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首页> 外文期刊>Cadernos de Saúde Pública >Primary health care reform in Portugal, 2005-2018: the future and challenges of coming of ageLa reforma de la atención primaria de salud en Portugal, 2005-2018: su futuro y sus desafíos ante la madurez
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Primary health care reform in Portugal, 2005-2018: the future and challenges of coming of ageLa reforma de la atención primaria de salud en Portugal, 2005-2018: su futuro y sus desafíos ante la madurez

机译：2005 - 2018年葡萄牙葡萄牙初级保健改革：2005 - 2018年葡萄牙初级保健改革的未来和挑战，2005 - 2018年：您未来及其在成熟前的挑战

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In order to reform Portugal’s primary health care (PHC), the Ministry of Health planned a change that was launched in 2005 and 2006, and which is still under way today. This article aims to analyze PHC reform in Portugal according to different phases in its development, using Kingdon’s multiple streams model to reflect on the evolution in the reform process and its future, from the perspective of a process that seeks to achieve universal access to health. The working methodology was a document and case study with a qualitative approach and evaluative dimensions. The study was based on material on PHC in Portugal, published both in Portugal and elsewhere. Kingdon’s multiple streams model was used to explain the actual and contextual development of policies implemented during the PHC reform. Three phases were identified in the reform, each lasting about five years. The first phase, starting in 2005, featured family health units with a voluntary basis. The second phase began in 2010, with the model’s consolidation. In the third phase, since 2015 and still under way, the model came of age, benefiting from the end of the financial crisis but still suffering from its effects. The three reform cycles represent three distinct periods with consistency in the coalition that the policymaker was able to establish, in which the windows of opportunity for internally built change were heavily influenced by external factors. The article identifies the contribution by PHC reform to improvement of the Portuguese population’s health status.
机译：为了改革葡萄牙的初级医疗保健（PHC），卫生部计划在2005年和2006年推出的变更，今天仍在进行中。本文旨在根据其开发中的不同阶段分析葡萄牙的PHC改革，利用金登的多条流模型反思改革进程及其未来的演变，从寻求实现普遍获得健康的过程中。工作方法是一种具有定性方法和评价尺寸的文件和案例研究。该研究基于葡萄牙在葡萄牙和其他地方发表的PHC材料。 Kingdon的多个流模型用于解释在PHC改革期间实施的政策的实际和上下文发展。在改革中确定了三个阶段，每个持续约五年。第一阶段，从2005年开始，具有自愿的家庭健康单位。第二阶段始于2010年，模型的整合。在第三阶段，自2015年以来，仍然在进行中，该模型来自于金融危机结束但仍然遭受其影响。三个改革循环代表了三个不同的时期，在联盟中，政策制定者能够建立的一致性，其中内部建造变革的机会窗口受到外部因素的严重影响。本文确定了PHC改革改善葡萄牙人口健康状况的贡献。

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