Evidence map›Paper›PMID 40218118›Full record

ArticleHealthcare (Basel, Switzerland)2025

Addressing Bureaucratic Burdens on the Portuguese National Health Service: A Simplification Experience Aiming for Value-Based Healthcare.

Francisco Goiana-da-Silva, Raisa Guedes, Filipa Malcata, Juliana Sá, Miguel Cabral, Rafael Vasconcelos, Soraia Costa, Inês Morais-Vilaça, Lara Pinheiro-Guedes, João Sarmento and 9 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Francisco Goiana-da-SilvaCentre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK.ORCID 0000-0003-2055-6906
Raisa GuedesUnidade Local de Saúde São João, 4200-319 Porto, Portugal.ORCID 0009-0001-5702-8843
Filipa MalcataUnidade Local de Saúde São João, 4200-319 Porto, Portugal.
Juliana SáFaculdade de Ciências da Saúde, Universidade da Beira Interior, 6200-506 Covilhã, Portugal.
Miguel CabralUnidade Local de Saúde São João, 4200-319 Porto, Portugal.
Rafael VasconcelosUnidade Local De Saúde Região de Leiria, 2410-197 Leiria, Portugal.
Soraia CostaUnidade Local De Saúde Póvoa de Varzim/Vila do Conde, 4490-421 Póvoa de Varzim, Portugal.
Inês Morais-VilaçaUnidade Local De Saúde Gaia/Espinho, 4434-502 Vila Nova de Gaia, Portugal.ORCID 0000-0003-4431-9470
Lara Pinheiro-GuedesUnidade Local De Saúde Tâmega e Sousa, 4560-136 Penafiel, Portugal.
João SarmentoPublic Health Research Center, Nova National School of Public Health, Universidade Nova de Lisboa, 1600-560 Lisbon, Portugal.
Filipe CostaNova School of Business and Economics, Travessa de Estêvão Pinto-Campus de Campolide, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal.ORCID 0000-0001-9060-8025
Rita MoreiraUnidade Local De Saúde Santo António, 4099-001 Porto, Portugal.
Fátima FonsecaUnidade Local De Saúde Região de Aveiro, 3814-501 Aveiro, Portugal.ORCID 0009-0007-7350-8584
Jaime AlvesMinistério das Finanças, Governo de Portugal, 1149-009 Lisbon, Portugal.
Marisa MiraldoDepartment of Economics and Public Policy, Centre for Health Economics and Policy Innovation Imperial College Business School, South Kensington Campus, Imperial College London, London SW7 2AZ, UK.
Alexandre Morais NunesCentre for Public Administration and Public Policies, Institute of Social and Political Sciences, University of Lisbon, 1300-663 Lisbon, Portugal.ORCID 0000-0002-6808-7769
Hutan AshrafianCentre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK.
Ara DarziCentre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK.
Fernando AraújoUnidade Local de Saúde São João, 4200-319 Porto, Portugal.ORCID 0000-0001-6471-5564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe Portuguese NHS has embarked on an administrative restructuring aimed at enabling healthcare professionals, particularly family doctors, to focus on direct patient care and improve overall healthcare outcomes. This article details these measures, their initial benefits for patients and professionals, and explores future strategies to further integrate levels of care and leverage technology to enhance efficiency, patient-centeredness, and ultimately, population health.

methodsEach measure was evaluated to estimate its potential impact on the four pillars of the value-based healthcare (VBHC) framework.

resultsWe found that most measures aimed at reducing bureaucracy had an estimated impact on more than two of the four pillars.

conclusionsThus, we conclude that the reduction in bureaucracy will tend to address several of the pillars of the VBHC framework and should be considered as a steppingstone in the process of increasing VBHC.

Indexed as

bureaucracyhealthcare managementhealthcare reforminnovationoutcomesPortuguese NHSvalue-based healthcare

Identifiers

PMID40218118
PMCPMC11989048

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.