Tiago Correia

Universidade NOVA de Lisboa | NOVA · Institute of Hygiene and Tropical Medicine

This article focuses on the recent reforms that have taken place in the Portuguese hospital sector, namely the implementation of New Public Management principles, a political option that is neither innovative nor exclusive to Portugal. Given the trend towards adopting a business model for state hospitals, the objective is to understand to what exte...

Background Primary healthcare has emerged as a powerful global concept, but little attention has been directed towards the pivotal role of the healthcare workforce and the diverse institutional setting in which they work. This study aims to bridge the gap between the primary healthcare policy and the ongoing healthcare workforce crisis debate by in...

Introduction Providing healthcare in emergency services is a multifaceted challenge that demands prompt approaches. Ensuring safety and efficacy becomes even more challenging in ‘remote locations’, referring to geographical areas located far from urban centres or densely populated regions, often characterised by insufficient access to services, inf...

In this editorial, we explore the profound implications of Donald Trump's re-election on the U.S. health policy landscape. Recalling the lessons of his first term, marked by a contentious response to COVID-19 and challenges in reducing healthcare costs, we assess the potential trajectories of his administration's health agenda. With a focus on dere...

The healthcare sector is undergoing significant transformation driven by workforce shortages, role imbalances, and technological advances. Traditional health professions, characterised by advanced knowledge and self-regulation, face challenges from two key trends. First, there is a growing reliance on less-trained workers, such as nursing assistant...

Background We adopt a health system and governance perspective to address the mental health needs of healthcare workers, considering the nature of interventions and the levels and actors involved in governance. The aim is to move the debate forward by identifying governance gaps hampering the implementation of health workforce policies and explorin...

Background The healthcare workforce crisis strongly affects the primary healthcare sector, worsening the work conditions of healthcare workers and hampering service delivery and health system resilience. This study introduces a health system and governance approach to identify transformative capacities in health system contexts. Methods A qualitat...

Background. There is growing evidence that highlights increasing stress levels and declining mental health among the global healthcare workforce, exacerbated by challenges within workplace environments, labour market and policy frameworks. These conditions place additional strain on an already vulnerable healthcare workforce and consequently threat...

The global health and care workforce (HCWF) is facing an evolving crisis, requiring urgent and sustained action. There is a critical need for enhanced workforce planning, management, and leadership, which are currently at risk of being overshadowed by political inertia, particularly in the post‐COVID‐19 context. A comprehensive approach tailored to...

Purpose To argue for trust-building as a key solution for responding to public health crises in the face of political ambiguity in international health governance. Patients and Methods This perspective piece reviews fundamental concepts and discusses future directions using secondary data from open-access sources. Results The promise of learning...

It is argued that there is a need to question the appropriateness of the concept of 'pandemic' to enhance responses to global public health emergencies. Drawing the context of Covid-19 and without overlooking previous outbreaks (such as H1N1 in 2009, Ebola in 2014, or Zika in 2016), attention is directed towards the symbolic, political, and sanitar...

Background. Primary healthcare has emerged as a powerful global concept, but little attention has been directed towards the pivotal role of the healthcare workforce and the diverse institutional setting in which they work. This study aims to bridge the gap between the primary healthcare policy and the ongoing healthcare workforce crisis debate by i...

This Special Issue aims to advance the healthcare workforce debate by directing its attention to the implementation of policy recommendations and identifying weaknesses. The selection of articles highlights a wide range of healthcare workforce policies and interventions across various countries. The challenges faced often stem from policy failures...

The COVID‐19 pandemic revealed major failings in many countries. We argue that one of the reasons, at global, national, and local levels, was that those involved were working in silos, unable to bring together the many diverse perspectives needed to respond to this complex problem. This is despite a growing recognition of the importance of adopting...

Background: The healthcare workforce globally is facing high stress levels and deteriorating mental health due to workplace, labour market and policy deficiencies that further exacerbate the existing crisis. However, comprehensive and effective action is missing. Aims: We adopt a health system and governance perspective to address the mental health...

This editorial highlights the long battle for civilian defense in many conflicts as stated by United Nations Security Council, including in the Gaza Strip (World Health Organization, WHO Regional Office for the Eastern Mediterranean (EMRO). Then, it calls for two urgent actions in the region: 1. implementation of guidelines and best practices aimed...

Introduction: The International Health Regulations (IHR) were developed to prepare countries to deal with public health emergencies. The spread of SARS-CoV-2 underlined the need for international coordination, although few attempts were made to evaluate the integrated implementation of the IHR's core capacities in response to the COVID-19 pandemic...

Instead of speculative and catastrophic anticipations of AI, the debate of its use in healthcare needs to elucidate how changes in policies, planning, financing, services, management, and behaviours can cope with key principles in public health. It is up to scientists to leverage the debate so that other institutions, policymakers, and the public u...

Purpose Towards informing health research policy and planning, this article evaluates the relationship of the research publications in cardiac rehabilitation (CR) and pulmonary rehabilitation (PR) with the rehabilitation needs arising from cardiovascular diseases (except stroke) and chronic respiratory diseases, over time (1990–2017). Methods Ecol...

The WHO recently declared the healthcare workforce a five-year policy priority. However, the implementation of these policies and the evidence of their impact largely remain a black-box. Health labour market approaches and actor-centred experiences are poorly connected and the ‘human side’ of the crisis, the impact of the day-to-day working conditi...

This Comment piece summarises current challenges regarding routine vaccine uptake in the context of the COVID-19 pandemic and provides recommendations on how to increase uptake. To implement these recommendations, the article points to evidence-based resources that can support health-care workers, policy makers and communicators.

We can expect a deterioration in standards of living and health due to the combination of War, Inflation, Winter, and the Pandemic (WIWP). The idea of the WIWP comes from the concept of syndemic. The effects of the WIWP syndemic need more in-depth studies in high-, medium- and low-income countries. However, it seems obvious that it is associated wi...

This Comment piece summarises current challenges regarding routine vaccine uptake in the context of the COVID-19 pandemic and provides recommendations on how to increase uptake. To implement these recommendations, the article points to evidence-based resources that can support health care workers, policy makers and communicators.

Background The COVID-19 pandemic revealed the importance of the health workforce for health system resilience. This study aims to explore whether and how healthcare system in Europe have responded to new emergent needs and transformed their health workforce policies. Methods A qualitative comparative approach is applied, based on multi-level gover...

Relatório parcial 1 do Projeto de pesquisa: Enfrentamento da pandemia de COVID-19: produções, invenções e desafios na gestão do cuidado em rede. Processo FAPESP: 2020/12096-6 Modalidade: Auxílio a Projeto de Pesquisa. Acordos de cooperação PPSUS-2020.

The interdependence of humans, animals, plants, and their social and abiotic environment is highlighted by past and recent pandemics. A good example to understand and tackle threats to ecosystems is the COVID-19 pandemic. A syndemic is a complex and multilevel phenomenon of epidemics interacting synergistically at individual, societal, and environm...

The Global South nations and their statehoods have presented a driving force of economic and social development through most of the written history of humankind. China and India have been traditionally accounted as the economic powerhouses of the past. In recent decades, we have witnessed reestablishment of the traditional world economic structure...

This article is dedicated to the WHO International Year of Health and Care Workers in 2021 in recognition of their commitment during the COVID-19 pandemic. The study aims to strengthen health workforce preparedness, protection and ultimately resilience during a pandemic. We argue for a health system approach and introduce a tool for rapid comparati...

Background: Healthcare workers face high pressures and new threats during the COVID-19 pandemic, and health systems and governance are key to improve preparedness and protection. This study aims to introduce a tool for rapid assessment based on an integrated multi-level governance approach and to empirically explore preparedness and protection. Me...

This Special Issue is dedicated to the healthcare workers across the globe. It draws together studies from different disciplines and regions to identify important lessons learned on weaknesses as well as on opportunities for health workforce innovation through a global health lens. Beginning with strategic reflections on the role of the health work...

This Special Issue is dedicated to the healthcare workers across the globe. It draws together studies from different disciplines and regions to identify important lessons learned on weaknesses as well as on opportunities for health workforce innovation through a global health lens. Beginning with strategic reflections on the role of the health work...

Vaccination represents a new chapter in the management of the SARS‐CoV‐2 pandemic. So far, the hospitalisation and death curves in most countries have tended to follow the epidemic curve. As vaccination increases, new in�fections are not expected to lead to a corresponding rise in deaths and hospitalisations, with overwhelmed health services and a...

Objective: to understand the changing roles of nurses in labor division organization in hospitals from the Manchester Triage System implementation in an emergency hospital. Methods: this is an ethnographic study that used different production techniques and data analysis. Results: the Manchester Triage System organized flows and places resulting...

The SARS-CoV-2 pandemic has affected communities, populations, and countries throughout the world. As the SARS-CoV-2 pandemic developed, the extent to which the disease interacted with already existing endemic, non-communicable and infectious diseases became evident, hence deeply influencing health outcomes. Additionally, a synergistic effect has b...

Os últimos meses foram vertiginosos numa realidade desconhecida. Isso motiva a urgência de novos factos e números atualizados, mas que nem sempre informam ou ajudam a compreender o que estamos a viver e o que podemos esperar. Nos primeiros dias de abril de 2020 fui desafiado pelo Observatório das Desigualdades para pensar sobre o que estávamos a vi...

Background In this article, we analyze data collected in the context of health workforce planning (HWFP) for Guiné-Bissau as part of the development of the third National Health Strategy, to study the relationship between educational achievement of parents and medical student characteristics and professional expectations. Methods Cross-sectional a...

Auxiliares de saúde são trabalhadores com funções de suporte a profissionais mais qualificados na prestação de cuidados. Constituem parte considerável e desconhecida dos recursos humanos da saúde em Portugal. Publicados em 2010, o perfil profissional e o referencial de formação de técnico auxiliar de saúde introduziram mudanças ainda por estudar. I...

This paper aims to contribute to the discussion on health workforce migration, notably by testing an analytical model of the individual drivers for a professional to decide to emigrate. A large database was obtained from all primary health care units on mainland Portugal. A professional satisfaction survey was conducted and information on social-ec...

Resumo: O Kanban é um arranjo tecnológico de organização do cuidado hospitalar orientado para a gestão de leitos e da clínica, que visa à qualidade e integralidade da assistência, maior rotatividade dos leitos, com consequente redução do tempo de internação e custos hospitalares. O constante e atualizado acompanhamento do paciente, compartilhado pe...

We conducted a survey of physicians regarding their experience of how cost-containment policies affected the health system in Portugal, particularly in terms of the quality of and access to health care. We explain the study design, especially the pertinence of the research goals and the reason for choosing a postal survey of a non-representative sa...

The quality of the available information on Human Resources for Health (HRH) is critical to planning strategically the future workforce needs. This article aims to assess HRH monitoring in Portugal: the data availability, comparability and quality. A scoping review of academic literature was conducted, which included 76 empirical studies. The cont...

Kanban is a care management tool that values multi-professional work and intensive use of data and has been growingly used in Brazil to address overcrowding in hospital emergency services (HES). The researchers monitored the Kanban for ten months in multiple wards of a municipal HES, and their observations were recorded in field diaries and discuss...

As the SARS-CoV-2 pandemics reaches the entire planet, the political responses to dealing with the coronavirus disease Covid-19 have flourished. However, not only has the evidence on decision-making and outcomes - including the side effects - lacked, but also policy analysis has not been able to overcome an overly descriptive nature that brings too...

Although the growth of the private sector in health is a global trend, this rise has different meanings and dynamics across countries. In Europe, there is no consensus on the effects of the 2008 economic and financial crisis on health systems, particularly public-private relationships. Between 2011 and 2014, Portugal entered into a financial assist...

English version available http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832019000600401&lng=pt&nrm=iso&tlng=en&ORIGINALLANG=en

Chapter objectives • To discuss the concept of identity in health research • To consider different dimensions of identity – from gender and ethnicity to age and social class • To analyze the use of the concept at the macro, meso and micro levels • To evaluate the balance of quantitative and qualitative approaches to this subject • To draws on group...

Editorial based on the European Society for Health and Medical Sociology (ESHMS) 17th biennial conference (June 6-8, 2018).

Resumo O artigo sistematiza e discute elementos presentes na prática médica que contribuam para uma melhor compreensão da sua reconhecida baixa adesão às diretrizes da Política Nacional de Atenção Básica (PNAB). Para tanto, fez uso de material empírico produzido em duas investigações de caráter qualitativo conduzidas pelo mesmo grupo de pesquisa. N...

The rising distrust and the surveillance over expert knowledge highlights how the professions and societies maintain a paradoxical relationship: the latter both needs as much as it suspects the former. This tension requires a sociological reading able to clarify the role of ethics and professional commitments. This constitutes the underlying thread...

The state-professions relationship and the role of professionalism as facilitator of public sector services are key issues of the professions studies. This makes the study of professions an important source of understanding how to create a “better world,” with more efficient public sectors and accessible services for all citizens. Currently, the re...

Background The European Union member countries reacted differently to the 2008 economic and financial crisis. However, few countries have monitored the outcomes of their policy responses, and there is therefore little evidence as to whether or not savings undermined the performance of health systems. We discuss the situation in Portugal, where a f...

This article seeks to provide a clearer picture of how the nexus between institutional and behavioural dynamics operates among doctors in hospital organisations. On the basis of qualitative, in-depth research conducted in a hospital organisation, with the focus on doctors from two wards, differences in their actions and discourses challenge the coh...

The concept of medicalization is hugely influential, and empirical studies have demonstrated that medicalization has largely been achieved not only through the work of medical professionals or scientists but also increasingly through the efforts of patients or citizens seeking to legitimize their distress through defining it as a “medical” problem....

Background The consequences of financial crises on patients’ use of healthcare have been widely discussed. This paper seeks to ascertain whether the position of key players, i.e. doctors, may reveal realities other than those officially reported about the 2008 financial crisis. Methods In 2013–14, a national survey of doctors was conducted in Port...

Background The need of improving the governance of healthcare services has brought health professionals into management positions. However, both the processes and outcomes of this policy change highlight differences among the European countries. This article provides in-depth evidence that neither quantitative data nor cross-country comparisons hav...

Brazilian hospitals experience a remarkable rationalization process of its practices in the quest for greater efficiency and organizational effectiveness. Considering the existence of a dual system of authorities composed by both medical and administrative powers, the present study aims to understand how medical experience and assign meaning to the...

According to Newman (2005), the way the state, public and private stakeholders, the health professions and the market connect with each other determines the structure of governance in health care in each particular country. This concept stresses a more complex and diversified set of regulatory mechanisms and practices than those provided by the bro...

Background It is commonly agreed that organizations are changing due to reinforced managerial structures, increasingly demanding clients, and governments’ attempts to better regulate professional services and firms. However, according to recent evidence the paths of change result from complex interconnections between organizational and professiona...

Following up on previous reflections (Correia, 2012), this presentation seeks now to provide the debate with a more systematized reading of the adaptation of hospital organizations in the context of globalized managerialism, notably the implication for its design and functioning while a professional bureaucracy and for the interplay between manager...

This in-depth qualitative research examines the interplay between medicine and management. It focuses on the reasons why doctors do not always implement administrative guidelines either uniformly or in their entirety, in a context that is expanding managerial supervision. More specifically, we investigated the extent to which managerialism is shapi...

Hospital governance increasingly combines management and professional self-governance. This article maps the new emergent modes of control in a comparative perspective and aims to better understand the relationship between medicine and management as hybrid and context-dependent. Theoretically, we critically review approaches into the managerialism-...

This paper focuses on methodological implications linked to comprehensive and phenomenological epistemology and proposes mechanisms for its scientific validation. To seek in individuals the guiding meaning of their actions ("what I do" and "why I do it"), challenges the scientific practice, namely the conditions for knowledge production and the acc...

Across countries, management has brought tighter controls into all areas of clinical practice, responding mainly to financial shortages coupled with increasing public demand for quality and safety of care. Management is not simply expanding and creating new roles for non-clinical managers, but doctors, too, are charged with managerial responsibilit...

This article focuses on a specific debate within theories of professions. Despite different trends, there has been difficulty in theorizing some dimensions of the dominant perspectives because of predominant institutional attention. The aim here was to reinforce the debate with complementary conceptualization of professionalism and, consequently, t...

The sociology of health in Portugal is still emerging as a sociological field. Although, in recent years, it has presented a certain dissemination in the topics and protagonists, its internal characteristics do not, for the moment, allow us to apply the concept of a scientific field, as defined by Bourdieu. On the basis of an analysis of the sociol...

The sociology of health in Portugal is still emerging as a sociological field. Although, in recent years, it has presented a certain dissemination in the topics and protagonists, its internal characteristics do not, for the moment, allow us to apply the concept of a scientific field, as defined by Bourdieu. On the basis of an analysis of the sociol...

The aim of this article is to propose a debate about the overcome of the Portuguese National Health Service limitations, supported by a discussion about the State characteristics, processes and dynamics. In addition, is demanded a clarification of the existence and functioning of the social State model in Portuguese reality. Linking dimensions comm...

The aim of this article is to propose a debate about the overcome of the Portuguese National Health Service limitations, supported by a discussion about the State characteristics, processes and dynamics. In addition, is demanded a clarification of the existence and functioning of the social State model in Portuguese reality. Linking dimensions comm...