{"id":"https://openalex.org/W2803099720","doi":"https://doi.org/10.23925/2176-901x.2017v20i4p27-47","title":"Challenges for health policy in a context of demographic transition in the interior of Portugal","display_name":"Challenges for health policy in a context of demographic transition in the interior of Portugal","publication_year":2017,"publication_date":"2017-12-30","ids":{"openalex":"https://openalex.org/W2803099720","doi":"https://doi.org/10.23925/2176-901x.2017v20i4p27-47","mag":"2803099720"},"language":"en","primary_location":{"id":"pmh:oai:americanae.aecid.es:2304957","doi":"https://doi.org/10.23925/2176-901x.2017v20i4p27-47","is_oa":false,"landing_page_url":"http://revistas.pucsp.br/kairos/article/view/36130","pdf_url":null,"source":{"id":"https://openalex.org/S4306400786","display_name":"Americanae (AECID Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Kair\u00f3s : Gerontologia; v. 20, n. 4 (2017); 27-47","raw_type":"<dc:type/><dc:type>info:eu-repo/semantics/article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://revistas.pucsp.br/kairos/article/view/36130","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080165272","display_name":"Alexandre Morais Nunes","orcid":"https://orcid.org/0000-0002-6808-7769","observed_orcids":["https://orcid.org/0000-0002-6808-7769"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nunes, Alexandre Morais","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044660200","display_name":"Manuel Louren\u00e7o Nunes","orcid":"https://orcid.org/0000-0002-7828-407X","observed_orcids":["https://orcid.org/0000-0002-7828-407X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nunes, Manuel Louren\u00e7o","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5101543476","display_name":"Andreia Afonso de Matos","orcid":"https://orcid.org/0000-0002-8774-121X","observed_orcids":["https://orcid.org/0000-0002-8774-121X"]},"institutions":[{"id":"https://openalex.org/I141596103","display_name":"University of Lisbon","ror":"https://ror.org/01c27hj86","country_code":"PT","type":"education","lineage":["https://openalex.org/I141596103"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Matos, Andreia Afonso de","raw_affiliation_strings":["Administra\u00e7\u00e3o P\u00fablica, Especialidade de Administra\u00e7\u00e3o da Sa\u00fade, Instituto Superior de Ci\u00eancias Sociais e Pol\u00edticas, ISCSP, Universidade de Lisboa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Administra\u00e7\u00e3o P\u00fablica, Especialidade de Administra\u00e7\u00e3o da Sa\u00fade, Instituto Superior de Ci\u00eancias Sociais e Pol\u00edticas, ISCSP, Universidade de Lisboa","institution_ids":["https://openalex.org/I141596103"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.7943999767303467,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.7943999767303467,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12041","display_name":"Public Health Policies and Education","score":0.026200000196695328,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12781","display_name":"Global Health Care Issues","score":0.021700000390410423,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/demographic-transition","display_name":"demographic transition","score":0.9549999833106995},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.8650000095367432},{"id":"https://openalex.org/keywords/population-aging","display_name":"population aging","score":0.8980000019073486},{"id":"https://openalex.org/keywords/rural-health","display_name":"rural health","score":0.6060000061988831},{"id":"https://openalex.org/keywords/economic-crisis","display_name":"economic crisis","score":0.9100000262260437},{"id":"https://openalex.org/keywords/unemployment","display_name":"unemployment","score":0.800000011920929},{"id":"https://openalex.org/keywords/income-loss","display_name":"income loss","score":0.6100000143051147},{"id":"https://openalex.org/keywords/life-expectancy","display_name":"life expectancy","score":0.8450000286102295},{"id":"https://openalex.org/keywords/fertility-decline","display_name":"fertility decline","score":0.8510000109672546}],"concepts":[{"id":"https://openalex.org/C133925201","wikidata":"https://www.wikidata.org/wiki/Q188419","display_name":"Life expectancy","level":3,"score":0.6765823364257812},{"id":"https://openalex.org/C518429986","wikidata":"https://www.wikidata.org/wiki/Q964401","display_name":"Fertility","level":3,"score":0.572776198387146},{"id":"https://openalex.org/C2778126366","wikidata":"https://www.wikidata.org/wiki/Q41171","display_name":"Unemployment","level":2,"score":0.5500950217247009},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.460624635219574},{"id":"https://openalex.org/C47122089","wikidata":"https://www.wikidata.org/wiki/Q285897","display_name":"Total fertility rate","level":5,"score":0.45856037735939026},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4476100206375122},{"id":"https://openalex.org/C549774020","wikidata":"https://www.wikidata.org/wiki/Q851147","display_name":"Welfare economics","level":1,"score":0.42353880405426025},{"id":"https://openalex.org/C37512671","wikidata":"https://www.wikidata.org/wiki/Q203516","display_name":"Birth rate","level":4,"score":0.4206986129283905},{"id":"https://openalex.org/C27548731","wikidata":"https://www.wikidata.org/wiki/Q88272","display_name":"Investment (military)","level":3,"score":0.41812440752983093},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.3787907361984253},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.36799925565719604},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.3274080753326416},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3074231743812561},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.23047581315040588},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.15534409880638123},{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.14136022329330444},{"id":"https://openalex.org/C2986817661","wikidata":"https://www.wikidata.org/wiki/Q185698","display_name":"Research methodology","level":3,"score":0.11737364530563354},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:americanae.aecid.es:2304957","doi":"https://doi.org/10.23925/2176-901x.2017v20i4p27-47","is_oa":false,"landing_page_url":"http://revistas.pucsp.br/kairos/article/view/36130","pdf_url":null,"source":{"id":"https://openalex.org/S4306400786","display_name":"Americanae (AECID Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Revista Kair\u00f3s : Gerontologia; v. 20, n. 4 (2017); 27-47","raw_type":"<dc:type/><dc:type>info:eu-repo/semantics/article"},{"id":"pmh:oai:ojs.revistas.pucsp.br:article/36130","doi":"https://doi.org/10.23925/2176-901x.2017v20i4p27-47","is_oa":true,"landing_page_url":"http://revistas.pucsp.br/kairos/article/view/36130","pdf_url":"http://revistas.pucsp.br/kairos/article/view/36130","source":{"id":"https://openalex.org/S4306402641","display_name":"LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Cient\u00edficas)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4383465926","host_organization_name":"LA Referencia","host_organization_lineage":["https://openalex.org/I4383465926"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Revista Kair\u00f3s : Gerontologia; v. 20, n. 4 (2017); 27-47","raw_type":"<dc:type/><dc:type>info:eu-repo/semantics/article"}],"best_oa_location":{"id":"pmh:oai:ojs.revistas.pucsp.br:article/36130","doi":"https://doi.org/10.23925/2176-901x.2017v20i4p27-47","is_oa":true,"landing_page_url":"http://revistas.pucsp.br/kairos/article/view/36130","pdf_url":"http://revistas.pucsp.br/kairos/article/view/36130","source":{"id":"https://openalex.org/S4306402641","display_name":"LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Cient\u00edficas)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4383465926","host_organization_name":"LA Referencia","host_organization_lineage":["https://openalex.org/I4383465926"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Revista Kair\u00f3s : Gerontologia; v. 20, n. 4 (2017); 27-47","raw_type":"<dc:type/><dc:type>info:eu-repo/semantics/article"},"sustainable_development_goals":[{"score":0.8199999928474426,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7825999855995178,"id":"https://metadata.un.org/sdg/8","display_name":"Decent work and economic growth"},{"score":0.5676000118255615,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.41670000553131104,"id":"https://metadata.un.org/sdg/1","display_name":"No poverty"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2803099720.pdf","grobid_xml":"https://content.openalex.org/works/W2803099720.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W1551938303","https://openalex.org/W2171446306","https://openalex.org/W2555327747"],"related_works":["https://openalex.org/W2504323647","https://openalex.org/W2610196034","https://openalex.org/W1964555274","https://openalex.org/W6999001828","https://openalex.org/W2970358681","https://openalex.org/W7063856260","https://openalex.org/W6981575842","https://openalex.org/W7000373627","https://openalex.org/W7037139193","https://openalex.org/W4323244780"],"abstract_inverted_index":{"Portugal":[0,24],"is":[1],"experiencing":[2],"an":[3,100],"aging":[4],"population":[5],"in":[6,18,32,77,82,91,102,106],"its":[7],"population.":[8],"This":[9],"study":[10],"aims":[11],"to":[12,29,45,124],"analyze":[13],"the":[14,27,53,57,65,78,109,126,129],"demographic":[15,111],"transitions":[16],"occurring":[17],"a":[19,38,74,89,104,114],"rural":[20],"inland":[21],"region":[22,34],"of":[23,40,56,59,68,128],"and":[25,61,70,85,88,117],"discuss":[26],"challenges":[28],"health":[30,79,122],"policy":[31],"this":[33],"that":[35],"has":[36],"experienced":[37],"period":[39],"economic":[41],"crisis.":[42,130],"In":[43],"order":[44],"achieve":[46],"these":[47],"objectives,":[48],"we":[49],"used":[50],"data":[51],"from":[52],"information":[54],"systems":[55],"Ministry":[58],"Health":[60],"conducted":[62],"interviews":[63],"with":[64],"main":[66],"actors":[67],"national":[69],"local":[71],"politics.":[72],"As":[73],"result,":[75],"investment":[76],"response,":[80],"reduction":[81,105],"fertility,":[83],"birth":[84],"death":[86],"rates":[87],"growth":[90],"average":[92],"life":[93],"expectancy":[94],"were":[95],"clear.":[96],"But":[97],"there":[98],"was":[99],"increase":[101],"unemployment,":[103],"income.":[107],"After":[108],"crisis,":[110],"changes":[112],"require":[113],"new":[115,121],"response":[116],"immediate":[118],"action":[119],"on":[120],"policies":[123],"overcome":[125],"effects":[127]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2018-05-17T00:00:00"}