0083/2025 - Development of Clinical and Health Governance: Primary Health Care in the Lisbon and Tagus Valley Region.
Desenvolvimento da Governação Clínica e de Saúde: Cuidados de Saúde Primários na Região de Lisboa e Vale do Tejo.
Publicado
Author:
• Eunice Isabel do Nascimento Carrapiço - Carrapiço, EIN - <eunicecarrapico@gmail.com>ORCID: https://orcid.org/0000-0002-2703-0563
Co-author(s):
• Ana Rita Semedo Correia - Correia, ARS - <anarita.c@gmail.com>ORCID: https://orcid.org/0009-0001-5890-6556
• Baltazar Ricardo Monteiro - Monteiro, BR - <ricardo.monteiro.baltazar@gmail.com>
ORCID: https://orcid.org/0000-0002-4876-9439
Abstract:
The Clinical and Health Councils (CCS) became responsible for implementing Clinical and Health Governance (GCS) in primary care in Portugal. However, this project suffered political abandonment, although there are cases of continuity due to the dedication of CCS professionals. Considering the lack of evidence on the impact of GCS on the horizontal integration of the Functional Units of Health Center Groups (ACES), the research sought to identify micropolitical elements that could enhance this horizontal integration.The modified Delphi technique (Policy Delphi) was used as a methodology involving a group of 10 experts with academic experience, in administrative structures and in CCS, who shared their experiences to answer the research questions. The Policy Delphi was developed in three stages, complemented by statistical dataofficial sources to triangulate information.
The results revealed, on the one hand, a general tendency, on the part of the experts, to accept that the CCS fulfilled the competences that were assigned. On the other hand, they identified economic and social limitations in the development of the project, as well as the fragmentation of care and tensions generated by disparities between the Functional Units. The research also made it possible to suggest a set of micropolicies capable of promoting the integration of GCS in PHC.
