This report reviews the quality of health care in Portugal, seeks to highlight best practices, and provides a series of targeted assessments and recommendations for further improvements to quality of care. The Portuguese National Health Service has responded well to financial pressure, successfully balancing the twin priorities of financial consolidation and continuous quality improvement. Even in the post-crisis years when GDP fell and health spending declined, improvements in quality of care continued. The need to reduce health spending has been met through a combination of structural reforms, and a well-designed suite of quality initiatives. Reforms around the purchasing and use of pharmaceuticals and medical devices have helped drive down costs, and Portugal has been innovative in how public funds are used to pay providers, increasingly basing payments on quality and efficiency. Important priorities for further work in the Portuguese health system do remain. Portugal will need to improve clinical processes and pathways, particularly in the acute sector. There is still room to improve efficiency, for instance increasing the share of generic drug consumption, and using the Portuguese health workforce more effectively, especially through expanded roles for nurses. Further structural reform is needed with an emphasis on shifting care out of hospitals into less-expensive community settings, and Portugal will also need to reflect on the strategic direction of the primary care system which, following an impressive reform, now risks developing into a two-tiered system with increasingly divergent levels of care quality.
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This country note provides information on latest trends in income inequalities as well as key findings from the 2015 OECD report "In it Together: Why less inequality benefits all".
This data visualisation provides specific country figures and policy recommendations about alcohol consumption in OECD countries. Please use the ‘+share/embed’ button to customize this tool for your country and language and to generate an embed code for your website.
The cost to society and the economy of excessive alcohol consumption around the world is massive, especially in OECD countries. This report provides clear evidence that even expensive alcohol abuse prevention policies are cost-effective in the long run and underlines the need for urgent action by governments, said OECD Secretary-General Angel Gurría, launching the report in Paris.
La consommation à risque est en augmentation, chez les jeunes et chez les femmes, dans de nombreux pays de l’OCDE, en partie parce que les boissons alcoolisées sont devenues plus aisément disponibles et plus accessibles financièrement, et qu’elles font l’objet de campagnes de publicité efficaces, selon un nouveau rapport de l’OCDE.
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In November 2014, the G20 Leaders committed to reduce the gender labour force participation gap by 25% by 2025, as a collective commitment at G20 level. As an input to that decision, the G20 Labour and Employment Ministers issued a Declaration which included this issue and set forth 11 policy areas for potential action. This note proposes options and approaches for tracking the Leaders’ commitment to reduce the gender gap.
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Three out of four OECD countries use minimum wages, and supporting low-wage earners is widely seen as important for promoting inclusive growth. This policy brief considers three aspects that are central for a balanced assessment of policy choices: The cost of employing minimum-wage workers, their take-home pay, and the number of workers affected.
OECD insights blog: Francesca Colombo, Head of the OECD Health Division, discusses the issues related to health systems and an ageing population.
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Public employment services are increasingly important in government efforts to tackle unemployment and boost overall employment outcomes. To strengthen their contributions to this agenda, they require strong capacity and resources to activate job seekers, build connections with employers, and stimulate economic development.
The OECD launched a project on “Benchmarking ICTs in health systems”, a multi-stakeholder initiative to improve the availability and quality of health ICT data through the development of a robust measurement framework and comparable cross-national measures. This task was accomplished in 2013 with the publication of an OECD “Guide to Measuring ICTs in the Health Sector”.