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4. Physical and human resources

4. Physical and human resources

Chapter summary

In 2014, Portugal had 225 hospitals, 113 of which belonged to the NHS,

with a total capacity of 34 522 beds.

There has been a decrease in the number of public hospitals over the

decades, due to the recent mergers between public sector hospitals

and the closing of psychiatric hospitals.

One of the government’s objectives in the last 16 years has been to

raise capacity and value for money in the NHS by increasing private

sector involvement in the building, maintaining and operating of health

facilities under P-PPs.

In 2014, the number of physicians per 100 000 population was above

the EU average (442.6 versus 349.6 per 100 000 population). On

the other hand, the relative number of nurses in Portugal (637.8

per 100 000 population) was below the EU average (864.3 per

100 000 population), which implies that Portugal has a low ratio of

nurses to physicians.

The overall distribution and density of pharmacies in the country is

balanced, and the number of pharmacists has been growing steadily

over the last 15 years.

Portugal faces a number of challenges regarding the distribution of health

workers and overall human resources planning (e.g. demand and supply,

task shifting and expanded roles). In addition, important gaps in health

equipment have been identified that might compromise satisfaction of

population needs.