{"title":"Austeridade em Portugal: medidas implementadas e seu impacto no acesso, eficiência e qualidade do serviço nacional de saúde","authors":"A. Nunes, Andreia Afonso de Matos","doi":"10.5585/RGSS.V10I3.13339","DOIUrl":null,"url":null,"abstract":"In April 2011, a serious economic and social crisis erupted in Portugal, prompting the country to seek financial assistance from the International Monetary Fund, the European Commission and the European Central Bank, which in turn required compliance with a number of constant austerity of a memorandum. Part of these measures focused on the National Health Service, which required a cut in spending and a set of efficiency-enhancing reforms that generated savings through better resource reallocation and reduced investment. This article aims to show the results / effects of austerity and the steps already taken in the post-crisis period, through the analysis of the literature and health policies implemented. As a result there were some improvements in efficiency but serious problems in access to health services. In conclusion it can be affirmed that austerity was necessary but it was thought only for that moment and not in a perspective of construction of health policy for the future.","PeriodicalId":41211,"journal":{"name":"Revista de Gestao em Sistemas de Saude-RGSS","volume":"10 1","pages":"215-237"},"PeriodicalIF":0.1000,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista de Gestao em Sistemas de Saude-RGSS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5585/RGSS.V10I3.13339","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
In April 2011, a serious economic and social crisis erupted in Portugal, prompting the country to seek financial assistance from the International Monetary Fund, the European Commission and the European Central Bank, which in turn required compliance with a number of constant austerity of a memorandum. Part of these measures focused on the National Health Service, which required a cut in spending and a set of efficiency-enhancing reforms that generated savings through better resource reallocation and reduced investment. This article aims to show the results / effects of austerity and the steps already taken in the post-crisis period, through the analysis of the literature and health policies implemented. As a result there were some improvements in efficiency but serious problems in access to health services. In conclusion it can be affirmed that austerity was necessary but it was thought only for that moment and not in a perspective of construction of health policy for the future.
2011年4月,葡萄牙爆发了严重的经济和社会危机,促使该国向国际货币基金组织(imf)、欧盟委员会(European Commission)和欧洲央行(European Central Bank)寻求财政援助,而后者反过来又要求葡萄牙遵守一系列不断紧缩的备忘录。这些措施的一部分侧重于国民保健服务,这需要削减开支并进行一系列提高效率的改革,通过更好地重新分配资源和减少投资来节省开支。本文旨在通过对文献和实施的卫生政策的分析,展示紧缩政策的结果/影响以及危机后时期已经采取的步骤。因此,效率有所提高,但在获得保健服务方面存在严重问题。最后,可以肯定的是,紧缩是必要的,但这只是当时考虑的,而不是从构建未来卫生政策的角度考虑的。