{"id":"https://openalex.org/W4409155013","doi":"https://doi.org/10.3390/healthcare13070821","title":"Addressing Bureaucratic Burdens on the Portuguese National Health Service: A Simplification Experience Aiming for Value-Based Healthcare","display_name":"Addressing Bureaucratic Burdens on the Portuguese National Health Service: A Simplification Experience Aiming for Value-Based Healthcare","publication_year":2025,"publication_date":"2025-04-04","ids":{"openalex":"https://openalex.org/W4409155013","doi":"https://doi.org/10.3390/healthcare13070821","pmid":"https://pubmed.ncbi.nlm.nih.gov/40218118","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11989048"},"language":"en","primary_location":{"id":"doi:10.3390/healthcare13070821","doi":"https://doi.org/10.3390/healthcare13070821","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare13070821","pdf_url":"https://www.mdpi.com/2227-9032/13/7/821/pdf?version=1743757718","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/2227-9032/13/7/821/pdf?version=1743757718","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5049607322","display_name":"Francisco Goiana-da-Silva","orcid":"https://orcid.org/0000-0003-2055-6906","observed_orcids":["https://orcid.org/0000-0003-2055-6906"]},"institutions":[{"id":"https://openalex.org/I161321875","display_name":"University of Beira Interior","ror":"https://ror.org/03nf36p02","country_code":"PT","type":"education","lineage":["https://openalex.org/I161321875"]},{"id":"https://openalex.org/I4405252762","display_name":"Centro de Investiga\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade","ror":"https://ror.org/00qz2t575","country_code":"PT","type":"education","lineage":["https://openalex.org/I161321875","https://openalex.org/I4405252762"]},{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]},{"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":["GB","PT"],"is_corresponding":false,"raw_author_name":"Francisco Goiana-da-Silva","raw_affiliation_strings":["Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK","Faculdade de Ci\u00eancias da Sa\u00fade, Universidade da Beira Interior, 6200-506 Covilh\u00e3, Portugal","Nova Medical School, Travessa de Est\u00eav\u00e3o Pinto\u2014Campus de Campolide, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal"],"raw_orcid":"https://orcid.org/0000-0003-2055-6906","affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK","institution_ids":["https://openalex.org/I47508984"]},{"raw_affiliation_string":"Faculdade de Ci\u00eancias da Sa\u00fade, Universidade da Beira Interior, 6200-506 Covilh\u00e3, Portugal","institution_ids":["https://openalex.org/I161321875","https://openalex.org/I4405252762"]},{"raw_affiliation_string":"Nova Medical School, Travessa de Est\u00eav\u00e3o Pinto\u2014Campus de Campolide, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal","institution_ids":["https://openalex.org/I83558840"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014732373","display_name":"Raisa Guedes","orcid":"https://orcid.org/0009-0001-5702-8843","observed_orcids":["https://orcid.org/0009-0001-5702-8843"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Raisa Guedes","raw_affiliation_strings":["Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal"],"raw_orcid":"https://orcid.org/0009-0001-5702-8843","affiliations":[{"raw_affiliation_string":"Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088160776","display_name":"Filipa Malcata","orcid":"https://orcid.org/0000-0002-5342-7580","observed_orcids":["https://orcid.org/0000-0002-5342-7580"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Filipa Malcata","raw_affiliation_strings":["Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043088625","display_name":"Juliana S\u00e1","orcid":"https://orcid.org/0000-0002-6776-7789","observed_orcids":["https://orcid.org/0000-0002-6776-7789"]},"institutions":[{"id":"https://openalex.org/I161321875","display_name":"University of Beira Interior","ror":"https://ror.org/03nf36p02","country_code":"PT","type":"education","lineage":["https://openalex.org/I161321875"]},{"id":"https://openalex.org/I4405252762","display_name":"Centro de Investiga\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade","ror":"https://ror.org/00qz2t575","country_code":"PT","type":"education","lineage":["https://openalex.org/I161321875","https://openalex.org/I4405252762"]},{"id":"https://openalex.org/I4405257367","display_name":"Unidade Local de Sa\u00fade de Santo Ant\u00f3nio EPE","ror":"https://ror.org/056gkfq80","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405257367"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Juliana S\u00e1","raw_affiliation_strings":["Faculdade de Ci\u00eancias da Sa\u00fade, Universidade da Beira Interior, 6200-506 Covilh\u00e3, Portugal","Unidade Local De Sa\u00fade Santo Ant\u00f3nio, 4099-001 Porto, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculdade de Ci\u00eancias da Sa\u00fade, Universidade da Beira Interior, 6200-506 Covilh\u00e3, Portugal","institution_ids":["https://openalex.org/I161321875","https://openalex.org/I4405252762"]},{"raw_affiliation_string":"Unidade Local De Sa\u00fade Santo Ant\u00f3nio, 4099-001 Porto, Portugal","institution_ids":["https://openalex.org/I4405257367"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023243247","display_name":"Miguel Cabral","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Miguel Cabral","raw_affiliation_strings":["Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Rafael Vasconcelos","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405261422","display_name":"Unidade Local de Sa\u00fade da Regi\u00e3o de Leiria","ror":"https://ror.org/059ewmk29","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405261422"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Rafael Vasconcelos","raw_affiliation_strings":["Unidade Local De Sa\u00fade Regi\u00e3o de Leiria, 2410-197 Leiria, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unidade Local De Sa\u00fade Regi\u00e3o de Leiria, 2410-197 Leiria, Portugal","institution_ids":["https://openalex.org/I4405261422"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113346784","display_name":"Soraia Costa","orcid":"https://orcid.org/0009-0004-8646-6801","observed_orcids":["https://orcid.org/0009-0004-8646-6801"]},"institutions":[{"id":"https://openalex.org/I4405261277","display_name":"Unidade Local de Sa\u00fade da P\u00f3voa de Varzim/Vila do Conde","ror":"https://ror.org/051nhwc34","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405261277"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Soraia Costa","raw_affiliation_strings":["Unidade Local De Sa\u00fade P\u00f3voa de Varzim/Vila do Conde, 4490-421 P\u00f3voa de Varzim, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unidade Local De Sa\u00fade P\u00f3voa de Varzim/Vila do Conde, 4490-421 P\u00f3voa de Varzim, Portugal","institution_ids":["https://openalex.org/I4405261277"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079059067","display_name":"In\u00eas Morais-Vila\u00e7a","orcid":"https://orcid.org/0000-0003-4431-9470","observed_orcids":["https://orcid.org/0000-0003-4431-9470"]},"institutions":[{"id":"https://openalex.org/I4405261575","display_name":"Unidade Local de Sa\u00fade Gaia/Espinho","ror":"https://ror.org/05h34sh86","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405261575"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"In\u00eas Morais-Vila\u00e7a","raw_affiliation_strings":["Unidade Local De Sa\u00fade Gaia/Espinho, 4434-502 Vila Nova de Gaia, Portugal"],"raw_orcid":"https://orcid.org/0000-0003-4431-9470","affiliations":[{"raw_affiliation_string":"Unidade Local De Sa\u00fade Gaia/Espinho, 4434-502 Vila Nova de Gaia, Portugal","institution_ids":["https://openalex.org/I4405261575"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093117844","display_name":"Lara Pinheiro\u2010Guedes","orcid":"https://orcid.org/0000-0002-1083-1719","observed_orcids":["https://orcid.org/0000-0002-1083-1719"]},"institutions":[{"id":"https://openalex.org/I4405260591","display_name":"Unidade Local de Sa\u00fade do T\u00e2mega e Sousa","ror":"https://ror.org/0408ywy94","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405260591"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Lara Pinheiro-Guedes","raw_affiliation_strings":["Unidade Local De Sa\u00fade T\u00e2mega e Sousa, 4560-136 Penafiel, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unidade Local De Sa\u00fade T\u00e2mega e Sousa, 4560-136 Penafiel, Portugal","institution_ids":["https://openalex.org/I4405260591"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018104935","display_name":"Jo\u00e3o Sarmento","orcid":"https://orcid.org/0000-0003-0861-7454","observed_orcids":["https://orcid.org/0000-0003-0861-7454"]},"institutions":[{"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":"Jo\u00e3o Sarmento","raw_affiliation_strings":["Public Health Research Center, Nova National School of Public Health, Universidade Nova de Lisboa, 1600-560 Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Public Health Research Center, Nova National School of Public Health, Universidade Nova de Lisboa, 1600-560 Lisbon, Portugal","institution_ids":["https://openalex.org/I83558840"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069807871","display_name":"Filipe Costa","orcid":"https://orcid.org/0000-0001-9060-8025","observed_orcids":["https://orcid.org/0000-0001-9060-8025"]},"institutions":[{"id":"https://openalex.org/I4405256010","display_name":"NOVA School of Business and Economics","ror":"https://ror.org/03nr2fs68","country_code":"PT","type":"education","lineage":["https://openalex.org/I4405256010","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":"Filipe Costa","raw_affiliation_strings":["Nova School of Business and Economics, Travessa de Est\u00eav\u00e3o Pinto\u2014Campus de Campolide, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal"],"raw_orcid":"https://orcid.org/0000-0001-9060-8025","affiliations":[{"raw_affiliation_string":"Nova School of Business and Economics, Travessa de Est\u00eav\u00e3o Pinto\u2014Campus de Campolide, Universidade Nova de Lisboa, 1099-085 Lisbon, Portugal","institution_ids":["https://openalex.org/I4405256010","https://openalex.org/I83558840"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Rita Moreira","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405257367","display_name":"Unidade Local de Sa\u00fade de Santo Ant\u00f3nio EPE","ror":"https://ror.org/056gkfq80","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405257367"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Rita Moreira","raw_affiliation_strings":["Unidade Local De Sa\u00fade Santo Ant\u00f3nio, 4099-001 Porto, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Unidade Local De Sa\u00fade Santo Ant\u00f3nio, 4099-001 Porto, Portugal","institution_ids":["https://openalex.org/I4405257367"]}]},{"author_position":"middle","author":{"id":null,"display_name":"F\u00e1tima Fonseca","orcid":"https://orcid.org/0009-0007-7350-8584","observed_orcids":["https://orcid.org/0009-0007-7350-8584"]},"institutions":[{"id":"https://openalex.org/I4405259475","display_name":"Unidade Local de Sa\u00fade da Regi\u00e3o de Aveiro","ror":"https://ror.org/029we7x82","country_code":"PT","type":"healthcare","lineage":["https://openalex.org/I4405259475"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"F\u00e1tima Fonseca","raw_affiliation_strings":["Unidade Local De Sa\u00fade Regi\u00e3o de Aveiro, 3814-501 Aveiro, Portugal"],"raw_orcid":"https://orcid.org/0009-0007-7350-8584","affiliations":[{"raw_affiliation_string":"Unidade Local De Sa\u00fade Regi\u00e3o de Aveiro, 3814-501 Aveiro, Portugal","institution_ids":["https://openalex.org/I4405259475"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Jaime Alves","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210117458","display_name":"Government of Portugal","ror":"https://ror.org/02kmtwp90","country_code":"PT","type":"government","lineage":["https://openalex.org/I4210117458"]},{"id":"https://openalex.org/I4405254009","display_name":"Minist\u00e9rio das Finan\u00e7as (Portugal)","ror":"https://ror.org/01a9g9931","country_code":"PT","type":"company","lineage":["https://openalex.org/I4405254009"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Jaime Alves","raw_affiliation_strings":["Minist\u00e9rio das Finan\u00e7as, Governo de Portugal, 1149-009 Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Minist\u00e9rio das Finan\u00e7as, Governo de Portugal, 1149-009 Lisbon, Portugal","institution_ids":["https://openalex.org/I4210117458","https://openalex.org/I4405254009"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056632374","display_name":"Marisa Miraldo","orcid":"https://orcid.org/0000-0002-5772-7740","observed_orcids":["https://orcid.org/0000-0002-5772-7740"]},"institutions":[{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Marisa Miraldo","raw_affiliation_strings":["Department of Economics and Public Policy, Centre for Health Economics and Policy Innovation Imperial College Business School, South Kensington Campus, Imperial College London, London SW7 2AZ, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Economics and Public Policy, Centre for Health Economics and Policy Innovation Imperial College Business School, South Kensington Campus, Imperial College London, London SW7 2AZ, UK","institution_ids":["https://openalex.org/I47508984"]}]},{"author_position":"middle","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":[{"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":"Alexandre Morais Nunes","raw_affiliation_strings":["Centre for Public Administration and Public Policies, Institute of Social and Political Sciences, University of Lisbon, 1300-663 Lisbon, Portugal"],"raw_orcid":"https://orcid.org/0000-0002-6808-7769","affiliations":[{"raw_affiliation_string":"Centre for Public Administration and Public Policies, Institute of Social and Political Sciences, University of Lisbon, 1300-663 Lisbon, Portugal","institution_ids":["https://openalex.org/I141596103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053747302","display_name":"Hutan Ashrafian","orcid":"https://orcid.org/0000-0003-1668-0672","observed_orcids":["https://orcid.org/0000-0003-1668-0672","https://orcid.org/0000-0002-8597-8918"]},"institutions":[{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Hutan Ashrafian","raw_affiliation_strings":["Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK","Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London W12 0NN, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK","institution_ids":["https://openalex.org/I47508984"]},{"raw_affiliation_string":"Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London W12 0NN, UK","institution_ids":["https://openalex.org/I47508984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055785355","display_name":"Ara Wardkes Darzi","orcid":"https://orcid.org/0000-0001-7815-7989","observed_orcids":["https://orcid.org/0000-0001-7815-7989","https://orcid.org/0000-0001-8717-0130","https://orcid.org/0000-0001-5653-8633"]},"institutions":[{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ara Darzi","raw_affiliation_strings":["Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK","Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London W12 0NN, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, Institute of Global Health Innovation, Imperial College London, London W2 1NY, UK","institution_ids":["https://openalex.org/I47508984"]},{"raw_affiliation_string":"Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London W12 0NN, UK","institution_ids":["https://openalex.org/I47508984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5071560739","display_name":"Fernando Ara\u00fajo","orcid":"https://orcid.org/0000-0001-6471-5564","observed_orcids":["https://orcid.org/0000-0001-6471-5564"]},"institutions":[{"id":"https://openalex.org/I182534213","display_name":"Universidade do Porto","ror":"https://ror.org/043pwc612","country_code":"PT","type":"education","lineage":["https://openalex.org/I182534213"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"Fernando Ara\u00fajo","raw_affiliation_strings":["Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal","Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal"],"raw_orcid":"https://orcid.org/0000-0001-6471-5564","affiliations":[{"raw_affiliation_string":"Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal","institution_ids":["https://openalex.org/I182534213"]},{"raw_affiliation_string":"Unidade Local de Sa\u00fade S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":15,"corresponding_author_ids":["https://openalex.org/A5014732373"],"corresponding_institution_ids":[],"apc_list":{"value":2700,"currency":"CHF","value_usd":3258},"apc_paid":{"value":2700,"currency":"CHF","value_usd":3258},"fwci":6.9665,"has_fulltext":true,"cited_by_count":10,"citation_normalized_percentile":{"value":0.9725976,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":99},"biblio":{"volume":"13","issue":"7","first_page":"821","last_page":"821"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T14186","display_name":"Healthcare Systems and Practices","score":0.427700012922287,"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":0.427700012922287,"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/T12871","display_name":"Healthcare Quality and Management","score":0.3411000072956085,"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/T13896","display_name":"Health Services Management and Policy","score":0.13040000200271606,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/administrative-burden","display_name":"administrative burden","score":0.8040000200271606},{"id":"https://openalex.org/keywords/administrative-simplification","display_name":"administrative simplification","score":0.7829999923706055},{"id":"https://openalex.org/keywords/value-based-health-care","display_name":"value-based care","score":0.9520000219345093},{"id":"https://openalex.org/keywords/portuguese-national-health-service","display_name":"Portuguese National Health Service","score":0.9509999752044678},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.7559999823570251},{"id":"https://openalex.org/keywords/administrative-restructuring","display_name":"administrative reorganization","score":0.8610000014305115},{"id":"https://openalex.org/keywords/health-care-efficiency","display_name":"health care efficiency","score":0.6050000190734863},{"id":"https://openalex.org/keywords/patient-centered-care","display_name":"patient-centered care","score":0.8399999737739563},{"id":"https://openalex.org/keywords/population-health","display_name":"population health","score":0.9340000152587891},{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.4729999899864197}],"concepts":[{"id":"https://openalex.org/C35219183","wikidata":"https://www.wikidata.org/wiki/Q5146","display_name":"Portuguese","level":2,"score":0.8141777515411377},{"id":"https://openalex.org/C51575053","wikidata":"https://www.wikidata.org/wiki/Q72468","display_name":"Bureaucracy","level":3,"score":0.7854352593421936},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6176329255104065},{"id":"https://openalex.org/C3018279614","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Healthcare service","level":3,"score":0.5867152214050293},{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.5781872272491455},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.4848231375217438},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3734878897666931},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3599299192428589},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.35806718468666077},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3522418439388275},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.33927351236343384},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.31316250562667847},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.1983967125415802},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.13067340850830078},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.07009729743003845},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3390/healthcare13070821","doi":"https://doi.org/10.3390/healthcare13070821","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare13070821","pdf_url":"https://www.mdpi.com/2227-9032/13/7/821/pdf?version=1743757718","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},{"id":"pmid:40218118","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40218118","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":"Healthcare (Basel, Switzerland)","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11989048","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11989048/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare (Basel)","raw_type":"Text"},{"id":"pmh:oai:run.unl.pt:10362/182893","doi":null,"is_oa":true,"landing_page_url":"https://www.scopus.com/pages/publications/105002380743","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:10.3390/healthcare13070821","doi":"https://doi.org/10.3390/healthcare13070821","is_oa":true,"landing_page_url":"https://doi.org/10.3390/healthcare13070821","pdf_url":"https://www.mdpi.com/2227-9032/13/7/821/pdf?version=1743757718","source":{"id":"https://openalex.org/S4210214101","display_name":"Healthcare","issn_l":"2227-9032","issn":["2227-9032"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Healthcare","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.8560000061988831}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320320283","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409155013.pdf","grobid_xml":"https://content.openalex.org/works/W4409155013.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W1482675433","https://openalex.org/W1524583990","https://openalex.org/W1964555274","https://openalex.org/W1983651981","https://openalex.org/W1986908450","https://openalex.org/W2116985108","https://openalex.org/W2131696695","https://openalex.org/W2133084250","https://openalex.org/W2137778146","https://openalex.org/W2150217040","https://openalex.org/W2161641904","https://openalex.org/W2262736290","https://openalex.org/W2513078949","https://openalex.org/W2553550336","https://openalex.org/W2581928170","https://openalex.org/W2586979995","https://openalex.org/W2789859800","https://openalex.org/W2802908025","https://openalex.org/W2810576375","https://openalex.org/W2885574758","https://openalex.org/W2905424513","https://openalex.org/W2997553791","https://openalex.org/W3001446745","https://openalex.org/W3065711546","https://openalex.org/W3092508592","https://openalex.org/W3120224639","https://openalex.org/W3176300146","https://openalex.org/W4210389799","https://openalex.org/W4283761752","https://openalex.org/W4295408276","https://openalex.org/W4306833774","https://openalex.org/W4311343220","https://openalex.org/W4323036922","https://openalex.org/W4323920636","https://openalex.org/W4398245485","https://openalex.org/W6946702626"],"related_works":["https://openalex.org/W7131330235","https://openalex.org/W3214489282","https://openalex.org/W7155482525","https://openalex.org/W2980126728","https://openalex.org/W7044064459","https://openalex.org/W2928419088","https://openalex.org/W4312745057","https://openalex.org/W1514419542","https://openalex.org/W6983707150","https://openalex.org/W2898992764"],"abstract_inverted_index":{"BACKGROUND/OBJECTIVES:":[0],"The":[1],"Portuguese":[2],"NHS":[3],"has":[4],"embarked":[5],"on":[6,20,72,96],"an":[7,93],"administrative":[8],"restructuring":[9],"aimed":[10,88],"at":[11,89],"enabling":[12],"healthcare":[13,27,79],"professionals,":[14,40],"particularly":[15],"family":[16],"doctors,":[17],"to":[18,45,54,67,115],"focus":[19],"direct":[21],"patient":[22],"care":[23,50],"and":[24,39,41,51,58,125],"improve":[25],"overall":[26],"outcomes.":[28],"This":[29],"article":[30],"details":[31],"these":[32],"measures,":[33],"their":[34],"initial":[35],"benefits":[36],"for":[37],"patients":[38],"explores":[42],"future":[43],"strategies":[44],"further":[46],"integrate":[47],"levels":[48],"of":[49,76,100,118,121,135],"leverage":[52],"technology":[53],"enhance":[55],"efficiency,":[56],"patient-centeredness,":[57],"ultimately,":[59],"population":[60],"health.":[61],"METHODS:":[62],"Each":[63],"measure":[64],"was":[65],"evaluated":[66],"estimate":[68],"its":[69],"potential":[70],"impact":[71,95],"the":[73,77,101,109,119,122,133],"four":[74,102],"pillars":[75,120],"value-based":[78],"(VBHC)":[80],"framework.":[81],"RESULTS:":[82],"We":[83],"found":[84],"that":[85,108],"most":[86],"measures":[87],"reducing":[90],"bureaucracy":[91,112],"had":[92],"estimated":[94],"more":[97],"than":[98],"two":[99],"pillars.":[103],"CONCLUSIONS:":[104],"Thus,":[105],"we":[106],"conclude":[107],"reduction":[110],"in":[111,132],"will":[113],"tend":[114],"address":[116],"several":[117],"VBHC":[123],"framework":[124],"should":[126],"be":[127],"considered":[128],"as":[129],"a":[130],"steppingstone":[131],"process":[134],"increasing":[136],"VBHC.":[137]},"counts_by_year":[{"year":2026,"cited_by_count":7},{"year":2025,"cited_by_count":3}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2025-04-05T00:00:00"}
