Despesa corrente em cuidados de saúde em % do PIB em Portugal
O Gráfico 2 refere-se à evolução das despesas em cuidados de saúde em percentagem do PIB em Portugal. Como se pode ver, desde 2003, tanto quando se considera a despesa total, como quando se considera as despesas do governo, as percentagens despendidas em cuidados de saúde têm sofrido oscilações positivas e negativas.De 2003 a 2010, as despesas de saúde per capita totais aumentaram em cerca de 1 ponto percentual (0,98), enquanto as do governo aumentaram menos que meio ponto percentual (0,41). Nos últimos dois anos desta série temporal (entre 2009 e 2010) as despesas em cuidados de saúde totais e governamentais diminuíram em 0.1 ponto percentual.
current expenditure on healthcare: total and by type of provider
PPP: técnica usada para determinar o valor relativo das diferentes moedas.
Primary Care and Economic Crisis
Primary Care and Economic Crisis
Health spending accounted for 9.5% of GDP in Portugal in 2012, very
close to the average of 9.3% in OCDE countries. Health spending as a
share of GDP is much lower in Portugal than in the United States (which
spent 16.9% of its GDP on health in 2012) and in a number of European
countries including the Netherlands, France, Switzerland and Germany.
Current Situation in Portugal
Current expenditure on health care as % of GDP in Portugal
Changes in expenditure on health care as % of GDP in Portugal,
by source of funding
Nursing facilities with inpatient and specialist
Health care providers in outpatient clinics
Retail sale and other suppliers of medical
Provision and administration of public health
Administration and health insurance in general
Other industries (rest of the economy)
Rest of the world
Current expenditure on healthcare: total and by type of provider
Gross domestic product (GDP) is defined by OECD as "an aggregate measure of production equal to the sum of the gross values added of all resident
institutional units engaged in production (plus any taxes, and minus any subsidies, on products not included in the value of their outputs)."
As in many other European countries, health spending in Portugal fell in recent years, driven largely by government
efforts to reduce budgetary deficits following the economic crisis. In 2011 and 2012, the reduction in health spending
(including both public and private spending) reached more than 5% per year in real terms.
In many OECD countries including Portugal, the reduction in pharmaceutical expenditure has contributed to the
slowdown or reduction in overall health spending in recent years. In Portugal, pharmaceutical spending fell in 2009,
2010 and 2011, with the reduction in 2011 reaching more than 9% in real terms. Portugal has introduced a series of
measures to reduce pharmaceutical spending, including price reductions for branded medicines and generics, changes
in reimbursement rates for prescribed pharmaceuticals, and a move towards centralised procurement for medicines.
GPs are government employees and have a fixed salary
- most GPs work with 35 hours/week contract (but they actually work more,
but we do not get paid anything extra...);
- small numbers have 42 hours contracts
- the new GPs, that have done final exam since 2012, have a 40 hours/week.
- (all the trainees have 40 hours/week as well)
GP income is dependent on the number of hours contracted to work
There is minimal "pay for performance"
Primary Care Secondary Care
40 hour/week for new contracts / 35 to 40h with same salary
Increase in the amount payed by the patient for the appointments
Doctos can only prescribe medication by the generic name – the pharmacies can
choose what to give to the patients
Many emergency services in primary
care were closed (almost all) – since
Hospitals cannot employ new health
professionals (all has to be done through
Changes in the co-payment Inpatient long-term care are being
Less hospital beds
New (but atually worse) informatic programs, that crah all the time
New government… + Troika… New rules!