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- W2292664137 abstract "A key aspect of current reforms in Europe is an increased focus on the first line health services, with a central role for the “general practitioner/family physician” (FP). The introduction of family practice as a specific discipline in Portugal goes back only to the early 1980’s, following the introduction of a National Health Service (NHS) in the 1970’s.1 This paper explores the awareness, among health system managers at various levels, of problems with performance, as well as their perception of what is being done and what could be done to improve it. The first step was to interview senior NHS managers at regional and sub-regional health authority (RHA and SRHA) level. The second step was to interview directors of health centres (HC), the place where FPs work. The final phase of the study included an interview with the national sub-director of health in charge of FP and HC. This study shows that performance management is a poorly developed part of the management armamentarium of public sector managers in the Portuguese NHS. Health services managers appear aware of the need to find mechanisms for performance management at the institutional level, but show little concern for performance management at in the dividual or sub-institutional level. Moreover, they apparently focus on evaluation of process and structure, and make little or no mention of assessing production of health." @default.
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- W2292664137 date "2000-01-01" @default.
- W2292664137 modified "2023-10-01" @default.
- W2292664137 title "Managing the performance of family physicians in the Portuguese national health system" @default.
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