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Health systems in transition

Portugal

20

The following central services are under the government’s indirect

administration, including public institutes or other bodies:

Central Administration of the Health System (

Administração Central

do Sistema de Saúde

, ACSS)

, which is in charge of managing financial

and human resources, facilities and equipment, systems and information

technology (IT) of the NHS. It is also responsible for the implementation

of health policies, regulation and planning, along with the RHAs, namely

in health service contracting.

The National Authority on Drugs and Health Products (

Autoridade

Nacional do Medicamento e Produtos de Saúde

, INFARMED)

, which

regulates and supervises the pharmaceuticals and health products

sector, following the highest standards of public health protection

(see section 5.6). It aims to ensure that all health care professionals and

patients have access to safe, efficient and quality pharmaceuticals and

other health products.

The National Institute for Medical Emergencies (

Instituto Nacional

de Emergência Médica

, INEM)

, which delineates, participates in and

assesses the activities and performance of the Integrated System of

Medical Emergency, guaranteeing immediate assistance to injured or

severely ill patients (see section 5.5).

The Portuguese Institute for Blood and Transplantation (

Instituto

Português do Sangue e da Transplantação

)

, which guarantees quality

and safety regarding donation, analysis, processing, storing and

distribution of human blood and blood components, as well as human

organs, tissues and cells. Additionally, the Institute for Blood and

Transplantation regulates, at a national level, the pharmaceuticals related

to transfusions and guarantees that there is a stock of secure blood and

blood components available when needed.

Institute for Protection and Assistance in Illness (

Instituto de

Protecção e Assistência na Doença

, ADSE)

, which guarantees the

effective access to social protection regarding health care services to

Public Administration workers and their families (see section 2.1.6).

This is the health subsystem for civil servants and it is under the indirect

administration of both the Ministry of Health and the Ministry of Finance.

National Institute of Health, Dr Ricardo Jorge (

Instituto Nacional de

Saúde Doutor Ricardo Jorge

, INSA)

, which is the reference laboratory

of the Portuguese health system, incorporating the functions of national

observatory and national reference laboratory in the Portuguese health