27 records are rendered in full. Stage duplicates remain visible because a document candidate, triage record, statement, and exact context are separately annotatable objects.
Library document candidate · Open for annotation
A bundle of joy or an expensive luxury : a comparative analysis of the economic environment for family formation in Western Europe
A bundle of joy or an expensive luxury : a comparative analysis of the economic environment for family formation in Western Europe. 1999. https://search.worldbank.org/api/v3/wds
- Material reference
- material:00648d213c3c8ffc7e0ed10e
- Pipeline stage
- Global-Health-Systems-Library
- Evidence mode
- Not classified
- Publication date
- 1999-01-31
- Institution
- World Bank Documents and Reports
- Document type
- Working Paper
- Territory
- national
- Period
- Not supplied
- Source layers
- Global Literature
- Coverage domains
- Not classified
- Current display status
- Shown in full and open for annotation
- Corpus Retrieval Verified
- True
- Evidence Work Review State
- Auto
- Machine Screening State
- Organization tag candidate
- Organization Tag Confidence
- 0.85
- Previous Visibility
- Previously not projected unless selected
- Download Status
- Downloaded successfully
- Downloaded
- True
- Extracted
- True
- Source Bytes Verified
- True
- Text Pages
- 60
- Text Words
- 20926
- Detected Media Type
- application/pdf
- File Sha256
- d8365c5e91564cecc786910060a46fe5aec220d25a007c665c2db8c7390e7289
- Page Count
- 60
- Text Sha256
- 4fd45dd556a5d8506b1b44f088225daaec31fcc502581c3df91913898c29c8ef
Annotation prompts and machine flags
- Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
- Immutable corpus file and extracted-text hashes are linked to this document.
Candidate Analytical Mapping · Open for annotation
Formal ULS integration structure and reported reform rationale
Portuguese Republic, Decreto-Lei n.º 102/2023, 2023; de Almeida Simões J, et al., 2024.
Statement or annotation question
The decree formally establishes ULS for integrated primary and hospital delivery, and commentary describes the 2023-24 reform. The evidence does not show whether integrated delivery has occurred uniformly or with particular effects.
- Material reference
- material:01e19a954d2e66226cdfa563
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- 2023 decree and 2023-24 reform account
- Source layers
- Research Literature
- Coverage domains
- Actors, Governance and accountability, Hospital organization, Provider networks, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Decreto-Lei n.º 102/2023, preamble and Article 1; reform commentary, ULS organisation discussion.
- Detected Media Type
- application/pdf
- File Sha256
- 0cde058bd3824544d60d5eb29ecd22f603dc8e16002b9eae307a968d6eef1238
- Response Sha256
- 0cde058bd3824544d60d5eb29ecd22f603dc8e16002b9eae307a968d6eef1238
Candidate Analytical Mapping · Open for annotation
Formal regulatory autonomy and provider-accountability remit
Entidade Reguladora da Saúde, About ERS, retrieved 2026.
Statement or annotation question
ERS formally describes autonomy and a cross-sector accountability remit. The source does not assess how those powers are exercised in practice.
- Material reference
- material:991dcbb9be1f037509232fdc
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Institutional information retrieved 2026
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- About ERS webpage.
- Detected Media Type
- text/html
- Response Sha256
- 7e006ba4f286061cceb6b3782edd6ab4a8ab53458e48b875bb598d0619112848
Candidate Analytical Mapping · Open for annotation
Legal boundary for contractual provider integration
Portuguese Republic, Decreto-Lei n.º 52/2022, Article 2; Lei n.º 95/2019, 2019.
Statement or annotation question
The SNS Statute establishes a contractual route for private and social providers to integrate the SNS within contracted activity. It does not evidence which decisions a specific provider exercises.
- Material reference
- material:2487d56923f3dd4c695b2c55
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- 2019 and 2022 legal texts
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Market structure, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Decreto-Lei n.º 52/2022, Article 2(2); Lei n.º 95/2019, Base 25.
- Detected Media Type
- application/pdf
- File Sha256
- ed11b45e89e332605be76d35f7d1a8b3d5cc823361fb00ed87983d197742b5ea
- Response Sha256
- ed11b45e89e332605be76d35f7d1a8b3d5cc823361fb00ed87983d197742b5ea
Candidate Analytical Mapping · Open for annotation
Reported GP gatekeeping route
European Observatory on Health Systems and Policies, Portugal: health system summary 2024, published 2025.
Statement or annotation question
The health-system summary describes GP gatekeeping to specialist and secondary care. It is a design description, not an observed national referral-flow measure.
- Material reference
- material:b051012478af85ea04343c68
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Health-system summary for 2024
- Source layers
- Review Literature
- Coverage domains
- Provider networks, Observed referral, Patient flows, Primary care organization, Referral design
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Overview.
- Detected Media Type
- text/html
- Response Sha256
- 0f766c835a6dea776092ef218f47b6dd1fcc442e34fa8aa36f65716c4ebd4ad3
Candidate Analytical Mapping · Open for annotation
Review-based reform context with bounded interpretation
European Observatory, Portugal: health system review 2017; OECD and European Observatory, Portugal: Country Health Profile 2023; European Observatory, Portugal: health system summary 2024.
Statement or annotation question
Review sources describe reform directions at different points in time, including coordinated, primary and integrated care. They do not demonstrate that those reforms produced national performance changes.
- Material reference
- material:05d86c4fe7209cfd196fac8b
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Reported
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- 2017 review, 2023 profile, and 2024 summary
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Facility data, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Reform history, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- 2017 review overview; 2023 profile, The health system; 2024 summary overview.
- Detected Media Type
- text/html
- Response Sha256
- eb1d6fec525b0779a415775042246b0778199d15ede69f87fbafddcd3625ca83
Candidate Analytical Mapping · Open for annotation
Stated cross-sector provider-regulation function
Entidade Reguladora da Saúde, About ERS, retrieved 2026.
Statement or annotation question
ERS describes a cross-sector provider-regulation and supervision remit. This formal remit is not evidence of enforcement results or provider compliance.
- Material reference
- material:e3be9af84d9ab14686cd5432
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Institutional information retrieved 2026
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Market structure
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- About ERS webpage.
- Detected Media Type
- text/html
- Response Sha256
- 7e006ba4f286061cceb6b3782edd6ab4a8ab53458e48b875bb598d0619112848
Candidate Analytical Mapping · Open for annotation
Stated public-private hospital partnership arrangements
Administração Central do Sistema de Saúde, Parcerias Público-Privadas, retrieved 2026; Portuguese Republic, Decreto-Lei n.º 52/2022, 2022.
Statement or annotation question
ACSS describes health PPP contracts and its State contracting role for named NHS hospital arrangements. This does not quantify public-private provision or establish comparative results.
- Material reference
- material:2342e8742f75a0333017fc3b
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal; named NHS PPP hospitals
- Period
- Current ACSS information retrieved 2026; contracts have stated terms
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Hospital organization, Market structure, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- ACSS PPP page, introductory paragraphs and current contracts section; Decreto-Lei n.º 52/2022, Article 2(2).
- Detected Media Type
- text/html
- Response Sha256
- 2c990185002d22a9cbbfa70f5de8e28858e5beb521a4a486ce240da46e23a643
Candidate Analytical Mapping · Open for annotation
Statutory SNS organisation and provider forms
Portuguese Republic, Lei n.º 95/2019, 2019; Decreto-Lei n.º 52/2022, 2022.
Statement or annotation question
The cited laws define a Ministry-directed SNS, its stated public provider forms, and the lawful possibility of contracted private and social provision. They do not provide a complete operational actor map.
- Material reference
- material:3f4a3fc9a8806ef3709a06b2
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- 2019 and 2022 legal texts
- Source layers
- Official
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Hospital organization, Market structure, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Lei n.º 95/2019, Bases 6 and 25; Decreto-Lei n.º 52/2022, Articles 2 and 3.
- Detected Media Type
- application/pdf
- File Sha256
- 15322f47342b76871e31bf8751a0849accb0892625c85fbad3b1b911221d3da0
- Response Sha256
- 15322f47342b76871e31bf8751a0849accb0892625c85fbad3b1b911221d3da0
Candidate Analytical Mapping · Open for annotation
Statutory and organisational reform record
Portuguese Republic, Decreto-Lei n.º 52/2022, 2022; Decreto-Lei n.º 102/2023, 2023.
Statement or annotation question
The sources document a 2022 SNS Statute and a 2023 decree creating named ULS. They record formal reform events rather than realised performance effects.
- Material reference
- material:3085256850a0ebb6f38915f7
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Formal
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- 2022 and 2023
- Source layers
- Official
- Coverage domains
- Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Decreto-Lei n.º 52/2022, Article 1; Decreto-Lei n.º 102/2023, preamble and Article 1.
- Detected Media Type
- application/pdf
- File Sha256
- ed11b45e89e332605be76d35f7d1a8b3d5cc823361fb00ed87983d197742b5ea
- Response Sha256
- ed11b45e89e332605be76d35f7d1a8b3d5cc823361fb00ed87983d197742b5ea
Candidate Analytical Mapping · Open for annotation
Time-bounded observation of out-of-area outpatient referrals
Simões J, Figueiredo Augusto G, Fronteira I. Introduction of freedom of choice for hospital outpatient care in Portugal. Health Policy. 2017;121(12):1203-1207.
Statement or annotation question
A study reports that 10.6% of NHS primary-care outpatient referrals went outside the referral area during June 2016-May 2017. This is not evidence of current referral completion or national performance.
- Material reference
- material:129f19c2e4d94965503e113b
- Pipeline stage
- Candidate-Analytical-Mappings
- Evidence mode
- Observed
- Publication date
- not supplied
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- Portugal NHS outpatient referrals
- Period
- June 2016 to May 2017 preliminary study data
- Source layers
- Research Literature
- Coverage domains
- Market structure, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Description
- Research-portal abstract, preliminary data paragraph.
- Detected Media Type
- text/html
- Response Sha256
- 8e940d651e01b96bd4703f144189ccb892472ebff7408a042af0ffa1693588af
Country Improvement Source Lead · Open for annotation
About ERS
Entidade Reguladora da Saúde. About ERS. Retrieved 22 August 2026. https://www.ers.pt/en/institutional/about-ers/
Statement or annotation question
ERS states that it is an independent public body with administrative, financial and management autonomy and regulatory, supervisory and sanctioning powers over public, private, cooperative and social providers.
Source context or anchor
regulatory, supervisory, and sanctioning powers
- Material reference
- material:bebf0b77eed80b4709846d4b
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2026-08-22
- Institution
- Entidade Reguladora da Saúde
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Institutional webpage retrieved 22 August 2026
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Market structure, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_section
- Section
- About ERS
- Source Word Anchor
- regulatory, supervisory, and sanctioning powers
- Source Word Count
- 5
- Detected Media Type
- text/html
- Response Sha256
- 7e006ba4f286061cceb6b3782edd6ab4a8ab53458e48b875bb598d0619112848
Annotation prompts and machine flags
- The institutional description does not measure enforcement activity, provider compliance, or ERS's operational independence in a particular case.
Country Improvement Source Lead · Open for annotation
Decreto-Lei n.º 102/2023, de 7 de novembro: criação de unidades locais de saúde
Portuguese Republic. Decreto-Lei n.º 102/2023, de 7 de novembro: Procede à criação, com natureza de entidades públicas empresariais, de unidades locais de saúde. Diário da República. 2023. https://files.diariodarepublica.pt/gratuitos/1s/2023/11/21500.pdf
Statement or annotation question
The decree creates named Local Health Units as public business entities and states that they are responsible for integrated primary and hospital healthcare delivery.
Source context or anchor
prestação integrada de cuidados de saúde primários
- Material reference
- material:9cb63e7476b56cdf846c226d
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2023-11-07
- Institution
- Diário da República Portuguesa
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Decree published 7 November 2023
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Hospital organization, Provider networks, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- prestação integrada de cuidados de saúde primários
- Source Word Count
- 7
- Detected Media Type
- application/pdf
- File Sha256
- 0cde058bd3824544d60d5eb29ecd22f603dc8e16002b9eae307a968d6eef1238
- Response Sha256
- 0cde058bd3824544d60d5eb29ecd22f603dc8e16002b9eae307a968d6eef1238
Annotation prompts and machine flags
- Creation and legal responsibility do not demonstrate the delivery, coordination, or consequences of integrated care in practice.
Country Improvement Source Lead · Open for annotation
Decreto-Lei n.º 52/2022, de 4 de agosto: Estatuto do Serviço Nacional de Saúde
Portuguese Republic. Decreto-Lei n.º 52/2022, de 4 de agosto: Aprova o Estatuto do Serviço Nacional de Saúde. Diário da República. 2022. https://files.diariodarepublica.pt/gratuitos/1s/2022/08/15000.pdf
Statement or annotation question
The statute defines the SNS as an organised set of public establishments and services directed by the Ministry of Health, permits private and social providers to integrate through contracts, and specifies provider forms.
Source context or anchor
conjunto organizado e articulado de estabelecimentos
- Material reference
- material:80f483b9e9e2521c1643f397
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2022-08-04
- Institution
- Diário da República Portuguesa
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Statute published 4 August 2022
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Government responsibilities, Hospital organization, Provider networks, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- conjunto organizado e articulado de estabelecimentos
- Source Word Count
- 5
- Detected Media Type
- application/pdf
- File Sha256
- ed11b45e89e332605be76d35f7d1a8b3d5cc823361fb00ed87983d197742b5ea
- Response Sha256
- ed11b45e89e332605be76d35f7d1a8b3d5cc823361fb00ed87983d197742b5ea
Annotation prompts and machine flags
- The statute allocates a legal framework; it does not alone quantify Ministry control or the exercised autonomy of any organisation.
Country Improvement Source Lead · Open for annotation
Hospital beds (per 1,000 people), Portugal
World Bank. Hospital beds (per 1,000 people), Portugal, World Development Indicators. Data response accessed 22 August 2026. https://api.worldbank.org/v2/country/PRT/indicator/SH.MED.BEDS.ZS?format=json&per_page=100
Statement or annotation question
The World Bank WDI response reports Portugal's latest non-null hospital-bed density as 3.48 beds per 1,000 people in 2022.
Source context or anchor
Hospital beds (per 1,000 people)
- Material reference
- material:e550367374dfe32c7c7e251a
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2026-08-22
- Institution
- World Bank, World Development Indicators
- Document type
- Not Supplied
- Territory
- Portugal national series
- Period
- World Development Indicators response accessed 22 August 2026; latest non-null observation returned is 2022
- Source layers
- Grey Literature
- Coverage domains
- Facility data, Hospital organization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- api_resource_and_fields
- Source Word Anchor
- Hospital beds (per 1,000 people)
- Source Word Count
- 5
- Detected Media Type
- application/json
- Response Sha256
- f52beecf336690c1957a0ef9d9c3d001e7721dd853713143fd586119ad9ea1bc
Annotation prompts and machine flags
- This national capacity indicator does not identify hospital ownership, bed distribution, occupancy, referral completion, service quality, or current provider performance.
Country Improvement Source Lead · Open for annotation
Introduction of freedom of choice for hospital outpatient care in Portugal: Implications and results of the 2016 reform
Simões J, Figueiredo Augusto G, Fronteira I. Introduction of freedom of choice for hospital outpatient care in Portugal: Implications and results of the 2016 reform. Health Policy. 2017;121(12):1203-1207. https://doi.org/10.1016/j.healthpol.2017.09.010
Statement or annotation question
The study reports that 10.6% of outpatient referrals from NHS primary-care units went to an NHS hospital outside the referral area during its stated preliminary observation period.
Source context or anchor
10.6% of all outpatient referrals
- Material reference
- material:4a3dcef4ca187d7ef534f98a
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Observed
- Publication date
- 2017-12-01
- Institution
- Universidade NOVA de Lisboa
- Document type
- Not Supplied
- Territory
- NHS outpatient referrals in Portugal, as defined in the study
- Period
- Preliminary data from June 2016 to May 2017
- Source layers
- Research Literature
- Coverage domains
- Market structure, Observed referral, Patient flows, Primary care organization, Referral design, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_abstract
- Section
- Abstract
- Source Word Anchor
- 10.6% of all outpatient referrals
- Source Word Count
- 5
- Detected Media Type
- text/html
- Response Sha256
- 8e940d651e01b96bd4703f144189ccb892472ebff7408a042af0ffa1693588af
Annotation prompts and machine flags
- The reported preliminary period is not a current national referral-flow estimate and does not measure completed consultations or health outcomes.
Country Improvement Source Lead · Open for annotation
Lei n.º 95/2019, de 4 de setembro: Lei de Bases da Saúde
Portuguese Republic. Lei n.º 95/2019, de 4 de setembro: Lei de Bases da Saúde. Diário da República. 2019. https://files.diariodarepublica.pt/1s/2019/09/16900/0002600034.pdf
Statement or annotation question
The Health Bases Law establishes the legal basis for the health system and the SNS, including the framework for public, private and social-sector participation under the law.
Source context or anchor
Lei de Bases da Saúde
- Material reference
- material:f5119acfdad9e806cd4c9dd6
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2019-09-04
- Institution
- Diário da República Portuguesa
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Law published 4 September 2019
- Source layers
- Official
- Coverage domains
- Actors, Decision rights, Governance and accountability, Government responsibilities, Market structure, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- Lei de Bases da Saúde
- Source Word Count
- 5
- Detected Media Type
- application/pdf
- File Sha256
- 15322f47342b76871e31bf8751a0849accb0892625c85fbad3b1b911221d3da0
- Response Sha256
- 15322f47342b76871e31bf8751a0849accb0892625c85fbad3b1b911221d3da0
Annotation prompts and machine flags
- A legal framework does not establish the volume, quality, or current performance of contracted services.
Country Improvement Source Lead · Open for annotation
Parcerias Público-Privadas
Administração Central do Sistema de Saúde. Parcerias Público-Privadas. Retrieved 22 August 2026. https://www.acss.min-saude.pt/2016/10/12/parcerias-publico-privadas/
Statement or annotation question
ACSS describes health PPPs as durable contracts allocating investment, financing, operation and associated risks in whole or part to a private partner, and identifies ACSS as the State contracting authority.
Source context or anchor
A ACSS assume o papel do Estado
- Material reference
- material:b036259d67c8f86f73f1f513
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Formal
- Publication date
- 2026-08-22
- Institution
- Administração Central do Sistema de Saúde
- Document type
- Not Supplied
- Territory
- Portugal; named NHS hospital PPP contracts
- Period
- Current ACSS webpage retrieved 22 August 2026; contracts have stated historical and current terms
- Source layers
- Official
- Coverage domains
- Actors, Provider autonomy, Decision rights, Governance and accountability, Hospital organization, Market structure, Provider ownership
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_section
- Section
- Parcerias Público-Privadas; Contratos em regime de PPP atualmente em vigor
- Source Word Anchor
- A ACSS assume o papel do Estado
- Source Word Count
- 7
- Detected Media Type
- text/html
- Response Sha256
- 2c990185002d22a9cbbfa70f5de8e28858e5beb521a4a486ce240da46e23a643
Annotation prompts and machine flags
- This contract description does not establish the size of the private sector, comparative outcomes, or present performance of a PPP hospital.
Country Improvement Source Lead · Open for annotation
Portugal: Country Health Profile 2023
OECD and European Observatory on Health Systems and Policies. Portugal: Country Health Profile 2023. OECD Publishing; 2023. https://doi.org/10.1787/069af7b1-en
Statement or annotation question
The profile provides a policy-focused account of Portugal's health-system organisation, financing, effectiveness, accessibility and resilience using stated national and international data sources.
Source context or anchor
organisation and financing of the health system
- Material reference
- material:72ca68ed188d86d14b5a9e41
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2023-12-15
- Institution
- OECD and European Observatory on Health Systems and Policies
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Profile finalised September 2023; underlying indicators have their stated reference years
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Facility data, Hospital organization, Provider ownership, Patient flows, Primary care organization, Utilization
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- pdf_page_anchor
- Source Word Anchor
- organisation and financing of the health system
- Source Word Count
- 6
- Detected Media Type
- application/pdf
- File Sha256
- a97183b87cfc69c2ef6f977f6adf38d8713afa3a381bdf156177804fe902b927
- Response Sha256
- a97183b87cfc69c2ef6f977f6adf38d8713afa3a381bdf156177804fe902b927
Annotation prompts and machine flags
- Country-profile comparisons and dated indicators are not evidence of a current provider-level performance result.
Country Improvement Source Lead · Open for annotation
Portugal: health system review 2017
Simões JA, Figueiredo Augusto G, Fronteira I, Hernández-Quevedo C. Portugal: health system review 2017. Health Systems in Transition. 2017;19(2). https://eurohealthobservatory.who.int/publications/i/portugal-health-system-review-2017
Statement or annotation question
The review reports a universal NHS alongside health subsystems and private voluntary insurance, and describes reforms aimed at coordinated care and health technology assessment.
Source context or anchor
the Portuguese National Health Service is universal
- Material reference
- material:f3fd23fc29261638a74ebd00
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2017-03-30
- Institution
- European Observatory on Health Systems and Policies
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Health-system review published 2017
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Government responsibilities, Market structure, Provider ownership, Primary care organization, Referral design, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_overview
- Section
- Overview
- Source Word Anchor
- the Portuguese National Health Service is universal
- Source Word Count
- 7
- Detected Media Type
- text/html
- Response Sha256
- eb1d6fec525b0779a415775042246b0778199d15ede69f87fbafddcd3625ca83
Annotation prompts and machine flags
- This 2017 review predates the 2022 SNS Statute and 2023 ULS restructuring; it cannot establish their implementation.
Country Improvement Source Lead · Open for annotation
Portugal: health system summary 2024
Fronteira I, Figueiredo Augusto G, Maresso A. Portugal: health system summary 2024. European Observatory on Health Systems and Policies; 2025. https://eurohealthobservatory.who.int/publications/i/portugal-health-system-summary-2024
Statement or annotation question
The summary describes a tax-based system with universal coverage, NHS coexistence with health subsystems, mixed public and private contracted delivery, and GP gatekeeping.
Source context or anchor
general practitioners acting as gatekeepers
- Material reference
- material:bafbb63cf9dd3d369aeeecec
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2025-02-01
- Institution
- European Observatory on Health Systems and Policies
- Document type
- Not Supplied
- Territory
- Portugal
- Period
- Health-system summary for 2024, published 1 February 2025
- Source layers
- Review Literature
- Coverage domains
- Actors, Authoritative review, Government responsibilities, Provider networks, Provider ownership, Primary care organization, Referral design
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- web_overview
- Section
- Overview
- Source Word Anchor
- general practitioners acting as gatekeepers
- Source Word Count
- 5
- Detected Media Type
- text/html
- Response Sha256
- 0f766c835a6dea776092ef218f47b6dd1fcc442e34fa8aa36f65716c4ebd4ad3
Annotation prompts and machine flags
- This summary does not establish current referral completion, provider-specific authority, or national performance causality.
Country Improvement Source Lead · Open for annotation
The Portuguese NHS 2024 reform: transformation through vertical integration
de Almeida Simões J, et al. The Portuguese NHS 2024 reform: transformation through vertical integration. Frontiers in Public Health. 2024. https://pmc.ncbi.nlm.nih.gov/articles/PMC11153707/
Statement or annotation question
The commentary describes the 2023-24 generalisation of Local Health Units, which combine public primary and hospital care under one management structure, and identifies its intended integration rationale.
Source context or anchor
primary care and hospital care provided
- Material reference
- material:f4dded6de2ca82b2dce681b1
- Pipeline stage
- Country-Evidence-Improvement-Sources
- Evidence mode
- Reported
- Publication date
- 2024-06-06
- Institution
- Frontiers in Public Health
- Document type
- Not Supplied
- Territory
- Portuguese National Health Service, mainland Portugal as stated by the commentary
- Period
- Reform discussion covering 2023 and 2024
- Source layers
- Research Literature
- Coverage domains
- Actors, Provider autonomy, Governance and accountability, Hospital organization, Provider networks, Primary care organization, Reform history
- Current display status
- Shown in full and open for annotation
- Previous Boundary Detected
- False
- Previous Visibility
- Previously not projected
- Locator Type
- article_section
- Section
- The Portuguese NHS 2024 reform
- Source Word Anchor
- primary care and hospital care provided
- Source Word Count
- 6
- Detected Media Type
- text/html
- Response Sha256
- 00807852e04e16026ad8baeb0991484c8fe139e0cec4f5a5592cbc7f42c1082c
Annotation prompts and machine flags
- This commentary explains a reform and intended mechanisms; it does not demonstrate implementation fidelity or improvements in access, quality, or outcomes.
Displayed source projection · Open for annotation
Portugal: health system review 2017
European Observatory on Health Systems and Policies. Portugal: health system review 2017. 2017. https://eurohealthobservatory.who.int/countries/portugal
- Material reference
- candidate-source:PRT:d47567fb006d56e7b931
- Pipeline stage
- Current-Public-Source-Projection
- Evidence mode
- Not classified
- Publication date
- 2017
- Institution
- not supplied
- Document type
- Candidate Source Metadata
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Candidate Source Metadata, Official
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Visibility
- Previously projected
- Heading
- Country overview
- Html Text Block
- 9
- Locator Type
- html_text_anchor
- Source Word Anchor
- or legal status The Ministry of Health concentrates most planning and regulation
- Source Word Count
- 12
- Response Sha256
- 02d419e5c03716060ba0101b7b5bba3ae2a9a76caef484b4f97984d5019fa768
Annotation prompts and machine flags
- Public source projection retained as a distinct stage record.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.
Library document candidate · Open for annotation
Minutes of a Meeting of the Board of Directors of IFC held on April 7, 2022 and Record of Approvals April 1 thru 7
Minutes of a Meeting of the Board of Directors of IFC held on April 7, 2022 and Record of Approvals April 1 thru 7. 2022. https://documents.worldbank.org/curated/en/887681650555986317
- Material reference
- material:b690f563a0185951530f18cb
- Pipeline stage
- Global-Health-Systems-Library
- Evidence mode
- Not classified
- Publication date
- 2022-04-07
- Institution
- World Bank Documents and Reports
- Document type
- Unknown
- Territory
- national
- Period
- Not supplied
- Source layers
- Global Literature
- Coverage domains
- Leadership Governance, Service Delivery
- Current display status
- Shown in full and open for annotation
- Evidence Work Review State
- Auto
- Machine Screening State
- Organization tag candidate
- Organization Tag Confidence
- 0.85
- Page Locator Linked From Country Score Acquisition
- True
- Previous Visibility
- Previously not projected unless selected
- Source Version Linked From Country Score Acquisition
- True
- Download Status
- Availability or relevance uncertain
- Downloaded
- False
- Extracted
- False
- Physical Pdf Page
- 3
- Source Word Anchor
- 2022 Kiribati Grant Kiribati Health Systems Strengthening Project 2 The Executive Directors
- Source Word Count
- 12
- Detected Media Type
- application/pdf
- Page Count
- 5
- Response Sha256
- aa4d95e10f814cdf34d65f938335ed18f9128dcccb82bca0bc3516dd85556319
Annotation prompts and machine flags
- Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
- Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
- A recoverable source locator was retrieved from this exact public source URL in the single-country score-improvement acquisition.
Library document candidate · Open for annotation
Portugal - Second Education Project
Portugal - Second Education Project. 1990. https://search.worldbank.org/api/v3/wds
- Material reference
- material:f1b1c665f7407c2207fcbb3d
- Pipeline stage
- Global-Health-Systems-Library
- Evidence mode
- Not classified
- Publication date
- 1990-11-07
- Institution
- World Bank Documents and Reports
- Document type
- Technical Report
- Territory
- national
- Period
- Not supplied
- Source layers
- Global Literature
- Coverage domains
- Not classified
- Current display status
- Shown in full and open for annotation
- Evidence Work Review State
- Auto
- Machine Screening State
- Organization tag candidate
- Organization Tag Confidence
- 0.85
- Previous Visibility
- Previously not projected unless selected
- Source Version Linked From Country Score Acquisition
- True
- Download Status
- Availability or relevance uncertain
- Downloaded
- False
- Extracted
- False
- Detected Media Type
- application/pdf
- Page Count
- 33
- Response Sha256
- ad6629f270cce6f3eb6251ff14dec766e7c3fc7c9b019fd892c4dd0e0787f6f6
Annotation prompts and machine flags
- Machine-tagged Organization candidate. Relevance, jurisdiction, and claim support remain open to annotation.
- Immutable source-version metadata was retrieved from this exact public source URL in the single-country score-improvement acquisition.
Source Triage Record · Open for annotation
Portugal: health system review 2017
European Observatory on Health Systems and Policies. Portugal: health system review 2017. 2017. https://eurohealthobservatory.who.int/countries/portugal
- Material reference
- material:05d88575234f15cbd1ecfed2
- Pipeline stage
- Global-Source-Triage-Queue
- Evidence mode
- Not classified
- Publication date
- 2017
- Institution
- not supplied
- Document type
- Not Supplied
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Who European Observatory
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Boundary Detected
- True
- Previous Visibility
- Previously not projected
- Earlier source-record status
- Open for annotation
- Heading
- Country overview
- Html Text Block
- 9
- Locator Type
- html_text_anchor
- Source Word Anchor
- or legal status The Ministry of Health concentrates most planning and regulation
- Source Word Count
- 12
- Response Sha256
- 02d419e5c03716060ba0101b7b5bba3ae2a9a76caef484b4f97984d5019fa768
Annotation prompts and machine flags
- Verify the exact bibliographic citation against the original source.
- Confirm that the document applies to the named country and intended territorial scope.
- Confirm document type, issuing institution, authority, and claim-specific suitability.
- Retrieve and hash the exact source version when it is not already verified.
- Check publication date, effective period, currency, and supersession risk.
- Confirm only domains directly supported by the reviewed source.
- Add substantive feedback directly through the text-anchored annotation layer.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.
Targeted Source Lead · Open for annotation
Portugal: health system review 2017
European Observatory on Health Systems and Policies. Portugal: health system review 2017. 2017. https://eurohealthobservatory.who.int/countries/portugal
- Material reference
- material:65561194c674e19d0d772f31
- Pipeline stage
- Targeted-Gap-Source-Leads
- Evidence mode
- Not classified
- Publication date
- 2017-03-30
- Institution
- European Observatory on Health Systems and Policies
- Document type
- Health System Review
- Territory
- not supplied
- Period
- Not supplied
- Source layers
- Not supplied
- Coverage domains
- Actors, Governance and accountability, Government responsibilities, Primary care organization, Service Delivery
- Current display status
- Shown in full and open for annotation
- Page Locator Linked From Locator Gap Acquisition
- True
- Previous Boundary Detected
- True
- Previous Visibility
- Previously not projected
- Earlier source-record status
- Unreviewed
- Source Version Linked From Locator Gap Acquisition
- True
- Status
- Candidate
- Heading
- Country overview
- Html Text Block
- 9
- Locator Type
- html_text_anchor
- Source Word Anchor
- or legal status The Ministry of Health concentrates most planning and regulation
- Source Word Count
- 12
- Detected Media Type
- text/html
- Response Sha256
- 947e7f58890e73ffbb978a8d7ac99bf1307830d0fcb51df30d6dcc9a603fa4f9
Annotation prompts and machine flags
- Authoritative official source page or publication exposes country-specific health-system organization, governance, delivery, or primary-care context.
- Immutable source-version metadata was retrieved from this exact public source URL in the locator-gap traceability audit.
- A recoverable source locator was retrieved from this exact public source URL in the locator-gap traceability audit.