HEALTH TECHNOLOGY ASSESSMENT IN PORTUGAL. Pinto, M. M.; Ramos, F.; and Pereira, J. International Journal of Technology Assessment in Health Care, 16(2):520--531, April, 2000.
HEALTH TECHNOLOGY ASSESSMENT IN PORTUGAL [link]Paper  abstract   bibtex   
The Portuguese healthcare system is often portrayed as a National Health Service (NHS) model, characterized by universal coverage, comprehensive benefits, nearly free services, national tax financing, and public ownership or control of the factors of production. However, in reality the system fails to accomplish these features in a complete way. There coexist a number of occupation-related health insurance schemes that were originally intended to be integrated into the NHS. In addition, in key areas the NHS does not provide the wide range of services it promises. The public sector has a predominant role in the provision of hospital stays and general practitioner consultations, but the private sector provides a major portion of specialist consultations, dental consultations, and diagnostic services. Major problems in the system led to health reforms in the 1990s. New reform proposals include some specific steps concerning health technology, including standards for medical equipment based on quality, geographic distribution, sustainability, and cost-effectiveness. A new National Plan of Health Equipment was completed in 1998, aimed at improving the distribution of equipment. Despite reforms, healthcare expenditures continue to rise. There is general agreement that gains in efficiency could be made. This situation is beginning to encourage interest in health technology assessment (HTA) in Portugal, although these activities are not yet very developed. Recently, legislation requiring presentation of economic evaluations for new pharmaceutical products was enacted. Present plans also call for the creation in the future of a national agency for HTA.
@article{pinto_health_2000,
	title = {{HEALTH} {TECHNOLOGY} {ASSESSMENT} {IN} {PORTUGAL}},
	volume = {16},
	issn = {1471-6348, 0266-4623},
	url = {https://www.cambridge.org/core/journals/international-journal-of-technology-assessment-in-health-care/article/health-technology-assessment-in-portugal/B68290958E8765DC0A7300DE93549CD8},
	abstract = {The Portuguese healthcare system is often portrayed as a National
Health Service (NHS) model, characterized by universal coverage,
comprehensive benefits, nearly free services, national tax financing, and
public ownership or control of the factors of production. However, in
reality the system fails to accomplish these features in a complete
way. There coexist a number of occupation-related health
insurance schemes that were originally intended to be integrated into
the NHS. In addition, in key areas the NHS does not provide the wide
range of services it promises. The public sector has a predominant
role in the provision of hospital stays and general practitioner
consultations, but the private sector provides a major portion of
specialist consultations, dental consultations, and diagnostic
 services. Major problems in the system led to health reforms in the
1990s. New reform proposals include some specific steps concerning
health technology, including standards for medical equipment based on
quality, geographic distribution, sustainability, and
cost-effectiveness. A new National Plan of Health Equipment was
completed in 1998, aimed at improving the distribution of equipment.
Despite reforms, healthcare expenditures continue to rise. There is
general agreement that gains in efficiency could be made. This
situation is beginning to encourage interest in health
technology assessment (HTA) in Portugal, although these activities
are not yet very developed. Recently, legislation requiring
presentation of economic evaluations for new pharmaceutical products
was enacted. Present plans also call for the creation in the future of a national
agency for HTA.},
	number = {2},
	urldate = {2017-08-18TZ},
	journal = {International Journal of Technology Assessment in Health Care},
	author = {Pinto, Manuela Mota and Ramos, Francisco and Pereira, João},
	month = apr,
	year = {2000},
	keywords = {Delivery of health care, Portugal, Technology assessment, biomedical},
	pages = {520--531}
}
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