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Health decentralisation

The decentralisation of health competences in Portugal was launched with the aim of bringing decision-making closer to local realities and strengthening municipalities’ role in promoting population well-being. A regulatory framework introduced between 2018-2019 enabled the transfer of specific responsibilities from central government to local governments. However, by 2022, only around a quarter of eligible muni...

The impacts of health decentralization on equity, efficiency, and effectiveness...

Decentralization is considered an important component of participatory democracy. However, despite its widespread implementation in the healthcare sector, its impact on health systems' performance remains unclear. Using a theoretical framework based on the World Health Organization's five decentralization variables-geography and sociodemographics, organization of political processes, functions and economic weig...

The resilience of Portuguese regions to the 2008 crisis and the impacts on thei...

Strategic Planning as the Core of Active and Healthy Ageing Governance: A Case ...

The present study explores the design and implementation of public policies focusing on ageing by Portuguese local governments, considering the lack of a centralized national strategy for active and healthy ageing to guide and be customized at a local level. To take stock of what is being accomplished at the city council level, we first collected and analyzed the available local strategies and further explored ...

Os impactos da descentralização da saúde na equidade, eficiência e efetividade:...

Política de saúde num contexto de envelhecimento demográfico.

Em 2004, a Organização Mundial de Saúde (OMS) propôs os Princípios Amigos da Pessoa Idosa, na tentativa de otimizar os cuidados às necessidades da população idosa. Este conceito integrou a agenda política portuguesa, em 2017, sendo importante perceber se os documentos programáticos de saúde e envelhecimento, de âmbito nacional e regional, seguem esta tendência, definindo estratégias que contribuam para a presta...

Quality Assessment of the Services Delivered by a Court, Based on the Perceptio...

This paper aims to measure the quality of the services delivered by a court by assessing the satisfaction of court users and service providers, i.e., magistrates and court officials. For that purpose, a case study was carried out and data were collected by means of a questionnaire based on the SERVPERF instrument, in which perceived service quality is measured, considering court users, magistrates, and court of...

The COVID-19 Pandemic Strain: Teleworking and Health Behavior Changes in the Po...

The COVID-19 pandemic has forced a societal essay, based on thorough measures of individual and communitarian protection, ranging from compulsory social distancing to quarantine. Following WHO recommendations, more or less strict policies were adopted by governments worldwide in order to mitigate public health risks. In Portugal, the first state of emergency was declared on 18 March 2020 and renewed until 2 May...

Quality assessment of the services delivered by a court, based on the perceptio...

This paper aims to measure the quality of the services delivered by a court by assessing the satisfaction of court users and service providers, i.e., magistrates and court officials. For that purpose, a case study was carried out and data were collected by means of a questionnaire based on the SERVPERF instrument, in which perceived service quality is measured, considering court users, magistrates, and court of...

Mapping health vulnerabilities: exploring territorial profiles to support healt...

Vulnerability processes and effects, albeit of great importance to cohesion and territorial policies, are nonetheless still underexplored and narrowly operationalized in scientific research. In particular, most assessments rely on economic indicators and a limited territorial scale, which do not have the same analytic potential of a broader view at a national level with regional/municipal similarities, specific...