Rui Santana
Biographic Data
| ID | 3680094 |
|---|---|
| NAME | Rui Santana |
| GIVEN NAMES | Rui |
| FAMILY NAME | Santana |
| SIGNATURE | SANTANA R |
| AFFILIATIONS | Universidade Nova de Lisboa |
| ORCID | 0000-0003-1370-3242 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 2 |
| WORKS AS AUTHOR | 20 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2013 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Maturity of Local Health Units to provide Integrated Care
Background: Integrated care is a proven intervention for enhancing health system performance and quality and accessibility [1]. However, implementing integrated care is context-dependent, requiring an assessment of healthcare systems’ readiness [2]. In Portugal, recent reforms toward vertical integration in healthcare highlights the need for such assessments[3]. The SCIROCCO tool offers a structured method to evaluate health systems’ maturity- de…
Local health units in Portugal
Background: Over the last few years, the health needs of the Portuguese population have suffered major changes, and this has generated strong pressure on healthcare services, with difficulties in access, quality of care and, consequently, user experience, despite the increase in healthcare budgets. To respond to this problem, the Portuguese government decided to implement a new organizational model, local health units (LHUs). LHUs are a populatio…
Facilitators, Barriers, and Recommendations for implementation of a digital-based case management program
Background: Population ageing has increased worldwide in recent years. An ageing population results in the rise of chronic conditions, requiring new means to provide more accessible healthcare to these patients and highlighting the need for new healthcare models. Digital tools might be the answer, enhancing accessibility to health services and promoting universal coverage for more integrated care intervention. This study aimed to understand and i…
The Pandemic-Related Factors Associated with Emergency Department Visits in Portugal throughout Two Years of the Pandemic
The COVID-19 pandemic has affected the use of emergency departments (ED) worldwide. This study identifies the pandemic-related factors associated with the number of ED visits in mainland Portugal and each of its regions. We collected data on ED visits from March 2020 to March 2022. Data on incidence, vaccination, mobility, containment index, and Google search volume were retrieved from open online sources at different time points. We fitted a qua…
Patients’ Perspectives on Determinants Avoidable Hospitalizations
Ambulatory care sensitive conditions (ACSC) can be avoided through effective care in the ambulatory setting. Patients are the most qualified individuals to express the social and individual contexts of their own experience. Thus, understanding why potentially preventable hospitalizations occur is important to develop patient-centred policies or interventions that may reduce them. This study aims to develop and validate a questionnaire to capture …
Mitigating Covid-19 Impact on the Portuguese Population Mental Health
COVID-19 mitigation measures present unprecedented challenges in mental healthcare delivery, posing high risk to the mental health of at-risk populations, namely patients diagnosed with COVID-19, frontline healthcare providers, and those submitted to quarantine or isolation measures, as well as the general population. Ensuring safe and equitable access to mental healthcare by these groups entails resorting to innovative psychosocial intervention …
Comparative research aspects on hospitalizations for ambulatory care sensitive conditions
Hospitalizations for ambulatory care sensitive conditions have been used to measure access, quality and performance of the primary health care delivery system, as timely and adequate care could potentially avoid the need of hospitalization. Comparative research provides the opportunity for cross-country learning process. Brazil and Portugal have reformed their primary health care services in the last years, with similar organizational characteris…
The patients’ perspective
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Determinants of ambulatory care sensitive conditions hospitalizations – the patients’ perspective
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Can Vertical Integration Reduce Hospital Readmissions? A Difference-in-Differences Approach
BACKGROUND: Vertical integration is expected to improve communication and coordination between inpatient care and care after discharge. Despite being used across health systems worldwide, evidence about its impact on readmissions is sparse and contradictory. OBJECTIVE: To assess the impact of vertical integration on hospital readmissions. RESEARCH DESIGN, SUBJECTS, AND MEASURES: Using difference-in-differences we compared readmissions before and …
Multiple admissions for Ambulatory Care Sensitive Conditions
Introduction: Ambulatory care sensitive conditions (ACSC) have been robustly studied as an indirect indicator of access and quality of (primary) care (1–6). Once these coincide with two fundamental objectives of integrated care (7) it makes sense to use the admissions for ACSC as an indirect indicator of integrated care. In Portugal this is a relevant phenomenon in the National Health Service that needs further in depth studying (8). The present …
Integrated care network for long term care in Portugal
Background: Portugal began the implementation of an integrated care network for Long Term Care (LTCIN) in 2006. Its main objective is to deliver services of health and social support including post-acute and long term care. There are four different types of inpatient LTC units: Palliative Care Units (PCU), Convalescent Care Units (CCU), Medium Stay and Rehabilitation Care Units (MSRCU) and Long-Stay and Maintenance Care Units (LSMCU) (1). These u…
Impact of vertical integration on frequency of hospital readmissions
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
How multiple chronic conditions increase the risk of ACSC hospitalizations
Introduction: The high financial burden of avoidable hospitalizations has led to an increase of the study of hospitalizations for ambulatory care sensitive conditions (ACSC). Although patients’ social and demographic characteristics are frequently identified in the literature as factors that increase the risk of an avoidable hospitalization, there is little information on the impact of multiple chronic conditions on these hospitalizations. Our st…
Defining the Ambulatory Care Sensitive Conditions in Portugal
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Recent evolution of the degree of integration on vertically integrated organizations
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
The Integration of Care in the Portuguese NHS – A methodological proposal
Introduction: The lack of integration of care in Portugal is perceived as a major constrain to the health system and, consequently, to the quality of care provided to patients. The improvement of integration is seen as a more effective way to provide quality care and to optimize scarce resources available. There were identified more than 175 definitions published in scientific papers (Armitage et al., 2009), and consensually adopted the WHO (2008…
The impact of creating vertically integrated organizations on hospital inpatient use
Introduction: One of the most recent important policy reforms in the Portuguese healthcare sector was the creation of seven new vertically integrated organizations, known as Local Health Units (LHU). These organizations are responsible for primary and secondary levels of care, providing comprehensive healthcare services on a population based approach. Currently LHUs cover approximately 12% of the total population and have a global yearly budget o…
Ambulatory Care Sensitive Conditions in Portugal
The healthcare systems worldwide face a challenge posed by the increasing life expectancy, the growing prevalence of non-communicable diseases and the resulting increased demand for resources(1). The integration of care, with the purpose of increasing quality and access (among others) has been widely discussed as a possible solution in this context(1). The Ambulatory Care Sensitive Conditions (ACSC) have proven to be a valid indicator of both Pri…
Identifying Hospitalizations for Ambulatory Care Sensitive Conditions in Local Health Units
Local Health Units (LHU) provide vertical integrated healthcare services in Portugal. The first LHU was created in 1999, and since 2007, seven more followed. In 2012, the LHUs cover approximately 10% of the Portuguese population, using 630M of public financing. Until this moment, little evidence was created about the performance of LHUs
Impact of vertical integration on frequency of hospital readmissions
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Ambulatory Care Sensitive Conditions in Portugal
The healthcare systems worldwide face a challenge posed by the increasing life expectancy, the growing prevalence of non-communicable diseases and the resulting increased demand for resources(1). The integration of care, with the purpose of increasing quality and access (among others) has been widely discussed as a possible solution in this context(1). The Ambulatory Care Sensitive Conditions (ACSC) have proven to be a valid indicator of both Pri…
Identifying Hospitalizations for Ambulatory Care Sensitive Conditions in Local Health Units
Local Health Units (LHU) provide vertical integrated healthcare services in Portugal. The first LHU was created in 1999, and since 2007, seven more followed. In 2012, the LHUs cover approximately 10% of the Portuguese population, using 630M of public financing. Until this moment, little evidence was created about the performance of LHUs
Ambulatory Care Sensitive Conditions in Portugal
The healthcare systems worldwide face a challenge posed by the increasing life expectancy, the growing prevalence of non-communicable diseases and the resulting increased demand for resources(1). The integration of care, with the purpose of increasing quality and access (among others) has been widely discussed as a possible solution in this context(1). The Ambulatory Care Sensitive Conditions (ACSC) have proven to be a valid indicator of both Pri…
Defining the Ambulatory Care Sensitive Conditions in Portugal
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Recent evolution of the degree of integration on vertically integrated organizations
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
The Integration of Care in the Portuguese NHS – A methodological proposal
Introduction: The lack of integration of care in Portugal is perceived as a major constrain to the health system and, consequently, to the quality of care provided to patients. The improvement of integration is seen as a more effective way to provide quality care and to optimize scarce resources available. There were identified more than 175 definitions published in scientific papers (Armitage et al., 2009), and consensually adopted the WHO (2008…
The impact of creating vertically integrated organizations on hospital inpatient use
Introduction: One of the most recent important policy reforms in the Portuguese healthcare sector was the creation of seven new vertically integrated organizations, known as Local Health Units (LHU). These organizations are responsible for primary and secondary levels of care, providing comprehensive healthcare services on a population based approach. Currently LHUs cover approximately 12% of the total population and have a global yearly budget o…
Multiple admissions for Ambulatory Care Sensitive Conditions
Introduction: Ambulatory care sensitive conditions (ACSC) have been robustly studied as an indirect indicator of access and quality of (primary) care (1–6). Once these coincide with two fundamental objectives of integrated care (7) it makes sense to use the admissions for ACSC as an indirect indicator of integrated care. In Portugal this is a relevant phenomenon in the National Health Service that needs further in depth studying (8). The present …
Integrated care network for long term care in Portugal
Background: Portugal began the implementation of an integrated care network for Long Term Care (LTCIN) in 2006. Its main objective is to deliver services of health and social support including post-acute and long term care. There are four different types of inpatient LTC units: Palliative Care Units (PCU), Convalescent Care Units (CCU), Medium Stay and Rehabilitation Care Units (MSRCU) and Long-Stay and Maintenance Care Units (LSMCU) (1). These u…
Impact of vertical integration on frequency of hospital readmissions
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
How multiple chronic conditions increase the risk of ACSC hospitalizations
Introduction: The high financial burden of avoidable hospitalizations has led to an increase of the study of hospitalizations for ambulatory care sensitive conditions (ACSC). Although patients’ social and demographic characteristics are frequently identified in the literature as factors that increase the risk of an avoidable hospitalization, there is little information on the impact of multiple chronic conditions on these hospitalizations. Our st…
Can Vertical Integration Reduce Hospital Readmissions? A Difference-in-Differences Approach
BACKGROUND: Vertical integration is expected to improve communication and coordination between inpatient care and care after discharge. Despite being used across health systems worldwide, evidence about its impact on readmissions is sparse and contradictory. OBJECTIVE: To assess the impact of vertical integration on hospital readmissions. RESEARCH DESIGN, SUBJECTS, AND MEASURES: Using difference-in-differences we compared readmissions before and …
Determinants of ambulatory care sensitive conditions hospitalizations – the patients’ perspective
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
The patients’ perspective
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
Mitigating Covid-19 Impact on the Portuguese Population Mental Health
COVID-19 mitigation measures present unprecedented challenges in mental healthcare delivery, posing high risk to the mental health of at-risk populations, namely patients diagnosed with COVID-19, frontline healthcare providers, and those submitted to quarantine or isolation measures, as well as the general population. Ensuring safe and equitable access to mental healthcare by these groups entails resorting to innovative psychosocial intervention …
Comparative research aspects on hospitalizations for ambulatory care sensitive conditions
Hospitalizations for ambulatory care sensitive conditions have been used to measure access, quality and performance of the primary health care delivery system, as timely and adequate care could potentially avoid the need of hospitalization. Comparative research provides the opportunity for cross-country learning process. Brazil and Portugal have reformed their primary health care services in the last years, with similar organizational characteris…
Patients’ Perspectives on Determinants Avoidable Hospitalizations
Ambulatory care sensitive conditions (ACSC) can be avoided through effective care in the ambulatory setting. Patients are the most qualified individuals to express the social and individual contexts of their own experience. Thus, understanding why potentially preventable hospitalizations occur is important to develop patient-centred policies or interventions that may reduce them. This study aims to develop and validate a questionnaire to capture …
The Pandemic-Related Factors Associated with Emergency Department Visits in Portugal throughout Two Years of the Pandemic
The COVID-19 pandemic has affected the use of emergency departments (ED) worldwide. This study identifies the pandemic-related factors associated with the number of ED visits in mainland Portugal and each of its regions. We collected data on ED visits from March 2020 to March 2022. Data on incidence, vaccination, mobility, containment index, and Google search volume were retrieved from open online sources at different time points. We fitted a qua…
Maturity of Local Health Units to provide Integrated Care
Background: Integrated care is a proven intervention for enhancing health system performance and quality and accessibility [1]. However, implementing integrated care is context-dependent, requiring an assessment of healthcare systems’ readiness [2]. In Portugal, recent reforms toward vertical integration in healthcare highlights the need for such assessments[3]. The SCIROCCO tool offers a structured method to evaluate health systems’ maturity- de…
Local health units in Portugal
Background: Over the last few years, the health needs of the Portuguese population have suffered major changes, and this has generated strong pressure on healthcare services, with difficulties in access, quality of care and, consequently, user experience, despite the increase in healthcare budgets. To respond to this problem, the Portuguese government decided to implement a new organizational model, local health units (LHUs). LHUs are a populatio…
Facilitators, Barriers, and Recommendations for implementation of a digital-based case management program
Background: Population ageing has increased worldwide in recent years. An ageing population results in the rise of chronic conditions, requiring new means to provide more accessible healthcare to these patients and highlighting the need for new healthcare models. Digital tools might be the answer, enhancing accessibility to health services and promoting universal coverage for more integrated care intervention. This study aimed to understand and i…
Medicine (14 works) · Health care (13 works) · Chronic Disease Management Strategies (9 works) · Primary Care and Health Outcomes (9 works) · Business (6 works) · Computer Science (6 works) · Nursing (6 works) · Population (6 works) · Environmental health (5 works) · Integrated care (5 works)