Portugal ranked higher than the UK and Spain in the assessment of 35 different European countries, evaluated from a consumer’s viewpoint.
The Netherlands performed the best and again topped the Euro Health Consumer Index, with Portugal having climbed six places over the past 12 months and, for the first time, overtaking the UK and neighbouring Spain.
The survey is conducted by Swedish organisation Health Consumer Powerhouse (HCP), and this year ranks Portugal mid-table, in 14th position, with a total of 763 points out of a possible 1,000.
While the Netherlands once again topped the 2016 ranking, Romania was at the very opposite end, in bottom position.
Portugal’s journey on the ranking has, over the years, seen it climb from 25th place in 2012, to 16th the year after and again to 13th in 2014.
It then plummeted to 20th position in 2015, seemingly because of “a less favourable perception by patients due to waiting times”, before climbing again this year.
Released at the end of January, the 2016 report identifies Portugal’s weakest points which require more investment as being “accessibility”, still due to long waiting lists, and problems in accessing specialist consultations; a high caesarean rate, and “diversity and coverage of services offered.”
On a plus point, improvements have been made with regard to patients’ rights and results from treatments and preventions.
The Euro Health Consumer Index has, over the years, garnered criticism for its method of compiling the information, which is based on public statistics, information from patient organisations, and independent research.
It has come under fire from specialists who question the thoroughness of its results.
Portugal’s National Health Board (DGS) has collaborated with the authors of the report in successive years since 2009.
Addressing this year’s outcome, Catarina Sena, spokesperson for the DGS, said Portugal surpassed the UK and Spain “because it is better classified in terms of accessibility, with, among other aspects, the possibility to book a same-day doctor’s appointment being seen as an added bonus.”
Speaking to newspaper Público, she noted however that Portugal’s overall score is “penalised” because the study “is based on an ideology that sits in dispute with our system, that is, which gives privilege to indiscriminate access to healthcare, and Portugal, which follows the Beveridge model (also followed in the United Kingdom), is based on a concept of prior reference, usually via primary health care [family doctor].”