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Has the Portuguese NHS Achieved its Objectives of Equity and Efficiency?

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  • Anna Dixon
  • Elias Mossialos

Abstract

The Portuguese healthcare system has been in a state of continuous change since the political revolution of 1974, which brought about a constitutional commitment to a universal and comprehensive national health service. Despite much legislative activity, only partial implementation of these laws has taken place and the current system requires further changes if it is to attain its stated objectives of increasing equity and efficiency. This article analyses and assesses the state of the healthcare system in Portugal based on a review of the literature and interviews with key policymakers and academics and evaluates it against the criteria of equity and efficiency.

Suggested Citation

  • Anna Dixon & Elias Mossialos, 2000. "Has the Portuguese NHS Achieved its Objectives of Equity and Efficiency?," International Social Security Review, John Wiley & Sons, vol. 53(4), pages 49-78, November.
    • Handle: RePEc:wly:intssr:v:53:y:2000:i:4:p:49-78
    DOI: 10.1111/1468-246X.00105
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    Cited by:

    1. Correia Isabel & Veiga Paula, 2010. "Geographic distribution of physicians in Portugal," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 11(4), pages 383-393, August.
    2. Mónica Duarte Oliveira & Carlos Gouveia Pinto, 2005. "Health care reform in Portugal: an evaluation of the NHS experience," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 203-220, September.
    3. Cláudia Costa & Paula Santana, 2021. "Gender and Age Differences in Socio‐economic Inequalities in Total and Avoidable Mortality in Portugal: A Trend Analysis," Fiscal Studies, John Wiley & Sons, vol. 42(1), pages 123-145, March.
    4. Morgan Weiland & Paula Santana & Claudia Costa & Julia Doetsch & Eva Pilot, 2021. "Spatial Access Matters: An Analysis of Policy Change and Its Effects on Avoidable Infant Mortality in Portugal," IJERPH, MDPI, vol. 18(3), pages 1-18, January.
    5. António Afonso & Sónia Fernandes, 2008. "Assessing Hospital Efficiency: Non-parametric Evidence for Portugal," Working Papers Department of Economics 2008/07, ISEG - Lisbon School of Economics and Management, Department of Economics, Universidade de Lisboa.

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