Portugal Health System Review
Leitura indispensável: Relatório "Health Systems in Transition (HiT)– Portugal Health System Review", elaborado pela equipa coordenada por Jorge Simões (Universidade de Aveiro) e Pedro Pita Barros (Universidade Nova de LIsboa) link
«The RHA budget for primary health care was set in 2003 on the basis of a combination of historical expense and capitation. This approach was introduced in 1998 and the budget computation has been progressively skewed towards a relative increase of the capitation component. Each RHA budget reached a balance of 40% for historical values and 60% for capitation. In order to provide an adjustment for health care needs, the capitation component is adjusted by demography (age and gender) and also by a disease burden index computed according to the regional prevalence of selected health problems, namely four chronic conditions: hypertension, diabetes, stress and arthritis. Weights, based on pharmaceutical expenditure for each disease and region, were computed to create a disease burden index. The demographic index was based on the intensity of primary care visits per cell of age and gender (for further details see Barros, 2005.»
«The RHA budget for primary health care was set in 2003 on the basis of a combination of historical expense and capitation. This approach was introduced in 1998 and the budget computation has been progressively skewed towards a relative increase of the capitation component. Each RHA budget reached a balance of 40% for historical values and 60% for capitation. In order to provide an adjustment for health care needs, the capitation component is adjusted by demography (age and gender) and also by a disease burden index computed according to the regional prevalence of selected health problems, namely four chronic conditions: hypertension, diabetes, stress and arthritis. Weights, based on pharmaceutical expenditure for each disease and region, were computed to create a disease burden index. The demographic index was based on the intensity of primary care visits per cell of age and gender (for further details see Barros, 2005.»
1 Comments:
DICTUM
A supplementary paper (book) and notes to an official (hidden and not yet full discussed) report.
This papper is an review production of systematic analysis, technical and copious evaluations, auspicious suggestions and policy propositions based in data bank collect in financial sustainable report of Portuguese National Health Service (SNS)?
If yes, the debate is beginning…
A detailed and extensive document (163 pages), that need many hours for assimilate and work upon…
But, certainly, a good use of an political unkindly received report.
I hope so.
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