Addressing bureaucratic burdens of value-based healthcare: the Portuguese National Health Service experience
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
Background/Objectives: The 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. Methods: Each measure was evaluated to estimate its potential impact on the four pillars of the value-based healthcare (VBHC) framework. Results: We found that most measures aimed at reducing bureaucracy had an estimated impact on more than two of the four pillars. Conclusions: Thus, 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.
Date Issued
2025-04-04
Date Acceptance
2025-01-31
Citation
Healthcare, 2025, 13 (7)
ISSN
2227-9032
Publisher
MDPI
Journal / Book Title
Healthcare
Volume
13
Issue
7
Copyright Statement
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
License URL
Identifier
10.3390/healthcare13070821
Subjects
Goiana-da-Silva, F.
Guedes, R.
Malcata, F.
Sá, J.
Cabral, M.
Vasconcelos, R.
Costa, S.
Morais-Vilaça, I.
Pinheiro-Guedes, L.
healthcare management
innovation
outcomes
bureaucracy
Portuguese NHS
healthcare reform
value-based healthcare
Publication Status
Published
Article Number
ARTN 821