Portugal Health

​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

Compare with:

Decentralization Index

​​An interactive tool with perspective on different dimensions of decentralisation (political, administrative and fiscal) across the 27 EU Member States

Go to the Decentralization Index