Implementation Gaps of the Portuguese Nacional Health Plan 2012 2021: Evidence Mapping Analysis

Costa, Alexandra; Costa, Luciana; Rosa, Arminda; Mexia, Ricardo; Matias-Dias, Carlos

Publication

Implementation Gaps of the Portuguese Nacional Health Plan 2012 2021: Evidence Mapping Analysis

2023-11Conference object

dc.contributor.author	Costa, Alexandra
dc.contributor.author	Costa, Luciana
dc.contributor.author	Rosa, Arminda
dc.contributor.author	Mexia, Ricardo
dc.contributor.author	Matias-Dias, Carlos
dc.date.accessioned	2024-01-23T11:26:24Z
dc.date.available	2024-01-23T11:26:24Z
dc.date.issued	2023-11
dc.description	Abstract publicado em: European Journal of Public Health. 2023 Oct;33(Suppl 2). https://doi.org/10.1093/eurpub/ckad160.1659	pt_PT
dc.description.abstract	The National Institute of Health Doutor Ricardo Jorge (INSA) is responsible for carrying out the evaluation of the Portuguese National Health Plan (PNS) 2012-2016, extended to 2020 (and later to 2021). As part of PNS evaluation, this study aims to identify gaps in the implementation of the PNS 2012-2021, and to identify the degree of alignment and coherence between the strategic axis, goals, and monitoring framework issued by the PNS at different levels of implementation (national, regional, local and municipal). Methods: A mix study, employing both qualitative and quantitative approaches was performed based upon a modified scoping review. Portuguese healthcare institutional websites and municipality websites were identified as the main data sources and secondary data were gathered. Evidence (plans, programs, or strategies) with publication date between 2015 and 2020 were included. A data collection matrix was validated by a group of experts from major stakeholders from academia and public health services. The matrix included 3 main categories following the PNS intervention logic (5 strategic axis, 4 goals and 37 monitoring indicators). Results: A total of 204 documents met the inclusion criteria. Evidence from national level (55%) and local level (35%) represented about 90% of the sample. Overall, three implementation gaps were identified: 1) absence of two Regional Health Plans (in a total of 5 mainland health regions); 2) lack of about 1/3 of the expected Local Health Plans (16 out of 53) and, 3) low transposition (or approximation) of the PNS monitoring framework into the hospital and primary care contract-programs, one of the main management tools for planning. Conclusions: The identification and analysis of implementation gaps contribute to the final evaluation of the PNS. Moreover, the results can guide the next planning cycle pointing out sensitive areas of implementation which need more attention from various stakeholders.	pt_PT
dc.description.abstract	Key messages: - Implementation gaps can compromise the impact of PNS as the strategic tool to set the necessary health interventions and their alignment at national, regional and local level of implementation. - The next planning cycle should tackle the identified implementation gaps with the purpose of strengthen PNS as a strategic planning platform and with the aim of maximize population health gains.
dc.description.version	N/A	pt_PT
dc.identifier.uri	http://hdl.handle.net/10400.18/8954
dc.language.iso	eng	pt_PT
dc.peerreviewed	no	pt_PT
dc.subject	Avaliação de Políticas	pt_PT
dc.subject	Plano Nacional de Saúde	pt_PT
dc.subject	Lacunas	pt_PT
dc.subject	Evidência	pt_PT
dc.subject	Investigação em Serviços de Saúde	pt_PT
dc.subject	Portugal	pt_PT
dc.subject	Primary Health Care
dc.subject	Public Health
dc.subject	Medicine
dc.subject	Strategic Planning
dc.title	Implementation Gaps of the Portuguese Nacional Health Plan 2012 2021: Evidence Mapping Analysis	pt_PT
dc.type	conference object
dspace.entity.type	Publication
oaire.citation.conferencePlace	Dublin, Ireland	pt_PT
oaire.citation.title	16th European Public Health Conference, 9-12 November 2023	pt_PT
rcaap.rights	restrictedAccess	pt_PT
rcaap.type	conferenceObject	pt_PT