Health Services disease: easy diagnosis, difficult treatment
Is the National Health Service still sustainable?
60% of private deliveries are by Caesarean section, twice as many as in the SNS.
43 public hospitals on the brink of collapse.
More than two thousand family doctors are out of the SNS.
Health Centres lack almost everything.
Public hospitals suffer from ‘persistent underfunding.’
Centre-right government doesn’t want doctors to be hired by private agencies.
More than half of SNS doctors also work in the private sector.
The vast majority of foreign doctors are working in the private sector.
Private hospitals break records with over 10 million consultations per year.
Mother loses baby after visiting five hospitals.
Infant mortality increasing in Portugal.
Infant mortality peaking since 2019. Unguarded pregnancies may explain.
Why do SNS professionals run away?
2,700 doctors leave Portugal for abroad.
In Portugal most people die in hospital, relatively few at home.
Portuguese medical specialists are among the lowest paid in Europe.
Health workers are depressed.
Number of nursing graduates below the EU average.
Order of Nurses warns of the ‘escape’ of nursing professionals from Portugal.
No progress in nursing careers.
Almost 1 million waiting for hospital appointments.
Over 7500 victims of cancer await critical surgeries.
Diagnosing the evils of the SNS (National Health Service) in Portugal is easy because the holes are in plain sight. The SNS used to be outstanding when created almost fifty years ago. Although it still maintains some excellent services, it has been degrading for not having adapted to a different society, states professor António Sarmento in the newspaper Expresso.
The price of health care has increased exponentially as a result of medical progress with technical and pharmacological innovations, many of which without a clearly demonstrated cost-benefit advantage.
There is an increasing stimulus to consumption in health care whose main focus is profit, as if health were a commercial activity. To enhance this demand for health care are the exaggerated expectations in the possibilities of Medicine.
It is unacceptable that private clinics try to condition the salary of doctors to the number of tests requested. There are even clinics announcing the offer of free radiographs as a gift for procedures performed.
But are public hospitals a paradise of ethics and virtue? Of course not. It is enough to look carefully at the perversion of some programs of the so-called additional production in some hospitals or at the administrative pressure that threatens good medical practice and demotivates the professionals.
What will be the solution? There seems to be only one way: a structural reform of the SNS, facing it as an imperative of national interest. There are general principles underlying any global reform of the health system
Health cannot be a business case like selling cars, apartments or commodities. Its merely commercial essence cannot be accepted, reducing health to a consumer good and the patient to a customer
There is only one Medicine: the one centred on people!
Promotion of health literacy should be based on Science, including universal concepts of dignity, compassion and beneficence, not forgetting respect of those who take care of others.
Cooperation with Public Health Services of the EU member states is warranted for the solution of problems that are common to all.
It is high time the country finds financing mechanisms that allow sustainable, accessible and equitable health for all.
Enjoy your week Aproveite a sua semana (Pic Público/PtRes)