title: Primary Health Care Reform in Portugal: Portuguese, modern and innovative.
abstract: The 2005 Portuguese primary health care (CSP) reform was one of the most successful reforms of the country's public services. The most relevant event was the establishment of Family Health Units (USF): voluntary and self-organized multidisciplinary teams that provide customized medical and nursing care to a group of people. Then, the remaining realms of CSP were reorganized with the establishment of Health Center Clusters (ACeS). Clinical governance was implemented aiming at achieving health gains by improving quality and participation and accountability of all. This paper aims to characterize the 2005 reform of Portuguese CSP with an analysis of its systemic and local realms. This is a case study of a CSP reform of a health system with documentary analysis and description of one of its facilities. This reform was Portuguese, modern and innovative. Portuguese by not breaking completely with the past, modern because it has adhered to technology and networking, and innovative because it broke with the traditional hierarchized model. It fulfilled the goal of a reform: it achieved improvements with greater satisfaction of all and health gains.
authors.affiliation: Unidade de Saúde Familiar Marginal, ACES de Cascais. R. Egas Moniz 9010/Piso 2, Cascais. 2765-618 São João do Estoril Portugal. andre.rosa.biscaia@gmail.com.
authors.forename: André Rosa
authors.initials: AR
authors.lastname: Biscaia
authors.affiliation: Unidade de Saúde Familiar Marginal, ACES de Cascais. R. Egas Moniz 9010/Piso 2, Cascais. 2765-618 São João do Estoril Portugal. andre.rosa.biscaia@gmail.com.
authors.forename: Liliana Correia Valente
authors.initials: LC
authors.lastname: Heleno
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards; D005192:Family Health; D018166:Health Care Reform; D006801:Humans; D009936:Organizational Innovation; D010348:Patient Care Team / Q000458:organization & administration; D011174:Portugal; D011320:Primary Health Care / Q000458:organization & administration* / Q000592:standards