Abstract:
:The 2005 Portuguese primary health care (CSP) reform was one of the most successful reforms of the country's public services. The most relevant event was the establishment of Family Health Units (USF): voluntary and self-organized multidisciplinary teams that provide customized medical and nursing care to a group of people. Then, the remaining realms of CSP were reorganized with the establishment of Health Center Clusters (ACeS). Clinical governance was implemented aiming at achieving health gains by improving quality and participation and accountability of all. This paper aims to characterize the 2005 reform of Portuguese CSP with an analysis of its systemic and local realms. This is a case study of a CSP reform of a health system with documentary analysis and description of one of its facilities. This reform was Portuguese, modern and innovative. Portuguese by not breaking completely with the past, modern because it has adhered to technology and networking, and innovative because it broke with the traditional hierarchized model. It fulfilled the goal of a reform: it achieved improvements with greater satisfaction of all and health gains.
journal_name
Cien Saude Coletjournal_title
Ciencia & saude coletivaauthors
Biscaia AR,Heleno LCdoi
10.1590/1413-81232017223.33152016subject
Has Abstractpub_date
2017-03-01 00:00:00pages
701-712issue
3eissn
1413-8123issn
1678-4561pii
S1413-81232017002300701journal_volume
22pub_type
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journal_title:Ciencia & saude coletiva
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doi:10.1590/1413-81232015206.17232014
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020251.29172019
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journal_title:Ciencia & saude coletiva
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doi:10.1590/1413-81232020259.13742020
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journal_title:Ciencia & saude coletiva
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doi:10.1590/s1413-81232010000300030
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journal_title:Ciencia & saude coletiva
pub_type: 传,历史文章,杂志文章
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-81232020255.33362019
更新日期:2020-05-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
doi:10.1590/1413-812320182410.25582017
更新日期:2019-09-26 00:00:00
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journal_title:Ciencia & saude coletiva
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更新日期:2018-12-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章,meta分析,评审
doi:10.1590/1413-81232017228.21752015
更新日期:2017-08-01 00:00:00
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journal_title:Ciencia & saude coletiva
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doi:10.1590/1413-81232015208.12972014
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journal_title:Ciencia & saude coletiva
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更新日期:2017-06-01 00:00:00
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journal_title:Ciencia & saude coletiva
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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更新日期:2013-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2010-08-01 00:00:00