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The growing pains of the 2024/2025 Portugal’s NHS telephone triage system natio...

Goiana-da-Silva, Francisco; Amorim-Lopes, Mário; Correia, Fernando; Pereira, João; Ribeiro, Afonso; Tude-Graça, Duarte; Pessoa-e-Costa, Tomás

In 2024, the Portuguese NHS introduced “Ligue Antes, Salve Vidas” (“Call Before You Go, Save Lives”), making phone triage through the national SNS 24 line compulsory prior to an Emergency Department (ED) visit in most NHS Local Health Units. While the policy was rightfully concerned with improving timely access to urgent care, it was quickly rolled out without a corresponding investment in infrastructure. The p...


What is (behind) the gender gap in sickness benefits? Evidence from administrat...

Gonçalves, Judite; Rocha-Gomes, João; Amorim-Lopes, Mário; Martins, Pedro S.

Women appear to take sick leave at a higher rate and for longer periods than men. However, the reasons for these differences are poorly understood. This study starts by outlining several channels (biological, psychological, socio-economic, and occupational) that may drive this gender gap. We then analyse rich individual longitudinal administrative data on employment and sickness benefits. We consider the case o...


Improving picking performance at a large retailer warehouse by combining probab...

Amorim-Lopes, Mário; Guimarães, Luís; Alves, João; Almada-Lobo, Bernardo

Distribution warehouses are a critical part of supply chains, representing a nonnegligible share of the operating costs. This is especially true for unautomated, labor‐intensive warehouses, partially due to time‐consuming activities such as picking up items or traveling. Inventory categorization techniques, as well as zone storage assignment policies, may help in improving operations, but may also be short‐sigh...


Enhancing optimization planning models for health human resources management wi...

Amorim-Lopes, Mário; Oliveira, Mónica; Raposo, Mariana; Cardoso-Grilo, Teresa; Alvarenga, António; Barbas, Marta; Alves, Marco; Vieira, Ana

Achieving a balanced healthcare workforce requires health planners to adjust the supply of health human resources (HHR). Mathematical programming models have been widely used to assist such planning, but the way uncertainty is usually considered in these models entails methodological and practical issues and often disregards radical yet plausible changes to the future. This study proposes a new socio-technical ...


Systems, economics and neoliberal politics: theories to understand missed nursi...

Jones, Terry; Drach‐Zahavy, Anat; Amorim-Lopes, Mário; Willis, Eileen

The phenomenon of missed nursing care is endemic across all sectors. Nurse leaders have drawn attention to the implications of missed care for patient outcomes, with calls to develop clear political, methodological, and theoretical approaches. As part of this call, we describe three structural theories that inform frameworks of missed care: systems theory, economic theory, and neoliberal politics. The final sec...



From problem structuring to optimization: a multi-methodological framework to a...

Cardoso-Grilo, Teresa; Monteiro, Marta; Oliveira, Mónica Duarte; Amorim-Lopes, Mário; Barbosa-Póvoa, Ana

Medical training is an intricate and long process, which is compulsory to medical practice and often lasts up to twelve years for some specialties. Health stakeholders recognise that an adequate planning is crucial for health systems to deliver necessary care services. However, proper planning needs to account for complexity related with the setting of medical school vacancies and of residency programs, which a...


A labor requirements function for sizing the health workforce

Cruz-Gomes, Sofia; Amorim-Lopes, Mário; Almada-Lobo, Bernardo

Background: Ensuring healthcare delivery is dependent both on the prediction of the future demand for healthcare services and on the estimation and planning for the Health Human Resources needed to properly deliver these services. Although the Health Human Resources planning is a fascinating and widely researched topic, and despite the number of methodologies that have been used, no consensus on the best way of...


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