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