{"id":"https://openalex.org/W2965396153","doi":"https://doi.org/10.20344/amp.10437","title":"Utiliza\u00e7\u00e3o do Internamento Hospitalar em Portugal Continental por Crian\u00e7as com Doen\u00e7as Cr\u00f3nicas Complexas (2011 \u2013 2015)","display_name":"Utiliza\u00e7\u00e3o do Internamento Hospitalar em Portugal Continental por Crian\u00e7as com Doen\u00e7as Cr\u00f3nicas Complexas (2011 \u2013 2015)","publication_year":2019,"publication_date":"2019-08-01","ids":{"openalex":"https://openalex.org/W2965396153","doi":"https://doi.org/10.20344/amp.10437","mag":"2965396153","pmid":"https://pubmed.ncbi.nlm.nih.gov/31445528"},"language":"pt","primary_location":{"id":"doi:10.20344/amp.10437","doi":"https://doi.org/10.20344/amp.10437","is_oa":true,"landing_page_url":"https://doi.org/10.20344/amp.10437","pdf_url":null,"source":{"id":"https://openalex.org/S147790641","display_name":"Acta M\u00e9dica Portuguesa","issn_l":"0870-399X","issn":["0870-399X","1646-0758"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","ddh","doaj","dongbi-c","latindex","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318481","host_organization_name":"Ordem dos M\u00e9dicos","host_organization_lineage":["https://openalex.org/P4310318481"],"host_organization_lineage_names":["Ordem dos M\u00e9dicos"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta M\u00e9dica Portuguesa","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.20344/amp.10437","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5091316172","display_name":"Ana Lacerda","orcid":"https://orcid.org/0000-0003-3387-3521","observed_orcids":["https://orcid.org/0000-0003-3387-3521"]},"institutions":[{"id":"https://openalex.org/I25169866","display_name":"Universidade Cat\u00f3lica Portuguesa","ror":"https://ror.org/03b9snr86","country_code":"PT","type":"education","lineage":["https://openalex.org/I25169866"]},{"id":"https://openalex.org/I4210103180","display_name":"Instituto Portugu\u00eas de Oncologia Francisco Gentil","ror":"https://ror.org/00r7b5b77","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210103180"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Ana Forjaz Lacerda","raw_affiliation_strings":["Observat\u00f3rio Portugu\u00eas de Cuidados Paliativos. Instituto de Ci\u00eancias da Sa\u00fade. Universidade Cat\u00f3lica Portuguesa. Lisboa. Servi\u00e7o de Pediatria. Instituto Portugu\u00eas de Oncologia de Lisboa Francisco Gentil. Lisboa. Portugal","Observat\u00f3rio Portugu\u00eas de Cuidados Paliativos. Instituto de Ci\u00eancias da Sa\u00fade. Universidade Cat\u00f3lica Portuguesa. Lisboa. \nServi\u00e7o de Pediatria. Instituto Portugu\u00eas de Oncologia de Lisboa Francisco Gentil. Lisboa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Observat\u00f3rio Portugu\u00eas de Cuidados Paliativos. Instituto de Ci\u00eancias da Sa\u00fade. Universidade Cat\u00f3lica Portuguesa. Lisboa. Servi\u00e7o de Pediatria. Instituto Portugu\u00eas de Oncologia de Lisboa Francisco Gentil. Lisboa. Portugal","institution_ids":["https://openalex.org/I25169866","https://openalex.org/I4210103180"]},{"raw_affiliation_string":"Observat\u00f3rio Portugu\u00eas de Cuidados Paliativos. Instituto de Ci\u00eancias da Sa\u00fade. Universidade Cat\u00f3lica Portuguesa. Lisboa. \nServi\u00e7o de Pediatria. Instituto Portugu\u00eas de Oncologia de Lisboa Francisco Gentil. Lisboa","institution_ids":["https://openalex.org/I25169866","https://openalex.org/I4210103180"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039202530","display_name":"Gra\u00e7a Oliveira","orcid":"https://orcid.org/0000-0001-7916-1904","observed_orcids":["https://orcid.org/0000-0001-7916-1904"]},"institutions":[{"id":"https://openalex.org/I4210114390","display_name":"Centro Hospitalar Lisboa Norte","ror":"https://ror.org/020sr6z07","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210114390","https://openalex.org/I4405255475"]},{"id":"https://openalex.org/I4210149283","display_name":"Hospital de Santa Maria","ror":"https://ror.org/05bz1tw26","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4210149283"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Gra\u00e7a Oliveira","raw_affiliation_strings":["Departamento de Pediatria. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Portugal","Departamento de Pediatria. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departamento de Pediatria. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. Portugal","institution_ids":["https://openalex.org/I4210114390","https://openalex.org/I4210149283"]},{"raw_affiliation_string":"Departamento de Pediatria. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa","institution_ids":["https://openalex.org/I4210114390","https://openalex.org/I4210149283"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045321353","display_name":"C\u00e2ndida Cancelinha","orcid":"https://orcid.org/0000-0001-8816-5990","observed_orcids":["https://orcid.org/0000-0001-8816-5990"]},"institutions":[{"id":"https://openalex.org/I25169866","display_name":"Universidade Cat\u00f3lica Portuguesa","ror":"https://ror.org/03b9snr86","country_code":"PT","type":"education","lineage":["https://openalex.org/I25169866"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"C\u00e2ndida Cancelinha","raw_affiliation_strings":["Observat\u00f3rio Portugu\u00eas de Cuidados Paliativos. Instituto de Ci\u00eancias da Sa\u00fade. Universidade Cat\u00f3lica Portuguesa. Lisboa. Servi\u00e7o de Pediatria M\u00e9dica. Departamento Pedi\u00e1trico. Centro Hospitalar e Universit\u00e1rio de Coimbra. Coimbra. Portugal","Observat\u00f3rio Portugu\u00eas de Cuidados Paliativos. Instituto de Ci\u00eancias da Sa\u00fade. Universidade Cat\u00f3lica Portuguesa. Lisboa.\nServi\u00e7o de Pediatria M\u00e9dica. Departamento Pedi\u00e1trico. Centro Hospitalar e Universit\u00e1rio de Coimbra. Coimbra"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Observat\u00f3rio Portugu\u00eas de Cuidados Paliativos. Instituto de Ci\u00eancias da Sa\u00fade. Universidade Cat\u00f3lica Portuguesa. Lisboa. Servi\u00e7o de Pediatria M\u00e9dica. Departamento Pedi\u00e1trico. Centro Hospitalar e Universit\u00e1rio de Coimbra. Coimbra. Portugal","institution_ids":["https://openalex.org/I25169866"]},{"raw_affiliation_string":"Observat\u00f3rio Portugu\u00eas de Cuidados Paliativos. Instituto de Ci\u00eancias da Sa\u00fade. Universidade Cat\u00f3lica Portuguesa. Lisboa.\nServi\u00e7o de Pediatria M\u00e9dica. Departamento Pedi\u00e1trico. Centro Hospitalar e Universit\u00e1rio de Coimbra. Coimbra","institution_ids":["https://openalex.org/I25169866"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5025161048","display_name":"S\u00edlvia Lopes","orcid":"https://orcid.org/0000-0002-6048-396X","observed_orcids":["https://orcid.org/0000-0002-6048-396X"]},"institutions":[{"id":"https://openalex.org/I4405254744","display_name":"Centro de Investiga\u00e7\u00e3o em Sa\u00fade P\u00fablica","ror":"https://ror.org/0265f3m16","country_code":"PT","type":"facility","lineage":["https://openalex.org/I4405254744","https://openalex.org/I83558840"]},{"id":"https://openalex.org/I4405260708","display_name":"Comprehensive Health Research Centre Escola Nacional Sa\u00fade P\u00fablica","ror":"https://ror.org/045f3jn20","country_code":"PT","type":"education","lineage":["https://openalex.org/I4405260708","https://openalex.org/I83558840"]},{"id":"https://openalex.org/I83558840","display_name":"Universidade Nova de Lisboa","ror":"https://ror.org/02xankh89","country_code":"PT","type":"education","lineage":["https://openalex.org/I83558840"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Silvia Lopes","raw_affiliation_strings":["Departamento de Pol\u00edticas e Gest\u00e3o do Sistema de Sa\u00fade. Escola Nacional de Sa\u00fade P\u00fablica. Universidade NOVA de Lisboa. Lisboa. Centro de Investiga\u00e7\u00e3o em Sa\u00fade P\u00fablica. Escola Nacional de Sa\u00fade P\u00fablica. Universidade NOVA de Lisboa. Lisboa. Portugal","Departamento de Pol\u00edticas e Gest\u00e3o do Sistema de Sa\u00fade. Escola Nacional de Sa\u00fade P\u00fablica. Universidade NOVA de Lisboa. Lisboa. \nCentro de Investiga\u00e7\u00e3o em Sa\u00fade P\u00fablica. Escola Nacional de Sa\u00fade P\u00fablica. Universidade NOVA de Lisboa. Lisboa"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departamento de Pol\u00edticas e Gest\u00e3o do Sistema de Sa\u00fade. Escola Nacional de Sa\u00fade P\u00fablica. Universidade NOVA de Lisboa. Lisboa. Centro de Investiga\u00e7\u00e3o em Sa\u00fade P\u00fablica. Escola Nacional de Sa\u00fade P\u00fablica. Universidade NOVA de Lisboa. Lisboa. Portugal","institution_ids":["https://openalex.org/I4405254744","https://openalex.org/I4405260708","https://openalex.org/I83558840"]},{"raw_affiliation_string":"Departamento de Pol\u00edticas e Gest\u00e3o do Sistema de Sa\u00fade. Escola Nacional de Sa\u00fade P\u00fablica. Universidade NOVA de Lisboa. Lisboa. \nCentro de Investiga\u00e7\u00e3o em Sa\u00fade P\u00fablica. Escola Nacional de Sa\u00fade P\u00fablica. Universidade NOVA de Lisboa. Lisboa","institution_ids":["https://openalex.org/I4405254744","https://openalex.org/I4405260708","https://openalex.org/I83558840"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.5159,"has_fulltext":true,"cited_by_count":19,"citation_normalized_percentile":{"value":0.79966518,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"32","issue":"7-8","first_page":"488","last_page":"498"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9463000297546387,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T12246","display_name":"Chronic Disease Management Strategies","score":0.9463000297546387,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T12823","display_name":"Adolescent and Pediatric Healthcare","score":0.02250000089406967,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child 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/T10391","display_name":"Healthcare Policy and Management","score":0.00860000029206276,"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/complex-chronic-conditions","display_name":"complex chronic conditions","score":0.9319999814033508},{"id":"https://openalex.org/keywords/pediatric-hospitalization","display_name":"pediatric hospitalization","score":0.8730000257492065},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.42800000309944153},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8339999914169312},{"id":"https://openalex.org/keywords/hospitalization-costs","display_name":"hospital costs","score":0.8640000224113464},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.6190000176429749},{"id":"https://openalex.org/keywords/pediatric-palliative-care","display_name":"pediatric palliative care","score":0.7929999828338623},{"id":"https://openalex.org/keywords/pediatric-oncology","display_name":"pediatric oncology","score":0.49300000071525574},{"id":"https://openalex.org/keywords/neonatal-admission","display_name":"neonatal admission","score":0.6499999761581421}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4611179828643799}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006761","descriptor_name":"Hospitals","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007231","descriptor_name":"Infant, Newborn","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007297","descriptor_name":"Inpatients","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011174","descriptor_name":"Portugal","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D017048","descriptor_name":"Health Care Costs","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D018709","descriptor_name":"Statistics, Nonparametric","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020380","descriptor_name":"Needs Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":6,"locations":[{"id":"doi:10.20344/amp.10437","doi":"https://doi.org/10.20344/amp.10437","is_oa":true,"landing_page_url":"https://doi.org/10.20344/amp.10437","pdf_url":null,"source":{"id":"https://openalex.org/S147790641","display_name":"Acta M\u00e9dica Portuguesa","issn_l":"0870-399X","issn":["0870-399X","1646-0758"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","ddh","doaj","dongbi-c","latindex","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318481","host_organization_name":"Ordem dos M\u00e9dicos","host_organization_lineage":["https://openalex.org/P4310318481"],"host_organization_lineage_names":["Ordem dos M\u00e9dicos"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta M\u00e9dica Portuguesa","raw_type":"journal-article"},{"id":"pmid:31445528","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31445528","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta medica portuguesa","raw_type":"Journal Article"},{"id":"pmh:oai:ojs.www.actamedicaportuguesa.com:article/10437","doi":null,"is_oa":true,"landing_page_url":"https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10437","pdf_url":"https://www.actamedicaportuguesa.com/revista/index.php/amp/article/download/10437/5748","source":{"id":"https://openalex.org/S4306402433","display_name":"Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)","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":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"0870-399X","raw_type":"journal article"},{"id":"pmh:oai:doaj.org/article:5308397af0de48c1b270d92e5abbe6f3","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/5308397af0de48c1b270d92e5abbe6f3","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","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":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Acta M\u00e9dica Portuguesa, Vol 32, Iss 7-8 (2019)","raw_type":"article"},{"id":"pmh:oai:repositorio.ucp.pt:10400.14/32421","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10400.14/32421","pdf_url":null,"source":{"id":"https://openalex.org/S4306402433","display_name":"Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)","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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"},{"id":"pmh:oai:run.unl.pt:10362/88515","doi":null,"is_oa":true,"landing_page_url":"https://www.scopus.com/pages/publications/85070722543","pdf_url":null,"source":{"id":"https://openalex.org/S4306402433","display_name":"Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT)","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":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"journal article"}],"best_oa_location":{"id":"doi:10.20344/amp.10437","doi":"https://doi.org/10.20344/amp.10437","is_oa":true,"landing_page_url":"https://doi.org/10.20344/amp.10437","pdf_url":null,"source":{"id":"https://openalex.org/S147790641","display_name":"Acta M\u00e9dica Portuguesa","issn_l":"0870-399X","issn":["0870-399X","1646-0758"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","ddh","doaj","dongbi-c","latindex","medline","norway-1","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310318481","host_organization_name":"Ordem dos M\u00e9dicos","host_organization_lineage":["https://openalex.org/P4310318481"],"host_organization_lineage_names":["Ordem dos M\u00e9dicos"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Acta M\u00e9dica Portuguesa","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2965396153.pdf","grobid_xml":"https://content.openalex.org/works/W2965396153.grobid-xml"},"referenced_works_count":47,"referenced_works":["https://openalex.org/W1814422708","https://openalex.org/W1902250923","https://openalex.org/W1910394654","https://openalex.org/W1937266871","https://openalex.org/W1972825935","https://openalex.org/W1978535788","https://openalex.org/W1985808336","https://openalex.org/W1987234158","https://openalex.org/W1992955129","https://openalex.org/W2054778025","https://openalex.org/W2057708723","https://openalex.org/W2073819948","https://openalex.org/W2093053464","https://openalex.org/W2097114408","https://openalex.org/W2105375174","https://openalex.org/W2109896213","https://openalex.org/W2114489543","https://openalex.org/W2116749743","https://openalex.org/W2129427821","https://openalex.org/W2130874036","https://openalex.org/W2131273356","https://openalex.org/W2143393917","https://openalex.org/W2157037004","https://openalex.org/W2158109620","https://openalex.org/W2162053478","https://openalex.org/W2163098511","https://openalex.org/W2396392063","https://openalex.org/W2410872124","https://openalex.org/W2419023380","https://openalex.org/W2420050137","https://openalex.org/W2557424483","https://openalex.org/W2559569219","https://openalex.org/W2594558108","https://openalex.org/W2594812827","https://openalex.org/W2623679389","https://openalex.org/W2736856824","https://openalex.org/W2779842164","https://openalex.org/W2781701630","https://openalex.org/W4213030688","https://openalex.org/W4232378947","https://openalex.org/W4235404329","https://openalex.org/W4236056432","https://openalex.org/W4237432681","https://openalex.org/W4243311139","https://openalex.org/W4246927041","https://openalex.org/W4248040880","https://openalex.org/W4250547781"],"related_works":["https://openalex.org/W3092006081","https://openalex.org/W7064544004","https://openalex.org/W7120328976","https://openalex.org/W2963680864","https://openalex.org/W4212989821","https://openalex.org/W4306832078","https://openalex.org/W3088699278","https://openalex.org/W3197244144","https://openalex.org/W4289710817","https://openalex.org/W4410877229"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Due":[1],"to":[2,22,104,131,148,304],"epidemiological":[3,51],"change,":[4],"interest":[5],"in":[6,27,181,227,239,246,262,279,287],"complex":[7,42,82,90,96,124,132,151,175,188,250,269],"chronic":[8,43,83,91,97,125,133,152,176,189,251,270,275],"conditions":[9,84,92,98,126,134,177,190,252,271,276],"has":[10],"been":[11],"increasing":[12],"within":[13,60],"the":[14,28,61,79,194,201,232,247,263,280,298,310,319],"pediatric":[15,35,62,235,285,294],"health":[16],"system.":[17],"As":[18,226],"such,":[19],"we":[20,242],"aim":[21],"evaluate":[23],"hospital":[24,138,307],"inpatient":[25],"care":[26,296],"National":[29],"Health":[30],"Service":[31],"(mainland":[32],"Portugal)":[33],"by":[34,87,95],"patients":[36],"(0":[37],"-":[38,66,184,210,215],"17":[39],"years)":[40],"with":[41,81],"conditions.":[44],"MATERIAL":[45],"AND":[46],"METHODS:":[47],"Observational":[48],"longitudinal":[49],"retrospective":[50],"study":[52],"using":[53],"anonymized":[54],"administrative":[55],"data.":[56],"We":[57],"selected":[58],"hospitalizations":[59,286],"age":[63],"limit,":[64],"2011":[65],"2015;":[67],"healthy":[68],"newborns":[69],"and":[70,94,109,143,161,218,258,282,292,314,324],"radiotherapy":[71],"outpatients":[72],"were":[73,102,172],"excluded.":[74],"A":[75],"descriptive":[76],"analysis":[77],"of":[78,89,106,113,137,141,145,205,220,223,234,249,265,300,312,321],"admissions":[80,129,236],"was":[85,155,193],"analysed":[86],"number":[88,219,233],"categories":[93],"categories.":[99],"Non-parametric":[100],"tests":[101],"applied":[103],"length":[105,204],"stay,":[107],"expense,":[108],"mortality.":[110],"RESULTS:":[111],"Out":[112],"419":[114],"927":[115],"admissions,":[116,253],"64":[117],"918":[118],"(15.5%)":[119],"contained":[120],"at":[121],"least":[122],"one":[123],"code.":[127],"These":[128],"due":[130],"represented":[135],"29.8%":[136],"days,":[139,208],"39.4%":[140],"expense":[142,154,213],"87.2%":[144],"deaths.":[146],"Compared":[147],"those":[149],"without":[150],"conditions,":[153],"double":[156],"(median":[157],"\u20ac1467":[158],"vs":[159,167],"\u20ac745)":[160],"mortality":[162],"40":[163],"times":[164],"higher":[165],"(2.4%":[166],"0.06%).":[168],"Of":[169],"these,":[170],"46%":[171],"planned":[173],"(no":[174,187],"23.2%);":[178],"64.8%":[179],"occurred":[180],"group":[182],"III":[183],"IV":[185],"hospitals":[186],"27.1%).":[191],"Malignant":[192],"most":[195],"frequent":[196],"category":[197],"(23.0%);":[198],"neonatal":[199],"had":[200],"highest":[202],"median":[203,212],"stay":[206],"(12":[207],"6":[209],"41),":[211],"(\u20ac3568,929":[214],"24":[216],"602),":[217],"deaths":[221],"(43.5%":[222],"total).":[224],"DISCUSSION:":[225],"other":[228],"developed":[229],"countries":[230],"where":[231],"is":[237],"decreasing,":[238],"mainland":[240,288],"Portugal":[241],"found":[243],"an":[244],"increase":[245],"proportion":[248],"which":[254],"are":[255,277,302],"longer,":[256],"costlier":[257],"deadlier":[259],"(trends":[260],"intensified":[261],"presence":[264],"two":[266],"or":[267],"more":[268],"categories).":[272],"CONCLUSION:":[273],"Complex":[274],"relevant":[278],"activity":[281],"costs":[283],"regarding":[284],"Portugal.":[289],"Recognizing":[290],"this":[291],"integrating":[293],"palliative":[295],"from":[297],"moment":[299],"diagnosis":[301],"essential":[303],"promote":[305],"appropriate":[306],"use,":[308],"through":[309],"development":[311],"effective":[313],"sustainable":[315],"alternatives":[316],"that":[317],"meet":[318],"needs":[320],"children,":[322],"families,":[323],"healthcare":[325],"professionals.":[326]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2019-08-13T00:00:00"}