Twenty years of the Primary Care Reform in Portugal: lessons learned and new challenges.

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-07-01 Epub Date: 2025-02-13 DOI:10.1590/1413-81232025307.21532024
Luis Augusto Pisco, Victor Borges Ramos
{"title":"Twenty years of the Primary Care Reform in Portugal: lessons learned and new challenges.","authors":"Luis Augusto Pisco, Victor Borges Ramos","doi":"10.1590/1413-81232025307.21532024","DOIUrl":null,"url":null,"abstract":"<p><p>In 1971, in a disruptive process with the dominant culture, the creation of a community network of health centers was begun in Portugal, with universal coverage of the national territory. In October 2005, an ambitious PHC reform was launched. The experience of this reform is now being revisited, motivating some reflections on the lessons learned and on challenges for the future. The last 20 years have been divided into four periods: from 2005 to 2010, marked by the reformist impulse that transformed the traditional hierarchical organization of health centers into networks of multidisciplinary family health service (FHS) teams; between 2010 and 2015, focusing on the severe financial crisis that affected the global economy; from 2015 to 2020, marked by economic and social consequences and the post-crisis recovery; and between 2020 and 2025, tainted by the COVID-19 pandemic, the lasting impacts of the pandemic, and, in the past two years, the generalization of the joint administration of primary, long-term, and hospital care under the legal figure of local health units (LHUs). Considering the full spectrum, the authors propose the integration of the aspects analyzed under the multidimensional perspective of the concept of Local Health.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 7","pages":"e21532024"},"PeriodicalIF":1.2000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ciencia & saude coletiva","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-81232025307.21532024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/13 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

In 1971, in a disruptive process with the dominant culture, the creation of a community network of health centers was begun in Portugal, with universal coverage of the national territory. In October 2005, an ambitious PHC reform was launched. The experience of this reform is now being revisited, motivating some reflections on the lessons learned and on challenges for the future. The last 20 years have been divided into four periods: from 2005 to 2010, marked by the reformist impulse that transformed the traditional hierarchical organization of health centers into networks of multidisciplinary family health service (FHS) teams; between 2010 and 2015, focusing on the severe financial crisis that affected the global economy; from 2015 to 2020, marked by economic and social consequences and the post-crisis recovery; and between 2020 and 2025, tainted by the COVID-19 pandemic, the lasting impacts of the pandemic, and, in the past two years, the generalization of the joint administration of primary, long-term, and hospital care under the legal figure of local health units (LHUs). Considering the full spectrum, the authors propose the integration of the aspects analyzed under the multidimensional perspective of the concept of Local Health.

葡萄牙初级保健改革二十年:经验教训和新挑战。
1971年,在一个颠覆主流文化的进程中,葡萄牙开始建立一个覆盖全国的社区保健中心网络。2005年10月,一项雄心勃勃的初级保健改革启动。现在正在重新审视这一改革的经验,促使人们对所吸取的教训和未来的挑战进行一些思考。过去20年可分为四个时期:2005年至2010年,改革浪潮将传统的保健中心等级组织转变为多学科家庭保健服务(FHS)团队网络;2010年至2015年,聚焦影响全球经济的严重金融危机;2015年至2020年,以经济和社会影响以及危机后复苏为标志;2020年至2025年期间,受COVID-19大流行的影响,大流行的持久影响,以及在过去两年中,在地方卫生单位(LHUs)的法律形象下,初级、长期和医院护理联合管理的推广。在全方位的考虑下,笔者提出了在多维度视角下对所分析的各个方面进行整合的地方健康概念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信