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Health systems in transition
Portugal
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Table 2.1
Responsibilities in the Portuguese health system by sector
Legislation
Planning
Licensing/accreditation
Pricing/Tariff setting
Quality assurance
Purchasing/Financing
Public health services
Ministry of Health
Ministry of Health
Ministry of Health and
Health Regulatory Agency
Ministry of Health
Ministry of Health
and Health Regulatory
Agency
Ministry of Health
Ambulatory care
(primary and
secondary care)
Ministry of Health
Ministry of Health
(for the public sector)
Ministry of Health
(for the public sector);
Health Regulatory Agency
(for the private sector)
Ministry of Health
(for the public sector)
Ministry of Health
and Health Regulatory
Agency
Ministry of Health
(for the public sector),
patients
Inpatient care
Ministry of Health
Ministry of Health
(for the public sector)
Ministry of Health
(for the public sector);
Health Regulatory Agency
(for the private sector)
Ministry of Health
(for the public sector)
Ministry of Health
and Health Regulatory
Agency
Ministry of Health
(for the public sector),
patients
Dental care
Ministry of Health
None
Health Regulatory Agency
Depends on the provider
Health Regulatory Agency
and Portuguese Dental
Association
Patients, VHI, health
subsystems
Pharmaceuticals
(ambulatory)
Ministry of Health
Legislation defines
pharmacies’ location
INFARMED
INFARMED
INFARMED
Patients, VHI, health
subsystems
Long-term care
Ministry of Health;
Ministry of Labour,
Solidarity and Social
Security
Ministry of Health;
Ministry of Labour,
Solidarity and Social
Security
Ministry of Health; Ministry
of Labour, Solidarity and
Social Security
Ministry of Health;
Ministry of Labour,
Solidarity and Social
Security
Ministry of Health;
Ministry of Labour,
Solidarity and Social
Security
Ministry of Health;
Ministry of Labour,
Solidarity and Social
Security; patients
University education
of personnel
Ministry of Science,
Technology and Higher
Education
Public and private
universities
Ministry of Science,
Technology and Higher
Education
Ministry of Science,
Technology and Higher
Education; universities
Ministry of Science,
Technology and Higher
Education; universities
Ministry of Science,
Technology and Higher
Education; students
(fees)
Source
: Authors’ compilation.
Notes
: INFARMED: National Authority on Drugs and Health Products; VHI: voluntary health insurance.