Central level
Strategies, monitoring frameworks and evaluations.
- Ensuring that every citizen has access to preventive, curative and rehabilitative medical care;
- Ensuring efficient national coverage in terms of healthcare units and human resources;
- Working towards the public funding of the costs of medical care and medicines;
- Regulating and controlling the production, distribution, marketing, sale and use of chemical, biological and pharmaceutical products and other means of treatment and diagnosis, and
- Drafting policies for the prevention and treatment of drug abuse.
- The Integrated Medical Emergency System.
- Integration of Medical services and healthcare provision.
- Determine hospital budgets pending national annual budgets.
The National Health Service possesses a decentralised and participatory management system.
Responsible ministries/bodies
- Ministry of Health
- Ministry of Solidarity, Employment and Social Security
Regional level
The Azores:
- Regional health service, including its organisation, planning, operation, financing and human resources;
- Public health and community services;
- Preventive medicine and rehabilitation, and
- The system of licensing and operation of pharmacies.
Madeira:
- Health and welfare, and
- Health services.
Responsible ministries/bodies
Regional Authorities of Azores and Madeira
Local level
Municipalities are responsible for:
- The construction, maintenance and support of primary health care centres;
- Participating in advisory monitoring and evaluation of national health;
- Participating in the definition of policies and actions undertaken by health offices, and
- Participating in the provision of health care in the framework of social support dependence in partnership with central government and other local institutions.
- Manage non-medical staff of primary health care centres.
Intermunicipal entities are responsible for:
- Same areas, under agreement with the municipalities
Responsible ministries/bodies
Municipalities
Sources
Healthcare Reform Strategy
White Paper, Value-based Healthcare, Portugal, EUI
Estatuto Político-Administrativo da Região Autónoma da Madeira (Law 130/99 of 29 August).
Estatuto Político-Administrativo da Região Autónoma dos Açores (Law 2/2009 of 12 January).
Law 75/2013 Legal Regime of Local Authorities
Law 50/2018 Transference of Competences to Local Governments and Intermunicipal Entities
Law 51/2018 Local Finances Legal Framework