Goiana-da-Silva Francisco, Guedes Raisa, Malcata Filipa, Sá Juliana, Cabral Miguel, Vasconcelos Rafael, Costa Soraia, Morais-Vilaça Inês, Pinheiro-Guedes Lara, Sarmento João, Costa Filipe, Moreira Rita, Fonseca Fátima, Alves Jaime, Miraldo Marisa, Nunes Alexandre Morais, Ashrafian Hutan, Darzi Ara, Araújo Fernando
Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK.
Nova Medical School, Travessa de Estêvão Pinto-Campus de Campolide, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal.
Healthcare (Basel). 2025 Apr 4;13(7):821. doi: 10.3390/healthcare13070821.
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.
Each measure was evaluated to estimate its potential impact on the four pillars of the value-based healthcare (VBHC) framework.
We found that most measures aimed at reducing bureaucracy had an estimated impact on more than two of the four pillars.
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.
背景/目标：葡萄牙国民健康服务体系已着手进行行政结构调整，旨在使医疗保健专业人员，尤其是家庭医生，能够专注于直接的患者护理，并改善整体医疗保健成果。本文详细介绍了这些措施、它们对患者和专业人员的初步益处，并探讨了未来的策略，以进一步整合护理层面并利用技术提高效率、以患者为中心，最终改善人群健康。
对每项措施进行评估，以估计其对基于价值的医疗保健（VBHC）框架的四个支柱的潜在影响。
我们发现，大多数旨在减少官僚作风的措施对四个支柱中的两个以上产生了估计影响。
因此，我们得出结论，减少官僚作风往往会涉及VBHC框架的几个支柱，应被视为增加VBHC过程中的一块垫脚石。
