Lawmakers want freedom of choice for health users – Current Affairs

Lawmakers want freedom of choice for health users - Current Affairs



In this regard, it sets the example of PPP hospitals, which operate in a public-private partnership. "A person from Vila Franca de Xira, Cascais or Braga does not know or need to know that the unit is managed by a private entity. The conditions are exactly the same for the citizen who goes to Cascais or who goes to the hospital of San Francisco Xavier, "he said.

The Private Hospitalization Association argues that private hospitals could operate under contracts with the State, similar to the program contracts that are already established with public hospitals (EPE), and are subject to the same rules.

Óscar Gaspar believes that there would be gains in defining contracts with the private ones in certain geographic areas and for certain specialties.

He said it was "unreasonable" to continue discussing the health system as if the state had 100% care, emphasizing that the private sector already provides more than a third of medical consultations, for example.

The structure that represents private hospitals also argues that the functions of financier and caregiver should be separated, considering that there is "a kind of conflict of interest between roles" in the structures of the Ministry of Health, which both negotiate the provision care, but also provide them.

"For reasons of transparency and efficiency, it would be important to have this distinction between financier and provider," Óscar Gaspar told Lusa, suggesting the creation of a management entity within the health system that is an autonomous entity and different from who provides the services. health care.

In the manifesto of the deprived of the Iberian Peninsula will also be challenged the "ideological bias" of the private investment.

"This bias is noted in the licensing. There is still very strong discrimination against private individuals because they are the only subjects subject to licensing [das unidades]. We demand equality of circumstances, "said the president of APHP.

In addition, it defends a health regulator that is "truly independent and active", noting that the current Portuguese regulator has not been able to recruit people and has been the target of financial cataclysms, despite not having state funding.

At the 2nd Iberian Summit, in addition to the provision of private care, hospitals will also discuss the relationship with insurers, the issue of health subsystems and the provision of care.

Data released this year by the National Statistics Institute show that more than a third of hospital medical consultations in 2017 were performed in private units, which gave more than 300 thousand consultations than in the previous year.

Of the nearly 20 million outpatient visits made in Portugal in 2017, the National Health Service (NHS) hospitals accounted for 65.1%, one percentage point more than in the previous year.

The growth of consultations was more significant in private hospitals, with an increase of 4.5% compared to 2016.

The INE data also show that, since 2016, private hospitals are in the majority (114 of 225), pointing to an increase in activity in all areas.

According to APHP data, there are more than 2.5 million people with health insurance in Portugal.

In Spain, private health accounts for 57% of the number of hospitals (451 private, 337 public) and 3.5% of the country's GDP. On average, private health accounts for 30% of health activities in Spain, where nearly 10 million people have private health insurance.



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