Addressing Bureaucratic Burdens on the Portuguese National Health Service: A Simplification Experience Aiming for Value-Based Healthcare
Year: 2025
Type: article
Abstract: BACKGROUND/OBJECTIVES: The Portuguese NHS has embarked on an administrative restructuring aimed at enabling healthcare professionals, particularly family doctors, to focus on direct patient care and improve overall healthcare outcomes. This article details these measures, their initial benefits for patients and professionals, and explores future strategies to further integrate levels of care and leverage technology to enhance efficiency, patient-centeredness, and ultimately, population health. METHODS: Each measure was evaluated to estimate its potential impact on the four pillars of the value-based healthcare (VBHC) framework. RESULTS: We found that most measures aimed at reducing bureaucracy had an estimated impact on more than two of the four pillars. CONCLUSIONS: Thus, we conclude that the reduction in bureaucracy will tend to address several of the pillars of the VBHC framework and should be considered as a steppingstone in the process of increasing VBHC.
Source: Healthcare
Authors: Francisco Goiana-da-Silva, Raisa Guedes, Filipa Malcata, Juliana Sá, Miguel Cabral, Rafael Vasconcelos, Soraia Costa, Inês Morais-Vilaça, Lara Pinheiro-Guedes, João Sarmento, Filipe Costa, Rita Moreira, Fátima Fonseca, Jaime Alves, Marisa Miraldo, Alexandre Morais Nunes, Hutan Ashrafian, Ara Darzi, Fernando Araújo
Institutions: University of Beira Interior, Centro de Investigação em Ciências da Saúde, Imperial College London, Universidade Nova de Lisboa, Unidade Local de Saúde de Santo António EPE, Unidade Local de Saúde da Região de Leiria, Unidade Local de Saúde da Póvoa de Varzim/Vila do Conde, Unidade Local de Saúde Gaia/Espinho, Unidade Local de Saúde do Tâmega e Sousa, NOVA School of Business and Economics, Unidade Local de Saúde da Região de Aveiro, Government of Portugal, Ministério das Finanças (Portugal), University of Lisbon, Universidade do Porto
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,258
Funder: Imperial College London
OpenAlex ID: W4409155013
