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Advisor(s)
Abstract(s)
Over the years, the Portuguese National Health Service has undergone several reforms to
face the challenges posed by internal and external factors on the access to and quality of its health
services. One of its most recent reforms addressed the primary healthcare sector, where understanding the incentives behind the actors of the inherent institutional interventions and how they are
aligned with the governing health policies is paramount for reformative success. With the purpose of
acknowledging the alignment of the primary healthcare sector’s institutional interventions from an
incentive-based perspective, we propose a framework resting on a SWOT (Strengths, Weaknesses,
Opportunities, and Threats) analysis, which was built in cooperation with a panel of decision-making
actors from the Portuguese Ministry of Health. In the end, we derive possible policy implications and
strategies. This holistic approach highlighted the positive impact of the primary healthcare reform in
the upgrade of physical resources and human capital but stressed the geosocial asymmetries and the
lack of intra- and inter-sectorial coordination. The proposed framework serves also as a guideline for
future primary healthcare reforms, both national- and internationally.
Description
Keywords
primary healthcare; reform; institutional interventions; incentives; SWOT analysis
Pedagogical Context
Citation
Pereira, M.A.; Marques, R.C.; Ferreira, D.C. An Incentive-Based Framework for Analyzing the Alignment of Institutional Interventions in the Public Primary Healthcare Sector: The Portuguese Case. Healthcare 2021, 9, 904. https://doi.org/10.3390/ healthcare9070904
Publisher
MDPI