[Equity in Access to Health Care in Portugal: What Do We Know?]

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Acta medica portuguesa Pub Date : 2025-02-03 Epub Date: 2024-12-09 DOI:10.20344/amp.21668
Joana Fernandes, Cláudia Furtado, João Pereira
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引用次数: 0

Abstract

In Portugal, constitutional and legal norms stipulate that the healthcare system should be organized to ensure equity in access to healthcare. To guarantee this objective, it is usually assumed that individuals from different socio-economic groups presenting equal levels of need should have access to the same level of care. The present narrative review describes current knowledge on this topic. It provides a brief overview of the characteristics of the Portuguese healthcare system, which may influence the achievement of the objective of equity in health care access. The empirical evidence on this issue is also presented. In Portugal, equity in access has not been achieved for most types of health care. Particularly in the case of specialized health care, better-off groups of the population used more care for a given level of need. The situations where inequity exists should be examined and corrected; potential access barriers within the National Health Service should be considered, as the public healthcare system bears the responsibility for ensuring equity.

[公平获得医疗保健在葡萄牙:我们知道什么?]
在葡萄牙,宪法和法律规范规定,应组织医疗保健系统,以确保公平获得医疗保健。为了保证实现这一目标,通常假定来自不同社会经济群体、具有同等需求水平的个人应该能够获得同等水平的护理。当前的叙述性回顾描述了关于这个主题的当前知识。它提供了葡萄牙医疗保健系统的特点的简要概述,这可能会影响实现公平的目标,在医疗保健的机会。本文还提出了关于这一问题的经验证据。在葡萄牙,大多数类型的保健服务在获得机会方面尚未实现公平。特别是在专业保健方面,较富裕的人口群体在满足一定程度的需求时使用更多的保健服务。应审查和纠正存在不平等的情况;应该考虑到国民医疗服务体系内部潜在的准入障碍,因为公共医疗体系承担着确保公平的责任。
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来源期刊
Acta medica portuguesa
Acta medica portuguesa MEDICINE, GENERAL & INTERNAL-
CiteScore
1.90
自引率
16.70%
发文量
256
审稿时长
6-12 weeks
期刊介绍: The aim of Acta Médica Portuguesa is to publish original research and review articles in biomedical areas of the highest standard, covering several domains of medical knowledge, with the purpose to help doctors improve medical care. In order to accomplish these aims, Acta Médica Portuguesa publishes original articles, review articles, case reports and editorials, among others, with a focus on clinical, scientific, social, political and economic factors affecting health. Acta Médica Portuguesa will be happy to consider manuscripts for publication from authors anywhere in the world.
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