Health in Portugal
Encyclopedia
According to the 2010 Human Development Report
, the average life expectancy
in Portugal
was 79.1 years.
The Portuguese health system is characterized by three coexisting systems: the National Health Service (NHS), special social health insurance schemes for certain professions (health subsystems) and voluntary private health insurance. The NHS provides universal coverage. In addition, about 25% of the population is covered by the health subsystems, 10% by private insurance schemes and another 7% by mutual funds.
The Ministry of Health is responsible for developing health policy as well as managing the NHS.
Five regional health administrations are in charge of implementing the national health policy objectives, developing guidelines and protocols and supervising health care delivery. Decentralization efforts have aimed at shifting financial and management responsibility to the regional level. In practice, however, the autonomy of regional health administrations over budget setting and spending has been limited to primary care.
The NHS is predominantly funded through general taxation. Employer (including the state) and employee contributions represent the main funding sources of the health subsystems. In addition, direct payments by the patient and voluntary health insurance premiums account for a large proportion of funding.
Similar to the other Eur-A countries, most Portuguese die from noncommunicable diseases. Mortality from cardiovascular diseases (CVD) is higher than in the Eurozone
, but its two main components, ischaemic heart disease and cerebrovascular disease, display inverse trends compared with the Eur-A, with cerebrovascular disease
being the single biggest killer in Portugal (17%).
Portuguese people die 12% less often from cancer than in the Eur-A, but mortality is not declining as rapidly as in the Eur-A. Cancer is more frequent among children as well as among women younger than 44 years. Although lung cancer
(slowly increasing among women) and breast cancer (decreasing rapidly) are scarcer, cancer of the cervix and the prostate are more frequent.
Portugal has the highest mortality rate for diabetes in the Eur-A, with a sharp increase since the late 1980s.
Portugal’s infant mortality rate has dropped sharply since the 1980s, when 24 of 1000 newborns died in the first year of life. It is now around 3 deaths per a 1000 newborns. This improvement was mainly due to the decrease in neonatal mortality, from 15.5 to 3.4 per 1000 live births.
People are usually well informed about their health status, the positive and negative effects of their behaviour on their health and their use of health care services. Yet their perceptions of their health can differ from what administrative and examination-based data show about levels of illness within populations. Thus, survey results based on self-reporting at the household level complement other data on health status and the use of services.
Only one third of adults rated their health as good or very good in Portugal (Kasmel et al., 2004). This is the lowest of the Eur-A countries reporting and reflects the relatively adverse situation of the country in terms of mortality and selected morbidity.
. It is sorted by city, region or metropolitan agglomeration. Most of the portuguese Hospitals were inserted into joint centrally-regulated Health Super Units called Centros Hospitalares.
The next phase is already being implemented and it consists of including the local Health Centres into the region's Centro Hospitalar; those newly created Mega-Units are defined as Unidade Local de Saúde (Local Health Units).
Human Development Report
The Human Development Report is an annual milestone publication by the Human Development Report Office of the United Nations Development Programme .-History:...
, the average life expectancy
Life expectancy
Life expectancy is the expected number of years of life remaining at a given age. It is denoted by ex, which means the average number of subsequent years of life for someone now aged x, according to a particular mortality experience...
in Portugal
Portugal
Portugal , officially the Portuguese Republic is a country situated in southwestern Europe on the Iberian Peninsula. Portugal is the westernmost country of Europe, and is bordered by the Atlantic Ocean to the West and South and by Spain to the North and East. The Atlantic archipelagos of the...
was 79.1 years.
The Portuguese health system is characterized by three coexisting systems: the National Health Service (NHS), special social health insurance schemes for certain professions (health subsystems) and voluntary private health insurance. The NHS provides universal coverage. In addition, about 25% of the population is covered by the health subsystems, 10% by private insurance schemes and another 7% by mutual funds.
The Ministry of Health is responsible for developing health policy as well as managing the NHS.
Five regional health administrations are in charge of implementing the national health policy objectives, developing guidelines and protocols and supervising health care delivery. Decentralization efforts have aimed at shifting financial and management responsibility to the regional level. In practice, however, the autonomy of regional health administrations over budget setting and spending has been limited to primary care.
The NHS is predominantly funded through general taxation. Employer (including the state) and employee contributions represent the main funding sources of the health subsystems. In addition, direct payments by the patient and voluntary health insurance premiums account for a large proportion of funding.
Similar to the other Eur-A countries, most Portuguese die from noncommunicable diseases. Mortality from cardiovascular diseases (CVD) is higher than in the Eurozone
Eurozone
The eurozone , officially called the euro area, is an economic and monetary union of seventeen European Union member states that have adopted the euro as their common currency and sole legal tender...
, but its two main components, ischaemic heart disease and cerebrovascular disease, display inverse trends compared with the Eur-A, with cerebrovascular disease
Cerebrovascular disease
Cerebrovascular disease is a group of brain dysfunctions related to disease of the blood vessels supplying the brain. Hypertension is the most important cause; it damages the blood vessel lining, endothelium, exposing the underlying collagen where platelets aggregate to initiate a repairing process...
being the single biggest killer in Portugal (17%).
Portuguese people die 12% less often from cancer than in the Eur-A, but mortality is not declining as rapidly as in the Eur-A. Cancer is more frequent among children as well as among women younger than 44 years. Although lung cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...
(slowly increasing among women) and breast cancer (decreasing rapidly) are scarcer, cancer of the cervix and the prostate are more frequent.
Portugal has the highest mortality rate for diabetes in the Eur-A, with a sharp increase since the late 1980s.
Portugal’s infant mortality rate has dropped sharply since the 1980s, when 24 of 1000 newborns died in the first year of life. It is now around 3 deaths per a 1000 newborns. This improvement was mainly due to the decrease in neonatal mortality, from 15.5 to 3.4 per 1000 live births.
People are usually well informed about their health status, the positive and negative effects of their behaviour on their health and their use of health care services. Yet their perceptions of their health can differ from what administrative and examination-based data show about levels of illness within populations. Thus, survey results based on self-reporting at the household level complement other data on health status and the use of services.
Only one third of adults rated their health as good or very good in Portugal (Kasmel et al., 2004). This is the lowest of the Eur-A countries reporting and reflects the relatively adverse situation of the country in terms of mortality and selected morbidity.
List of hospitals
This is a list of hospitals in PortugalPortugal
Portugal , officially the Portuguese Republic is a country situated in southwestern Europe on the Iberian Peninsula. Portugal is the westernmost country of Europe, and is bordered by the Atlantic Ocean to the West and South and by Spain to the North and East. The Atlantic archipelagos of the...
. It is sorted by city, region or metropolitan agglomeration. Most of the portuguese Hospitals were inserted into joint centrally-regulated Health Super Units called Centros Hospitalares.
The next phase is already being implemented and it consists of including the local Health Centres into the region's Centro Hospitalar; those newly created Mega-Units are defined as Unidade Local de Saúde (Local Health Units).
Alentejo
- Hospital do Espírito Santo - ÉvoraÉvoraÉvora is a municipality in Portugal. It has total area of with a population of 55,619 inhabitants. It is the seat of the Évora District and capital of the Alentejo region. The municipality is composed of 19 civil parishes, and is located in Évora District....
- Hospital Militar of Évora
- Hospital da MisericórdiaSanta Casa da MisericórdiaThe Santa Casa da Misericórdia is a Portuguese charity founded in Lisbon in 1498 by the Queen Leonor of Portugal....
- ÉvoraÉvoraÉvora is a municipality in Portugal. It has total area of with a population of 55,619 inhabitants. It is the seat of the Évora District and capital of the Alentejo region. The municipality is composed of 19 civil parishes, and is located in Évora District.... - Hospital of the Litoral Alentejano - Santiago do CacémSantiago do CacémSantiago do Cacém is a municipality in Portugal with a total area of 1060.0 km² and a total population of 30,305 inhabitants.The municipality is composed of 11 parishes, and is located in Setúbal District....
- Centro Hospitalar of the Baixo Alentejo (Hospital José Joaquim Fernandes, Hospital de São Paulo) - BejaBejaBeja may refer to:*Beja , a city in Portugal, or**Beja Municipality, its municipality**Beja District, the district it is in**Beja Airbase, the nearby airbase*Béja, a town in Tunisia, or...
, SerpaSerpaSerpa is a municipality in Portugal, in Alentejo Region, with a total area of 1104.0 km² and a total population of 16,178 inhabitants. The Guadiana River flows close to the town of Serpa.... - Unidade Local de Saúde of the Norte Alentejano (Hospital de Santa Luzia, Hospital Dr. José Maria Grande) - Portalegre, ElvasElvasElvas is a Portuguese municipality, an episcopal city and frontier fortress of Portugal, located in the district of Portalegre in Alentejo. It is situated about 230 km east of Lisbon, and about 15 km west of the Spanish fortress of Badajoz, by the Madrid-Badajoz-Lisbon railway...
Algarve
- Hospital Distrital de Faro - FaroFaro, PortugalFaro is the southernmost city in Portugal. It is located in the Faro Municipality in southern Portugal. The city proper has 41,934 inhabitants and the entire municipality has 58,305. It is the seat of the Faro District and capital of the Algarve region...
- Centro Hospitalar of the Barlavento Algarvio (Hospital of Lagos, Hospital of Portimão) - LagosLagosLagos is a port and the most populous conurbation in Nigeria. With a population of 7,937,932, it is currently the third most populous city in Africa after Cairo and Kinshasa, and currently estimated to be the second fastest growing city in Africa...
, PortimãoPortimãoPortimão is a Portuguese town located in the District of Faro in the Region of Algarve, the southern coast of Portugal. It was formerly known as Vila Nova de Portimão . In 1924, it was incorporated as a cidade and became known merely as Portimão. The town has 41,000 inhabitants and the Portimão...
Braga
- Hospital São Marcos - BragaBragaBraga , a city in the Braga Municipality in northwestern Portugal, is the capital of the Braga District, the oldest archdiocese and the third major city of the country. Braga is the oldest Portuguese city and one of the oldest Christian cities in the World...
- Hospital Santa Maria Maior - BarcelosBarcelosBarcelos Municipality is located in Braga District, in the north of Portugal. It has a total population of 123,831 and an area of 378.9 km². With 89 parishes, it is the municipality with the highest number of parishes in the country, as well as the city of Barcelos...
- Centro Hospitalar of the Alto Ave (Hospital São José de Fafe, Hospital Nossa Senhora de Oliveira) - GuimarãesGuimarãesGuimarães Municipality is located in northwestern Portugal in the province of Minho and in the Braga District. It contains the city of Guimarães.The present Mayor is António Magalhães Silva, elected by the Socialist Party.-Parishes:-Economy:...
, Fafe
Bragança
- Centro Hospitalar of the Nordeste (Hospital Distrital of Bragança, Hospital of Macedo de Cavaleiros, Hospital of Mirandela) - Bragança region
Castelo Branco
- Unidade Local de Saúde of Castelo Branco (Hospital Dr. Amato Lusitano)
- Centro Hospitalar Cova da BeiraCentro Hospitalar Cova da BeiraThe Centro Hospitalar Cova da Beira is a Portuguese state-run hospital center in the Cova da Beira subregion. It has the role of teaching hospital of the University of Beira Interior, and is composed by two autonomous hospitals located in the neighbouring cities of Covilhã and Fundão ....
(Hospital Pêro da Covilhã, Hospital do Fundão) - CovilhãCovilhãCovilhã is a city in Covilha Municipality in Centro region, Portugal. The city proper has 36,723 inhabitants, and the municipality has an area of 555.6 km² with a total population of 53,501, being composed of 31 parishes. It is located in the Cova da Beira subregion, in the district of...
, FundãoFundãoFundão is a city in Fundao Municipality in Portugal, located in the Castelo Branco District. Fundão is an old city with 8,369 inhabitants, situated at the point where the slope of the Gardunha range meets the Cova da Beira plains, 500 metres above sea level. The municipality has a total area of...
Coimbra
- Centro Hospitalar de CoimbraCentro Hospitalar de CoimbraThe Centro Hospitalar de Coimbra is a hospital centre in Coimbra, Portugal. This complex has a broad range of clinical services and medical specialties distributed across three main hospitals: Hospital Geral , also known as Hospital dos Covões, Maternidade Bissaya Barreto and Hospital Pediátrico...
(Hospital Geral dos Covões, Maternidade Bissaya Barreto, Hospital Pediátrico) - CoimbraCoimbraCoimbra is a city in the municipality of Coimbra in Portugal. Although it served as the nation's capital during the High Middle Ages, it is better-known for its university, the University of Coimbra, which is one of the oldest in Europe and the oldest academic institution in the... - Centro Hospitalar Psiquiátrico of Coimbra
- Hospitais da Universidade de CoimbraHospitais da Universidade de CoimbraThe Hospitais da Universidade de Coimbra , in Coimbra, Portugal is a university hospital belonging to the Faculty of Medicine of the University of Coimbra...
- Instituto Português de OncologiaInstituto Português de OncologiaThe Instituto Português de Oncologia Francisco Gentil, also known as Instituto Português de Oncologia and ' , is a state-run cancer hospital and research organization from Portugal. The I.P.O. has autonomous regional branches in Lisbon, Porto and Coimbra.-External links:***...
(Portuguese Institute of Oncology) - regional branches at LisbonLisbonLisbon is the capital city and largest city of Portugal with a population of 545,245 within its administrative limits on a land area of . The urban area of Lisbon extends beyond the administrative city limits with a population of 3 million on an area of , making it the 9th most populous urban...
, PortoPortoPorto , also known as Oporto in English, is the second largest city in Portugal and one of the major urban areas in the Iberian Peninsula. Its administrative limits include a population of 237,559 inhabitants distributed within 15 civil parishes...
and CoimbraCoimbraCoimbra is a city in the municipality of Coimbra in Portugal. Although it served as the nation's capital during the High Middle Ages, it is better-known for its university, the University of Coimbra, which is one of the oldest in Europe and the oldest academic institution in the...
Greater Lisbon
- Centro Hospitalar Lisboa Norte (Hospital Pulido ValenteHospital Pulido ValenteHospital Pulido Valente is a hospital located in Lisbon, Portugal. It is dedicated mainly to Pulmonary Care Medicine, being the biggest hospital of this speciality in Portugal....
, Hospital Universitário de Santa Maria) - Centro Hospitalar Lisboa Central (Hospital de São José, Hospital de Santo António António dos Capuchos-Hospital do Desterro, Hospital de Dona Estefânia, Hospital de Santa Marta)
- Centro Hospitalar Lisboa Ocidental (Hospital Egas Moniz, Hospital de São Francisco Xavier, Hospital de Santa Cruz)
- Centro Hospitalar Barreiro-Montijo (Hospital Nossa Senhora do Rosário, Hospital Distrital do Montijo) - BarreiroBarreiroBarreiro is a municipality in Portugal with a total area of and a total population of 79,047 inhabitants. It contains the town of Barreiro.The municipality is composed of 8 parishes , and is located in Setúbal District....
, MontijoMontijoMontijo is a municipality in Portugal with a total area of 348.0 km² and a population of 40,199 inhabitants. The town of Montijo has a population of 25,719.... - Centro Hospitalar de Setúbal (Hospital de São Bernardo, Hospital de Sant'Iago do Outão) - SetúbalSetúbalSetúbal is the main city in Setúbal Municipality in Portugal with a total area of 172.0 km² and a total population of 118,696 inhabitants in the municipality. The city proper has 89,303 inhabitants....
- Hospital Curry Cabral
- Maternidade Alfredo da Costa
- Hospital Garcia de Orta - AlmadaAlmadaAlmada is a municipality in Portugal, covering an area of 70.2 km² located on the southern margin of the Tagus River. Its municipal population in 2008 was 164,844 inhabitants; the urbanized center had a population of 102,357.The seat is the city of Almada....
, SeixalSeixalSeixal is a municipality in Portugal with a total area of 96.0 km² and a total population of 161,327 inhabitants.The municipality is composed of 6 parishes, and is located in Setúbal District.... - Hospital Reynaldo dos Santos - Vila Franca de XiraVila Franca de XiraVila Franca de Xira is a municipality in Portugal with a total area of 317.7 km² and a total population of 133,224 inhabitants. Situated on the west bank of the Tagus River, just 32 km north-east of the Portuguese capital Lisbon, Vila Franca de Xira is said to have been founded by French...
- Hospital Prof. Doutor Fernando Fonseca - AmadoraAmadoraAmadora is a city and a municipality in Portugal, in the northwest of the Lisbon Metropolitan Area. The city and municipality population is 175,872 in eleven freguesias . With an area of 23.77 km², it is the most densely populated municipality of Portugal...
- Hospital de Cascais Dr. José de Almeida - CascaisCascaisCascais is a coastal town in Cascais Municipality in Portugal, 30 kilometres west of Lisbon, with about 35,000 residents. It is a cosmopolitan suburb of the Portuguese capital and one of the richest municipalities in Portugal. The former fishing village gained fame as a resort for Portugal's royal...
- Instituto Português de OncologiaInstituto Português de OncologiaThe Instituto Português de Oncologia Francisco Gentil, also known as Instituto Português de Oncologia and ' , is a state-run cancer hospital and research organization from Portugal. The I.P.O. has autonomous regional branches in Lisbon, Porto and Coimbra.-External links:***...
Francisco Gentil (Portuguese Institute of Oncology) - regional branches at LisbonLisbonLisbon is the capital city and largest city of Portugal with a population of 545,245 within its administrative limits on a land area of . The urban area of Lisbon extends beyond the administrative city limits with a population of 3 million on an area of , making it the 9th most populous urban...
, PortoPortoPorto , also known as Oporto in English, is the second largest city in Portugal and one of the major urban areas in the Iberian Peninsula. Its administrative limits include a population of 237,559 inhabitants distributed within 15 civil parishes...
and CoimbraCoimbraCoimbra is a city in the municipality of Coimbra in Portugal. Although it served as the nation's capital during the High Middle Ages, it is better-known for its university, the University of Coimbra, which is one of the oldest in Europe and the oldest academic institution in the...
- British Hospital (private)
- Hospital Particular de Lisboa (private)
- Hospital da Cruz Vermelha (private)
- Hospital de Santiago (private)
- Hospital da CUF (private)
- Hospital dos Lusíadas (private)
- Hospital da Força Aérea (airforce)
- Hospital Militar de Belém (army)
- Hospital Militar Principal (army)
- Hospital da Marinha (navy)
- Hospital Real de Todos os SantosHospital Real de Todos os SantosThe Hospital Real de Todos os Santos was a major hospital in Lisbon, Portugal. The hospital was built between 1492 and 1504 and was destroyed in the 1755 Lisbon earthquake, along with most of the city.-Foundation:...
(destroyed in 1755) - Hospitais Civis de Lisboa (extinct local network)
- Santa Casa da MisericórdiaSanta Casa da MisericórdiaThe Santa Casa da Misericórdia is a Portuguese charity founded in Lisbon in 1498 by the Queen Leonor of Portugal....
(national network)
Greater Porto
- Centro Hospitalar of Porto (Hospital de Santo António, Hospital Maria Pia, Maternidade Júlio Dinis)
- Hospital de Gaia - V.N. Gaia
- Hospital Pedro Hispano - MatosinhosMatosinhosMatosinhos Municipality is located in Porto District, Portugal. The main city is Matosinhos. It is bordered to the south by the city of Porto and lies within the Greater Porto subregion. The municipality has a population of 168,451 in 10 parishes. Many people have recently moved from the...
- Hospital de S. João - PortoPortoPorto , also known as Oporto in English, is the second largest city in Portugal and one of the major urban areas in the Iberian Peninsula. Its administrative limits include a population of 237,559 inhabitants distributed within 15 civil parishes...
- Hospital S. Sebastião - Santa Maria da Feira
- Instituto Português de OncologiaInstituto Português de OncologiaThe Instituto Português de Oncologia Francisco Gentil, also known as Instituto Português de Oncologia and ' , is a state-run cancer hospital and research organization from Portugal. The I.P.O. has autonomous regional branches in Lisbon, Porto and Coimbra.-External links:***...
(Portuguese Institute of Oncology) - regional branches at LisbonLisbonLisbon is the capital city and largest city of Portugal with a population of 545,245 within its administrative limits on a land area of . The urban area of Lisbon extends beyond the administrative city limits with a population of 3 million on an area of , making it the 9th most populous urban...
, PortoPortoPorto , also known as Oporto in English, is the second largest city in Portugal and one of the major urban areas in the Iberian Peninsula. Its administrative limits include a population of 237,559 inhabitants distributed within 15 civil parishes...
and CoimbraCoimbraCoimbra is a city in the municipality of Coimbra in Portugal. Although it served as the nation's capital during the High Middle Ages, it is better-known for its university, the University of Coimbra, which is one of the oldest in Europe and the oldest academic institution in the...
Guarda
- Unidade Local de Saúde of Guarda (Hospital Nossa Senhora da Assunção, Hospital Sousa Martins) - SeiaSeiaSeia Municipality is located in Guarda District in Portugal. It has a total area of 435.7 km² and a total population of 27,574 inhabitants. Its urban population is about 7,000...
, GuardaGuardaGuarda Municipality is located in Guarda District, Beira Interior Norte sub-region in Centro Region in Portugal. It has a total area of 712.1 km² and a total population of 44,149. It contains the city of Guarda, Portugal....
Médio Tejo (Santarém region)
- Centro Hospitalar of the Médio Tejo (Hospital de Abrantes, Hospital de Torres Novas, Hospital de Tomar) - AbrantesAbrantesAbrantes is a municipality in Portugal, with a population of 41,560 inhabitants, located on the southern margin of the Tagus River.-History:...
, TomarTomarTomar Municipality has a total area of 351.0 km² and a total population of 43,007 inhabitants.The municipality is composed of 16 parishes, and is located in Santarém District...
, Torres NovasTorres NovasTorres Novas is a municipality in Portugal with a total area of 270.0 km² and a total population of 37,155 inhabitants.The municipality is composed of 17 parishes, and is located in the district of Santarém. The city of Torres Novas has about 15,000 inhabitants. This city has a castle...
Tâmega (Porto region)
- Centro Hospitalar of the Tâmega and Sousa (Hospital Padre Américo, Hospital São Gonçalo de Amarante) - Penafiel, Amarante
Viana do Castelo
- Unidade Local de Saúde of the Alto Minho (Hospital de Santa Luzia, Hospital Conde Bertiandos) - Viana do CasteloViana do CasteloViana do Castelo is a municipality and seat of the Viana do Castelo District in the Norte Region of Portugal. The city proper has 36,148 inhabitants and the municipality has a total population of 91,238 inhabitants over a total area of 318.6 km².It is located at the mouth of the Lima...
region