted quarantine or isolation measures, as well as, general population. Ensuring safe equitable access by these groups entails resorting innovative psychosocial intervention strategies such Digital Mental Health. In this perspective piece, we describe impact on Portuguese...

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...

Internet-delivered interventions can provide remarkable opportunities in addressing breast cancer survivors' unmet support care needs, as they present an effective strategy to improve coordination and access efficacious, cost-efficient convenient survivorship care. Nevertheless, research focusing on improving psychosocial needs using internet-based tools is scarce its practical implementation limited. To study the acceptability, feasibility, efficacy cost-effectiveness of iNNOVBC, a 10 weeks...

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...

This study aims to evaluate the effect of COVID-19 pandemic on frequency emergency department (ED) visits in Portugal between March 2020 and July 2021.

Purpose To estimate and characterize the use of informal care by people with vision impairment in Portugal. Methods A total 546 visually impaired individuals were recruited from Portuguese hospitals. Clinical information was obtained medical records, socio-demographic details collected during face-to-face interviews. In addition, participants responded to a functional questionnaire (activity inventory) assess their visual ability. Logistic regression used determine independent factors...

Abstract Purpose To investigate the cost‐effectiveness of a basic vision rehabilitation service (basic‐VRS) in Portugal. We designed parallel group, randomised controlled trial whose aim is to compare effects and costs ‘usual low care’ with ‘basic‐VRS intervention’ on self‐reported visual ability other psychosocial health‐related quality‐of‐life outcomes. Methods The will recruit participants that meet following inclusion criteria: (1) acuity between 0.4–1.0 logMAR better‐seeing eye, (2)...

Despite the efficacy of psychosocial interventions in minimizing morbidity breast cancer survivors (BCSs), intervention delivery across survivorship is limited by physical, organizational, and attitudinal barriers, which contribute to a mental health care treatment gap settings.

Objectives To analyse the temporal and geographical diffusion of antivascular endothelial growth factor (anti-VEGF) interventions, its determinants in a National Health System (NHS). Setting NHS Portuguese hospitals. Participants All inpatient day cases related to eye diseases at all public hospitals for period 2002–2012 were selected on basis four International Classification Diseases 9th revision, Clinical Modification (ICD-9-CM) codes procedures: 1474, 1475, 1479 149. Primary secondary...

Purpose: To estimate productivity losses amongst people with impaired vision in Portugal and to investigate explanatory factors associated non-participation the labour market.Methods: A total of 546 visually individuals participated face-to-face interviews. Participants were asked about their workforce participation determine (employment status questionnaire), health-related quality life – HRQoL (EQ-5D) visual acuity ability (Activity Inventory). Productivity included absenteeism reduction...

Hospitalizations for ambulatory care sensitive conditions have been extensively used in health services research to assess access, quality and performance of primary care. Inter-country comparisons can assist policy-makers pursuing better outcomes by contrasting policy design, implementation evaluation. The objective this study is identify the conceptual, methodological, contextual dimensions factors that need be accounted when comparing these types hospitalizations across countries. A...

<b><i>Background:</i></b> The COVID-19 pandemic has posed greater financial pressure on health systems and institutions that had to respond the specific needs of patients while ensuring safety diagnosis treatment all healthcare professionals. To assess impact admitted hospitals, we have characterized cost admissions, using inpatient data from a Portuguese Tertiary Care University Centre. <b><i>Methods:</i></b> We analysed adult diagnosed with...

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...