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Reality of the Public Health System in Portugal

he public health system in Portugal is a controversial topic that interests many foreign clients - c1 broker

The public health system in Portugal is a controversial topic that interests many foreign clients. Some wonder about the state of health care in the country and whether there may be problems or deficits. Nevertheless, there seems to be a kind of silence abroad about the state of the public health system. This is probably because, on the one hand, it is in the country’s interest to attract people to Portugal, but on the other hand, people with a higher economic capacity are able to take out private health insurance and thus gain access to private hospitals, clinics and specialists. However, it is undeniable that the facilities in the private system are among the best in Europe. Those who can afford this system therefore have little incentive to use health care in the public system.

 

Portugal is a country of unique beauty that can provide the perfect backdrop for a fresh start. But before deciding to live here, one should face some important realities. First and foremost is the state of the health system. While public care is cheap, there is often a lack of resources and staff, resulting in long waiting times and a limited number of available specialists. Private insurance can be a solution to access better health services. People with financial means should therefore be encouraged to opt for private insurance.

 

Portugal’s public health system is currently in a chaotic state. In recent weeks and months, numerous headlines about scandals and malpractices have appeared in the national and regional media, pointing to a shockingly poor organisation and implementation of the health system. The reality is alarming and is causing increasing concern among Portuguese citizens who depend on reliable and quality health care. It remains to be seen if and when the situation will improve and the health system in Portugal can be put back on track.

 

This year, news reports were published about the chaotic health system in Portugal. These reports reflect the reality of people using the public health system. They also give insight into the situation of medical staff, including doctors, nurses and technicians. It is disturbing to hear that medical staff have signed formal apologies regarding inadequate working conditions. This unprecedented situation highlights the difficulties and challenges that the Portuguese health system is currently going through.

 

 

– Long waiting times in the emergency rooms of public hospitals

– Deaths in the emergency department due to inadequate care

– Long waiting lists for specialist appointments and operations

– Hospitals without structural requirements

– Hundreds of doctors, nurses and pharmacists filing “disclaimers” due to lack of requirements

– Currently 70,000 people in Portugal do not have a GP

– Emergency rooms in Portugal are overcrowded and waiting times for people with yellow bracelets are between 6 and 12 hours.

– GPs in health centres are poorly paid, leading to dissatisfaction and the migration of specialists to private practices;

– GPs are being forced by the government to limit the number of tests and diagnoses as well as the number of prescriptions for reimbursable medicines.

 

Here is a collection of news links, grouped by theme, on the state of public health in Portugal:

 

Elderly man dies due to lack of emergency care

 

https://expresso.pt/sociedade/saude/2023-08-22-Loures-um-idoso-morreu-no-corredor-do-hospital-apos-esperar-seis-horas-com-a-anca-partida.-A-administracao-vai-abrir-um-inquerito-e9c08a52 

 

https://expresso.pt/sociedade/saude/2023-08-22-Inspecao-Geral-das-Atividades-em-Saude-vai-averiguar-morte-de-idoso-no-hospital-de-Loures-abf44164 

 

https://expresso.pt/sociedade/saude/2023-08-22-Utentes-do-hospital-de-Loures-acompanham-com-preocupacao-caso-de-morte-de-idoso-0e9eeb19  

 

 

Emergency rooms with waits of several hours for urgent patients

 

https://expresso.pt/sociedade/2023-07-31-Espera-nas-urgencias-do-Santa-Maria-atingiu-seis-horas-para-doentes-urgentes-09599c7d  

 

Death of a Pregnant Woman

https://expresso.pt/sociedade/justica/2023-06-09-Ministerio-e-Hospital-de-Santa-Maria-receberam-relatorio-sobre-morte-de-gravida-em-agosto-de-2022-dd9fd984 

 

 

Strikes in the Public Health System in Portugal

 

Doctors’ strikes

 

https://expresso.pt/sociedade/saude/2023-08-28-Mantemos-um-grande-pessimismo-sindicato-de-medicos-mantem-greves-por-Governo-manter-aumento-salarial-em-16-35b16420 

 

https://expresso.pt/sociedade/saude/2023-08-28-SNS-sem-tempo-a-perder-Federacao-Nacional-dos-Medicos-convoca-greve-e-critica-entrevista-do-economista-secretario-de-Estado-a0e8c92e 

 

https://expresso.pt/sociedade/saude/2023-08-23-Greve-dos-medicos-internos-com-adesao-superior-a-80-diz-sindicato-37d3fbac 

 

https://expresso.pt/sociedade/saude/2023-03-08-Medicos-iniciam-greve-de-dois-dias-e-apresentam-seis-motivos-para-a-paralisacao-4bb90907 

 

Nurses strikes

 

https://expresso.pt/sociedade/saude/2023-07-12-Enfermeiros-dos-hospitais-privados-fazem-nova-greve-no-dia-28-87c09685  

 

https://expresso.pt/sociedade/saude/2023-04-27-Greve-dos-enfermeiros-encerrou-blocos-e-servicos-no-Hospital-de-Santa-Maria-4f3917d3 

 

Strikes at Inem

 

https://expresso.pt/sociedade/saude/2023-04-17-Greve-dos-tecnicos-de-emergencia-para-ambulancias-em-todo-o-pais-8022c369 

 

Hospital strikes

 

https://expresso.pt/sociedade/saude/2023-04-12-Greve-no-Hospital-Amadora-Sintra-com-adesao-de-80-diz-sindicato-729434f7 

https://expresso.pt/sociedade/saude/2023-03-17-Greve-consultas-externas-encerradas-e-cirurgias-adiadas-em-hospitais-de-todo-o-pais-51b01cda 

 

 

 

The situation at Faro Hospital

 

https://expresso.pt/sociedade/saude/2023-06-20-Em-Faro-morre-se-mais-por-insuficiencia-cardiaca-enfarte-agudo-AVC-ou-pneumonia-tem-dos-piores-indicadores-de-saude-de-Portugal-a096ed57 

 

https://expresso.pt/sociedade/saude/2023-06-07-Ordem-dos-Medicos-suspende-dois-cirurgioes-do-Hospital-de-Faro-suspeitos-de-ma-pratica-836ca07e 

 

https://expresso.pt/sociedade/2023-04-11-Ordem-dos-Medicos-cria-comissao-independente-para-avaliar-queixas-de-negligencia-em-cirurgias-no-Hospital-de-Faro-0f2e9a91 

 

https://expresso.pt/sociedade/saude/2023-07-20-Hospital-de-Faro-medico-suspenso-preventivamente-por-denuncias-de-alegada-ma-pratica-pode-voltar-a-exercer-3d7eaa61 

 

 

https://expresso.pt/sociedade/2023-07-14-Em-abril-uma-medica-denunciou-cirurgioes-por-ma-pratica.-Dois-meses-depois-deu-alta-a-uma-jovem-esfaqueada-que-acabaria-por-morrer-54d8a2a6 

 

 

https://expresso.pt/sociedade/saude/2023-04-18-Sim-e-publico-tive-um-burnout-mas-a-minha-capacidade-nao-ficou-afetada-diz-a-medica-que-denunciou-negligencias-em-Faro-c93f09b1 

 

 

https://expresso.pt/sociedade/saude/2023-08-23-Pela-primeira-vez-os-medicos-internos-iniciam-uma-greve-sao-dois-dias-de-protesto-contra-salarios-baixos-e-desvalorizacao-profissional-7f8ee10a 

 

https://expresso.pt/sociedade/saude/2023-08-07-Federacao-Nacional-dos-Medicos-pede-audiencia-a-Marcelo-sobre-situacao-de-emergencia-no-SNS-2d386a89 

 

 

Disclaimer

 

– Doctors present “disclaimer”

 

https://expresso.pt/sociedade/saude/2023-08-06-Medicos-Obstetras-do-Centro-Hospitalar-de-Leiria-apresentam-escusa-de-responsabilidade-ea41971b  

https://expresso.pt/sociedade/saude/2023-03-13-Enfermeiros-de-Medicina-III-do-Garcia-de-Orta-pedem-escusa-de-responsabilidade-5d27cf79 

 

– Pharmacists present “disclaimer”

 

https://expresso.pt/sociedade/saude/2023-08-01-Ordem-dos-Farmaceuticos-recebeu-no-ultimo-ano-cerca-de-130-escusas-de-responsabilidade-6cda959c  

 

– Nurses present “disclaimer”

 

https://expresso.pt/sociedade/saude/2023-04-17-Mais-de-8600-enfermeiros-ja-pediram-escusa-de-responsabilidade-segundo-a-Ordem-62a6c7b7 

 

 

 

Waiting lists

 

– Waiting lists for transplants

 

https://expresso.pt/sociedade/saude/2023-08-11-Margarida-Ivo-coordenadora-nacional-de-transplantacao-Ha-uma-lista-de-1800-pessoas-para-transplante-de-rim-a-maior-que-temos-2cb63063 

 

– Waiting lists to see specialists

 

https://expresso.pt/sociedade/2023-07-11-Saude-mental-preocupa-universitarios-de-Coimbra-media-de-espera-para-uma-consulta-com-psicologo-e-de-dois-meses-fb8c83e9 

 

https://expresso.pt/sociedade/saude/2023-05-12-Lista-de-espera-de-consulta-para-deixar-de-fumar-ultrapassa-os-quatro-meses-e-falta-medicamento-comparticipado-para-ajudar-ex-fumadores-3b6c3540  

 

https://expresso.pt/sociedade/saude/2023-05-02-Mais-de-meio-milhao-de-doentes-aguardava-em-dezembro-primeira-consulta-hospitalar-90fea548 

 

– Waiting lists for Surgery 

 

https://expresso.pt/sociedade/coronavirus/2023-04-05-Covid-19-cirurgias-adiadas-levaram-a-aumento-de-mais-45-dias-no-tempo-de-espera-18bc1aee 

 

– Waiting lists for hospitalisations

https://expresso.pt/sociedade/saude/2023-02-28-Doentes-a-espera-de-internamento-no-Amadora-Sintra-sao-quase-o-triplo-da-capacidade-7935dd0e 

 

 

Pregnant women diverted from the public to the private sector due to lack of doctors

 

https://expresso.pt/sociedade/saude/2023-07-13-Hospital-de-Santa-Maria-encaminhou-sete-gravidas-para-privados-desde-o-inicio-de-julho-8810972d 

 

 

Lack of funds to support the NHS

 

https://expresso.pt/economia/contas-publicas/2023-07-12-Financas-so-aprovaram-metade-dos-orcamentos-dos-hospitais-e-fizeram-cortes-921ef830 

https://expresso.pt/economia/2023-06-28-SNS-acumulou-52-mil-milhoes-de-saldos-negativos-em-nove-anos-e-continua-a-enfrentar-riscos-e-incertezas-708c9cd6 

 

 

Hospitals closed due to lack of doctors

 

https://expresso.pt/sociedade/saude/2023-07-11-Utentes-protestam-no-hospital-de-Serpa-Nunca-sabemos-quando-vai-estar-aberto-2c019cdf 

 

 

Doctors being pushed out of the NHS

 

https://expresso.pt/sociedade/saude/2023-07-05-Estamos-a-ser-empurrados-para-fora-do-SNS-e-daqui-a-nada-para-fora-do-pais-o-grito-dos-medicos-no-primeiro-dia-de-greve-b3ad212e 

 

https://expresso.pt/sociedade/saude/2023-06-23-Chefes-e-subchefes-das-urgencias-de-obstetricia-do-Santa-Maria-demitem-se-preocupados-com-as-gravidas-com-os-fetos-e-com-os-bebes-3fd9f2f2 

 

 

Chaos in the emergency room

 

https://expresso.pt/sociedade/saude/2023-05-24-Caos-nas-Urgencias-de-Almada-e-Setubal-por-falta-de-macas-8ff96aa8 

https://expresso.pt/sociedade/saude/2023-05-23-Ambulancias-ficaram-retidas-por-falta-de-macas-no-Hospital-Garcia-de-Orta-denuncia-sindicato-3e996db8 

 

 

Portuguese without family doctors

 

https://expresso.pt/sociedade/saude/2023-06-02-Numero-de-pessoas-sem-medico-de-familia-volta-a-aumentar-em-maio-ultrapassa-os-17-milhoes-e596afd9  

 

https://expresso.pt/sociedade/saude/2023-06-28-Solucao-do-Governo-vai-manter-mais-de-um-milhao-de-portugueses-sem-medico-6700a73d 

 

https://expresso.pt/sociedade/saude/2023-06-28-Portugueses-sem-medico-de-familia-aumentam-mais-de-30-nos-ultimos-dois-anos-a8fa362d 

 

https://expresso.pt/sociedade/saude/2023-05-18-Utentes-sem-medico-de-familia-aumentam-29-num-ano-4ac31dc6 

 

 

Pregnant woman dies because there is no obstetrician

 

https://expresso.pt/sociedade/saude/2023-06-20-Ordem-dos-Medicos-abre-inquerito-ao-caso-da-gravida-que-morreu-no-Sao-Francisco-Xavier–e-que-originou-demissao-de-Marta-Temido–fa527b26 

 

 

Patients have to sleep at hospital doors to get to appointments

 

https://expresso.pt/sociedade/saude/2023-06-16-Caos-no-centro-de-saude-de-Loures-utentes-dormem-a-porta-por-uma-consulta-bfaa7bc0  

 

 

Portuguese pay the most for healthcare in Europe

 

https://expresso.pt/sociedade/saude/2023-06-15-Portugueses-sao-dos-que-mais-pagam-a-saude-do-proprio-bolso-3ec32511 

 

 

Situation at Portimão Hospital

 

https://expresso.pt/sociedade/saude/2023-06-08-Hospital-de-Portimao-apesar-do-reforco-medico-utentes-temem-que-maternidade-encerre-9da9ee02 

 

https://expresso.pt/sociedade/saude/2023-06-04-PSD-quer-ouvir-diretor-executivo-do-SNS-sobre-fecho-das-urgencias-pediatricas-em-Portimao-6ad3a2a6 

 

 

No paediatric emergency room in Portimão due to lack of doctors

 

https://expresso.pt/sociedade/saude/2023-06-04-PSD-quer-ouvir-diretor-executivo-do-SNS-sobre-fecho-das-urgencias-pediatricas-em-Portimao-6ad3a2a6 

 

 

 

 

Death in Évora

 

https://expresso.pt/sociedade/justica/2023-05-25-Ministerio-Publico-abre-inquerito-para-apurar-circunstancias-de-morte-de-doente-em-Evora-3af9cf29 

 

 

Maternity hospitals close due to poor conditions

 

https://expresso.pt/sociedade/saude/2023-05-25-Maternidades-de-Santa-Maria-e-Caldas-da-Rainha-encerram-para-obras-no-verao-09b8919f 

 

 

Opinion articles

 

https://expresso.pt/opiniao/2023-04-28-Em-Portugal-os-doentes-nao-tem-direitos-8158633e 

 

https://www.jornaldenegocios.pt/negocios-iniciativas/portugal-health-summit/detalhe/retrato-dos-servicos-de-saude-em-portugal 

 

https://expresso.pt/sociedade/2023-04-19-Profissionais-e-utentes-do-SNS-fazem-Manifesto-pelo-Direito-a-Saude-23227656 

 

https://expresso.pt/sociedade/saude/2023-04-18-Utentes-dizem-que-qualidade-dos-servicos-no-SNS-baixou-e-chumbam-tempos-de-espera-21b4b8db 

 

https://expresso.pt/economia/2023-04-07-Mais-doenca-acumulada-inflacao-e-velhice-pressionam-a-saude-em-Portugal-f16d67b2 

 

https://expresso.pt/sociedade/saude/2023-03-25-Estudo-Trabalhadores-do-SNS-insatisfeitos-com-gestao-e-falta-de-recursos-3b584406  

 

https://expresso.pt/sociedade/saude/2023-03-16-Vi-situacoes-desumanas-de-doentes-em-macas-num-corredor-da-urgencia-durante-semanas-a-grande-entrevista-ao-novo-bastonario-dos-medicos-fc178026  

 

https://expresso.pt/opiniao/2023-03-03-O-quebra-cabecas-das-urgencias-6abd22fa 

 

https://expresso.pt/opiniao/2023-03-15-O-caos-nas-urgencias-esconde-o-caos-nas-morgues-b98c825d 

 

  

Death

 

https://expresso.pt/sociedade/saude/2023-03-20-Hospital-de-Guimaraes-investiga-morte-de-paciente-apos-cirurgia-aos-ovarios-a6cb8a54 

https://expresso.pt/sociedade/saude/2023-03-02-Hospital-de-Evora-confirma-morte-de-utente-no-servico-de-urgencia-97d66192 

 

Emergency room closures

 

https://expresso.pt/sociedade/saude/2023-03-01-Utentes-de-Loures-estupefactos-com-fecho-de-urgencia-pediatrica-do-Hospital-Beatriz-Angelo-ef378bb1 

 

 

Doctors resign over poor conditions in hospitals

 

https://expresso.pt/sociedade/saude/2023-03-13-Chefes-da-equipa-de-urgencia-do-Sao-Francisco-Xavier-em-Lisboa-demitem-se-65c82a55 

https://expresso.pt/sociedade/saude/2023-03-01-Loures-chefes-de-equipa-do-Servico-de-Urgencia-Geral-do-Beatriz-Angelo-apresentaram-demissao-por-falta-de-condicoes-46af187c 

 

 

Audio / Podcasts

https://expresso.pt/podcasts/expresso-da-manha/2023-07-06-E-seguro-recorrer-ao-SNS-este-verao–611628d9 

 

 

 

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