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Portugal

Population (2017): 10.300 M

Income per Capita (2018): 15,593.64 US

Percentage of GDP on Healthcare (2015): 9.08%

training

Year family medicine established:

Type of Training: Residency

Length of Training: 6 years of medical school (Brekke et al., 2013) followed by 4 years of vocational training (Fonseca et al., 2015)

Number of institutions that offer family medicine: 6 universities offer training

Number of family medicine residents graduating each year: unknown

practice

Number of family doctors in country (2016): 26,100 GPs (Eurostat, 2016)

Physician to population ratio (2006): 252.8 GPs per 100,000 people (Eurostat, 2016).

DALY: 13,615 per 100,000 individuals (Due to all Causes).

Life Expectancy:

  • Females 2017: 84.3 years

  • Males 2017: 78.1 years

Mortality rate 2017:

  • 2015 Males: 104 per 1,000 male adults.

  • 2015 Females: 42 per 1,000 female adults.

Infant Immunization-HepB3: % of 1-year-old children received: 98%.

College of Family Physicians (Y or N):

  • Yes: Portuguese Association of General Practice/Family Medicine.

 

 
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healthcare system

Portugal has a mixed healthcare system, but all residents of Portugal have access to healthcare through the National Health Service. (Barros et al., 2011). Since this system is essentially a mixed healthcare system, citizens with higher incomes and who are from a higher SES, they can opt to see a specialist directly without needing to approach a family physician prior.

training

Six years of medical school is required, followed by four years of residency. Approximately 30% of primary care centers allow for residents to complete their vocational training (Fonseca et al., 2015). In 2009, Family medicine training was increased from 3 to 4 years.

practice

Family doctors can provide a range of services depending if the practice is in a rural area; however, they do not usually provide any surgical or invasive care (Barata, 2016). Doctors often provide referrals to secondary and tertiary care (Barata, 2016). It is also common practice for family physicians in Portugal to conduct home visits to follow up or conduct tests on their patients. Portugal follows a list system resulting in less accessibility to family physicians and primary care in general, leaving several Portuguese citizens without primary care providers.

References

Barata, A.N. 2016. Working as a family physician in Canada and Portugal: how different is it?” Journal of Family Medicine and Primary Care, 5, no. 3, 518-522.  doi: 10.4103/2249-4863.197255

 

Barros, P.P., Machado, S.R., & Simões, J.A. 2011. “Portugal. Health System Review.” Health Systems in Transition, 13, no. 4, 1-156. https://europepmc.org/abstract/med/22222781

 

Brekke, M., Carelli, F., Zarbailov, N., Javashvili, G., Wilm, S., Timonen, M., & Tandeter, H. 2013. “Undergraduate Medical Education in General Practice/Family Medicine throughout Europe-a Descriptive Study.” http://www.biomedcentral.com/1472-6920/13/157.

 

Eurostat. n.d. “Physicians per 1000 people.” Retrieved from https://ec.europa.eu/eurostat/statistics-explained/index.php?title=File:Physicians,_by_speciality,_2016_HLTH18.png

 

Fonseca, C., Dedeu, T., Pisco, L., Gouveia, A. 2015. “Portugal.” In Kringos DS, Boerma WGW, Hutchinson A, et al., editors. “Building primary care in a changing Europe: case studies.” Observational Studies Series, No. 40.

https://www.ncbi.nlm.nih.gov/books/NBK459011/