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
Mainland
ARS Alentejo (ARSA)
75.617 161.476
116.565 187.947
174.503
244.949
204.187
258.422
244.006
294.334
292.227
329.482
309.537
341.595
340.353
367.435
353.831
380.554
362.773
383.629
380.523
404.333
328.990
348.448
283.566
288.058
270.289
266.804
264.094
253.742
268.199
254.946
248.461
236.708
233.069
222.997
450.000
300.000
150.000
0
150.000
300.000
85+
6.335
8.823
12.697
11.745
12.699
14.935
16.447
18.177
17.605
17.201
18.110
15.747
14.041
13.295
12.058
12.163
10.943
10.344
80 - 84
75 - 79
70 - 74
65 - 69
60 - 64
55 - 59
50 - 54
45 - 49
40 - 44
35 - 39
30 - 34
25 - 29
20 - 24
15 - 19
10 - 14
05 - 09
00 - 04
450.000
20.000
15.000
10.000
5.000
10.811
12.921
17.239
15.684
15.329
15.569
16.716
17.950
17.513
16.590
17.940
15.388
13.121
12.422
11.505
11.334
10.524
9.826
0
5.000
10.000
Nº
Homens
Source: INE
Mulheres
85+
80 - 84
75 - 79
70 - 74
65 - 69
60 - 64
55 - 59
50 - 54
45 - 49
40 - 44
35 - 39
30 - 34
25 - 29
20 - 24
15 - 19
10 - 14
05 - 09
00 - 04
15.000
20.000
Nº
Homens
Mulheres
Aging Index in 2012 / Life expectancy at birth 2010-2012
MAINLAND – 134,0
MAINLAND – 80,6
ARSA – 190,8
ARSA – 79,5
Source : INE
Live Births / Deaths (2012)
MAINLAND – 102.808
MAINLAND – 85.306
ARSA – 3.937
ARSA – 7.492
5%
Source : INE
7%
6
Area of Influence
2 Hospitals
16 Health Centers
1 Hospital
14 Health Centers
1 Hospital
5 Health Centers
2 Hospitals
14 Health Centers
Investments carried out until the end of the QCA III
50,000,000
• 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
45,000,000
40,000,000
35,000,000
30,000,000
25,000,000
Total Investment
FEDER
20,000,000
15,000,000
10,000,000
5,000,000
0
Alentejo
Central
Alto Alentejo Baixo Alentejo
Alentejo
Litoral
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
35,000,000
30,000,000
25,000,000
20,000,000
Total Investment
FEDER
15,000,000
10,000,000
5,000,000
0
Alentejo
Central
Alto Alentejo Baixo Alentejo Alentejo Litoral
• 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 teleconsultations in theses specialties:
 Dermatology
 General and pediatrics
 Physiatry
surgery
 Cardiology
 Pediatrics
 Orthopaedics
 Gastroenterology
 Urology
 Psychiatry
For dermatology several dermatoscopes were obtained
• Screening:
 Cervix cancer
 Breast cancer
 Colorectal cancer
 Diabetes 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
[email protected]