health resources management in adverse geo-demographic contexts regional health administration of...
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Health resources management in adverse geo-demographic contexts
REGIONAL HEALTH ADMINISTRATION OF ALENTEJO
José Robalo
The Regional Health Administration of Alentejo is a
decentralized service of the Ministry of Health,
whose scope of action is the Alentejo region and
aims to coordinate and optimize the available
resources to provide the necessary healthcare to its
community
• Alentejo is characterized by being the largest region in Portugal and
at the same time the region with the lowest population density
• Area: 27,330 km²
• Population: 501.747hab
• Population density:
5,447hab/km²
Resident Population 2012
222.997236.708254.946253.742266.804288.058
348.448404.333
383.629380.554367.435
341.595329.482
294.334258.422244.949
187.947161.476
233.069248.461
268.199264.094270.289283.566
328.990380.523362.773353.831340.353
309.537292.227
244.006204.187
174.503116.565
75.617
450.000 300.000 150.000 0 150.000 300.000 450.000
00 - 04
05 - 09
10 - 14
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65 - 69
70 - 74
75 - 79
80 - 84
85+
Nº
Homens Mulheres
9.82610.52411.33411.50512.42213.121
15.38817.940
16.59017.51317.950
16.71615.56915.32915.684
17.23912.921
10.811
10.34410.943
12.16312.058
13.29514.041
15.74718.11017.20117.60518.177
16.44714.935
12.69911.745
12.6978.823
6.335
20.000 15.000 10.000 5.000 0 5.000 10.000 15.000 20.000
00 - 04
05 - 09
10 - 14
15 - 19
20 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65 - 69
70 - 74
75 - 79
80 - 84
85+
Nº
Homens Mulheres
Mainland ARS Alentejo (ARSA)
Source: INE
Aging Index in 2012 / Life expectancy at birth 2010-2012
Source : INE
ARSA – 79,5
MAINLAND – 80,6
ARSA – 190,8
MAINLAND – 134,0
6Source : INE
ARSA – 3.937
MAINLAND – 85.306
5%
Live Births / Deaths (2012)
ARSA – 7.492
MAINLAND – 102.808
7%
2 Hospitals16 Health Centers
1 Hospital14 Health Centers
1 Hospital5 Health Centers
2 Hospitals14 Health Centers
Area of Influence
Investments carried out until the end of the QCA III
• Total Investments: EUR 97.575.384• FEDER: EUR 68.175.661
(Structural Fund of regional development)
• During QCA III Alentejo Coast Hospital has been built - total cost EUR 41.770.478
0
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
30,000,000
35,000,000
40,000,000
45,000,000
50,000,000
Total InvestmentFEDER
Investment during the QREN
• Total Investments: EUR 46.604.452
• FEDER: EUR 34.543.756 (Structural Fund of regional development)
• The investment in Alentejo Central is mainly due to the construction of 8 new health centers and various interventions for the provision of healthcare in hospitals
Alentejo Cen-tral
Alto Alentejo Baixo Alentejo Alentejo Litoral0
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
30,000,000
35,000,000
Total InvestmentFEDER
• Hospital services development:
Radiotherapy Unit
Interventional Cardiology
ERCP (endoscopic retrograde cholangiopancreatography)
• Development and implementation of the project “telemedicine” in health centers, whose objective are :
– Teleconferencing platforms for training and tele-consultations in theses specialties:
DermatologyPhysiatry CardiologyOrthopaedicsUrology
For dermatology several dermatoscopes were obtained
General and pediatrics surgery
Pediatrics Gastroenterology Psychiatry
• Screening:
Cervix cancerBreast cancerColorectal cancerDiabetes retinopathy
‐ Portable retinography device
• Devices for making automatic appointments
• Development of the project “Early Intervention” for children from 0 to 6 years, with coverage throughout the region
The Executive Board of the WHO has awarded a prize of the Foundation in the United Arab Emirates for the Health - 2010, to the ARS Alentejo
• Mobile units providing healthcare to the people who live far away from health centers and have problems with mobility
Community funds have a very important role in Alentejo:
• fighting against inequalities in health• promoting access to quality healthcare• promoting social cohesion
Health resources management in adverse geo-demographic contexts
REGIONAL HEALTH ADMINISTRATION OF ALENTEJO