DSpace Collection:https://hdl.handle.net/10216/17392026-04-07T11:35:40Z2026-04-07T11:35:40ZThe meanings of care and quality of care in Portugal - national reporthttps://hdl.handle.net/10216/1736312026-03-21T07:48:22Z2025-01-01T00:00:00ZTitle: The meanings of care and quality of care in Portugal - national report
Abstract: The expression "Long-Term Care" (LTC) is still today an expression that has no straightforward
translation into Portuguese apart from the strict language translation - Cuidados de Longa Duração.
Traditionally LTC in Portugal has developed from social assistance and therefore the concept in use
more commonly is "social care". But even this, that would translate as 'Cuidados sociais', is used
mostly in the scientific literature. In legal and policy documents the term in use is 'Respostas Sociais',
that translates as Social Responses. In 2006, it was created a new system, the National Network of
Integrated Continuous Care (RNCCI - Rede Nacional de Cuidados Continuados Integrados),
bringing together the Ministry of Health and the Ministry of Labour, Solidarity and Social Security, to
create a new type of service under the National Health System (SNS - Serviço Nacional de Saúde)
that would focus on securing continuous, long-duration and focused on rehabilitation and reablement
care, as well as on palliative care.
Care is primarily understood as the other side of the coin against needs. The two notions end up
being rather circular as they imply each other. In that sense, understandings of care are tied to how
the system is organised in terms of programmes and services that provide care.
Despite the references to the term quality to discuss care services, interviewed stakeholders struggle
with offering a clearly outlined definition of what quality of care means. Even if probed to be more
explicit about the meaning of quality of care, it was not possible to get such a definition. Explanations
remain fuzzy and at a very abstract level.
In Portugal, the data and regulatory infrastructures related to LTC provisions reflect the system
fragmentation that separates social care from the RNCCI. Regarding the most pressing problems in
provision of care, views collected in interviews and the literature offer a high level of consensus
around some main ideas: low coverage rates and long waiting lists signal a need for fast expansion
of the system; underfunding of the care system is preventing good quality of care; shortages of
workers and of qualifications have a strong impact in quantity and quality of care.
The system draws on a one-size-fits-all approach, with national regulations applying to the entire
country in the same manner. This includes issues of funding, types of services and regulations on
licensing and operations.
The ongoing political debate is vague, mostly reacting to the occasional news in the media but
showing no signals of any systematic holistic discussion taking place soon about LTC. Negotiations
between the state and care providers is almost exclusively focused on funding issues.2025-01-01T00:00:00ZThe meanings of long-term care sustainability in Portugal: national reporthttps://hdl.handle.net/10216/1736272026-03-21T07:48:04Z2025-01-01T00:00:00ZTitle: The meanings of long-term care sustainability in Portugal: national report
Abstract: It was possible to identify a shared understanding of sustainability when revising the literature and
when interviewing key stakeholders, although a narrow one: sustainability equates financial
sustainability. The word "sustainability" as such is only used in association with financial aspects,
both by interviewees, in research papers and in policy documents. Aspects of what one would
consider social sustainability are not addressed as such.
Discussions on sustainability seem to always circle back to financial aspects. During the interviews
the stakeholders mentioned several aspects of how LTC operates in Portugal that they see as
sources of pressure that may ultimately put the system at risk. Shortage of workers and low
qualifications are generally acknowledged as one of the most straining problems in the LTC sector.
Available data seems to support the concerns expressed by both interviewed stakeholders and read
in the academic literature about the insufficient amount of LTC provision in the country and about
underfunding of LTC.
Because the LTC system is very centralised in the government regarding issues of funding and
overall regulation, and because the system relies heavily on provision of services by the non-profit
sector, the truly influential stakeholders in debates about sustainability are government officials and
representatives of non-profits.
The territorial dimension intersects discussions about sustainability on aspects of additional pressure
on the financials associated to provision of services in certain regions of the country, although it is not a topic per se, neither in the literature nor in stakeholder's discourses.
The narrow understanding of sustainability as financial sustainability has led to a one-dimension
debate that revolves around the topic of funding (or underfunding to be more exact). Interestingly,
there is hardly any debate about funding models, apart some discussions of a purely academic
nature. The debate seems confined to a perception of care provision being a constant struggle
between providers requesting more funds and the central government resisting expanding social
expenditure based on budgetary constraints.2025-01-01T00:00:00ZThe meanings of long-term care work in Portugal: national reporthttps://hdl.handle.net/10216/1736232026-03-21T07:49:29Z2025-01-01T00:00:00ZTitle: The meanings of long-term care work in Portugal: national report
Abstract: There is no formal concept of care work in Portugal. The word 'carer' (Cuidador), which has a gender
inflexion for the female form (Cuidadora) - which is the form that is used more often - has been
historically used to designate informal carers or, in some cases, carers directly employed by the
person receiving care or by his/her family to provide in-house care. Professionals employed in the
care sector are not usually designated as carers but rather identified by the specific professional
group they belong to. More recently, and as the private commercial homecare services market grew,
the workers of these services that visit users at their homes are sometimes called carers.
There are two main groups of workers in the LTC sector mirroring a fundamental split between
healthcare and social care. Care work is generally regarded as unfairly treated in the labour market,
namely because is has poor salaries, hard working conditions and little social recognition.. There is
also a general perception that there are shortages of care workers. This shortage is explained by
the low attractiveness of care work but also because of how the LTC system is set up.
Quality of care work is analysed along two main ideas. On the one hand low quality of care provision
is explained by lack of qualifications of workers. This applies mostly to those employed in the social
care sector. On the other hand, low quality of care services is explained by the shortage of workers,
leading to overburden and low motivation.
Migrant care workers are a relatively recent phenomenon, but there is a shared understanding of
their relevance for the sustainability of LTC in the country.
Informal care provision, even if currently formally recognised, is still not described as care work but
rather as caring (Cuidar) or even looking after (Tomar Conta). The word in Portuguese merges the
idea of looking after someone and carries a meaning that is generally associated to relationships of
affection between carer and cared after.
Debates about care work are very much confined to discussions about shortage of workers and
strategies to increase attractiveness and capacity of retention of workers.2025-01-01T00:00:00ZThe meanings of long-term care needs in Portugal: national reporthttps://hdl.handle.net/10216/1736212026-03-21T07:49:22Z2025-01-01T00:00:00ZTitle: The meanings of long-term care needs in Portugal: national report
Abstract: The Portuguese Long-Term Care (LTC) system is a dual system that splits into two branches. One
is the Social Care branch - Respostas Sociais (which would translate as "Social responses" but is
generally labelled in the literature as Social Care) - while the other is the Healthcare branch - Rede
Nacional de Cuidados Continuados Integrados (RNCCI), which translates into National Network of
Integrated Continuous Care. Understandings of what is entailed in the concept of 'care needs' are
deeply rooted in this dual system and definitions tend to mirror the duality of social care and
healthcare.
The needs for social care involve identification of limitations in functionality that limit the possibility
of living independently considering the context of life of the person, namely in terms of available
material resources and family support. Contrary to social care needs, healthcare needs are
understood as absolute and universal and to be tackled by the national healthcare system, which is
a universal system.
Despite the fragmentation of the system across the healthcare and the social care institutional
sectors, there is a growing consensus among stakeholders and researchers alike that borders are
increasingly blurred and that higher levels of integration of the two types of needs are necessary to
overcome performance problems of the LTC system, both on the healthcare and on the social care
sides.
Understandings of needs are mirrored in how the topic is measured, monitored and regulated. In
Portugal, the data and regulatory infrastructures related to LTC needs reflect the system
fragmentation that separates social care needs from healthcare needs. If for the first there is scarcity
of empirical evidence and administrative data, vagueness of assessment criteria and a regulatory
framework that leaves ample space for arbitrary management on the care providers side, for the
second there is not only a considerable wealth of data but also routine protocols of recording of data
always offering up-to-date information and stricter regulatory frameworks.
The LTC system in Portugal displays traits of a highly centralised system in aspects of funding and
regulation, coupled with traits of a very fragmented system at the level of service provision. This
model applies, in broad terms, to both social care and healthcare LTC services. The State, through
the national government and its constitutive bodies, finances the LTC system in Portugal. The social
care system is funded directly by the Ministry of Labour, Solidarity and Social Security, which
involves a contributions-based financing model. The RNCCI system is funded jointly by the Ministry
of Labour, Solidarity and Social Security and by the Ministry of Health. The healthcare component is
part of the National Health System and therefore funded by general taxation.
Discussion about future trends in needs for LTC point to both quantity and quality challenges.2025-01-01T00:00:00ZThe meanings of inequalities in long-term care in Portugal: national reporthttps://hdl.handle.net/10216/1736192026-03-21T07:49:20Z2025-01-01T00:00:00ZTitle: The meanings of inequalities in long-term care in Portugal: national report
Abstract: The expression "Long-Term Care" (LTC) is still today an expression that has no straightforward
translation into Portuguese apart from the strict language translation - Cuidados de Longa Duração.
Traditionally LTC in Portugal has developed from social assistance and therefore the concept in use
more commonly is "social care". But even this, that would translate as 'Cuidados sociais', is used
mostly in the scientific literature. In legal and policy documents the term in use is 'Respostas Sociais',
that translates as Social Responses. In 2006, it was created a new system, the National Network of
Integrated Continuous Care (RNCCI - Rede Nacional de Cuidados Continuados Integrados),
bringing together the Ministry of Health and the Ministry of Labour, Solidarity and Social Security, to
create a new type of service under the National Health System (SNS - Serviço Nacional de Saúde)
that would focus on securing continuous, long-duration and focused on rehabilitation and reablement
care, as well as on palliative care.
Care is primarily understood as the other side of the coin against needs. The two notions end up
being rather circular as they imply each other. In that sense, understandings of care are tied to how
the system is organised in terms of programmes and services that provide care.
Despite the references to the term quality to discuss care services, interviewed stakeholders struggle
with offering a clearly outlined definition of what quality of care means. Even if probed to be more
explicit about the meaning of quality of care, it was not possible to get such a definition. Explanations
remain fuzzy and at a very abstract level.
In Portugal, the data and regulatory infrastructures related to LTC provisions reflect the system
fragmentation that separates social care from the RNCCI. Regarding the most pressing problems in
provision of care, views collected in interviews and the literature offer a high level of consensus
around some main ideas: low coverage rates and long waiting lists signal a need for fast expansion
of the system; underfunding of the care system is preventing good quality of care; shortages of
workers and of qualifications have a strong impact in quantity and quality of care.
The system draws on a one-size-fits-all approach, with national regulations applying to the entire
country in the same manner. This includes issues of funding, types of services and regulations on
licensing and operations.
The ongoing political debate is vague, mostly reacting to the occasional news in the media but
showing no signals of any systematic holistic discussion taking place soon about LTC. Negotiations
between the state and care providers is almost exclusively focused on funding issues.2025-01-01T00:00:00ZCiberjornalismo em Portugal : Relatório ObCiber 2025https://hdl.handle.net/10216/1726562026-03-16T07:44:57Z2025-01-01T00:00:00ZTitle: Ciberjornalismo em Portugal : Relatório ObCiber 20252025-01-01T00:00:00ZNotre tout puissant Empire du milieu: histories of secondary education: 2024 Annual Report / Standing Working Grouphttps://hdl.handle.net/10216/1723322026-01-21T07:27:01Z2024-01-01T00:00:00ZTitle: Notre tout puissant Empire du milieu: histories of secondary education: 2024 Annual Report / Standing Working Group2024-01-01T00:00:00ZProjeto MONTTUR : dinâmicas económicas com destaque para o turismo em Montalegre: investimento, retorno e estratégias para o futuro (Relatório Final)https://hdl.handle.net/10216/1722642026-01-20T07:37:08Z2025-01-01T00:00:00ZTitle: Projeto MONTTUR : dinâmicas económicas com destaque para o turismo em Montalegre: investimento, retorno e estratégias para o futuro (Relatório Final)2025-01-01T00:00:00ZInstalação de Rede Pública de Abastecimento de Água e Booster na Rua de Sobre Sá - ZEP do Castro De Alvarelhos, Trofa: Acompanhamento de obra e Escavação Arqueológica: Relatório de Trabalhos Arqueológicoshttps://hdl.handle.net/10216/1719362026-01-18T07:38:58Z2025-11-01T00:00:00ZTitle: Instalação de Rede Pública de Abastecimento de Água e Booster na Rua de Sobre Sá - ZEP do Castro De Alvarelhos, Trofa: Acompanhamento de obra e Escavação Arqueológica: Relatório de Trabalhos Arqueológicos2025-11-01T00:00:00ZPortugal's network media economy: growth, concentration and upheaval 2015-2023https://hdl.handle.net/10216/1717642026-01-04T07:31:34Z2025-01-01T00:00:00ZTitle: Portugal's network media economy: growth, concentration and upheaval 2015-2023
Abstract: A report produced by the Portugal research team of the Global Media and Internet Research Project
This report provides a detailed picture of Portugal's media, internet, and telecommunications sectors from 2015-2023, highlighting steady overall growth of roughly 15-18% in the combined "network media economy." Using C4, HHI, and Noam indices, it shows that telecom services, broadband adoption, mobile data usage, and digital entertainment-especially streaming platforms-were the main engines of expansion. Traditional media such as newspapers, magazines, and broadcast TV experienced stagnation, while vertical integration between telecom and media companies and evolving regulatory policies continue to shape market concentration and competition.2025-01-01T00:00:00ZTell those in charge: transdisciplinary reporthttps://hdl.handle.net/10216/1716072025-12-26T07:09:15Z2024-01-01T00:00:00ZTitle: Tell those in charge: transdisciplinary report
Abstract: A report comprising the proposals of young people
from the 'Tell those in Charge' consultation method,
implemented across ten European countries, on their
views of culture, in the context
of the Youth Addendum to the Porto Santo Charter.2024-01-01T00:00:00ZEstudo sobre o Projeto-Piloto Manuais Digitais: Agrupamento de Escolas Martim de Freitashttps://hdl.handle.net/10216/1689192025-10-11T06:17:51Z2025-07-01T00:00:00ZTitle: Estudo sobre o Projeto-Piloto Manuais Digitais: Agrupamento de Escolas Martim de Freitas2025-07-01T00:00:00ZRelatório de Progresso Anual: GUIFARQ II - Projecto de Investigação Arqueológica de Guifões: Castro do Monte Castêlo de Guifões (Matosinhos) - Campanha de 2024https://hdl.handle.net/10216/1689012025-08-26T06:25:44Z2025-08-09T00:00:00ZTitle: Relatório de Progresso Anual: GUIFARQ II - Projecto de Investigação Arqueológica de Guifões: Castro do Monte Castêlo de Guifões (Matosinhos) - Campanha de 20242025-08-09T00:00:00ZChecklist: Estratégias Integradas para Comunicar e Envolver o Público na Ciênciahttps://hdl.handle.net/10216/1648232025-05-07T06:22:20Z2024-09-01T00:00:00ZTitle: Checklist: Estratégias Integradas para Comunicar e Envolver o Público na Ciência2024-09-01T00:00:00ZNatureza e organização dos lares residenciais para pessoas com deficiência em Portugal: relatório final = Nature and Organisation of Institutions for Persons with Disabilities in Portugal: final reporthttps://hdl.handle.net/10216/1663522025-04-16T06:21:30Z2025-01-01T00:00:00ZTitle: Natureza e organização dos lares residenciais para pessoas com deficiência em Portugal: relatório final = Nature and Organisation of Institutions for Persons with Disabilities in Portugal: final report
Abstract: Emphasis on the implications of Article 19 of the United Nations Convention on Rights of Persons with Disabilities
(CRPD) - Persons with disabilities have the right to living independently and being included in the community -
has led to a growing recognition that services provided in residential care facilities segregated from the
community are somehow at odds with the Convention and with the principles and rights it defines. And although
the CRPD does not make any explicit reference to closing institutions, it paves the way for deinstitutionalisation
as the preferential route for the development of assistance and support services to persons with disabilities.
This has translated into a growing visibility of the topic of deinstitutionalisation in the policy agenda of the
European Union. The policy goals set in the Union for Equality - Strategy for the Rights of Persons with
Disabilities 2021-2030 are clear in the vision of guaranteeing that persons with disabilities can effectively
exercise theirright to live independently and be included in the community, with choices equal to those of others
about their place of residence and with whom and how they live. In that same policy document, the European
Commission (EC) states its commitment with supporting national, regional, and local authorities of Member
States in their efforts for deinstitutionalisation and independent living.
Description: A ênfase nas implicações do artigo 19.º da Convenção das Nações Unidas sobre os Direitos das Pessoas com Deficiência (CDPD) - As pessoas com deficiência têm o direito de viver independentemente e de serem incluídas na comunidade - tem levado a um reconhecimento crescente de que os serviços prestados em instalações de cuidados residenciais segregados da comunidade estão de alguma forma em desacordo com a Convenção e com os princípios e direitos que esta define. E embora a CDPD não faça qualquer referência explícita ao encerramento de lares residenciais, abre caminho à desinstitucionalização como via preferencial para o desenvolvimento de serviços de assistência e apoio a pessoas com deficiência. Este facto traduziu-se numa visibilidade crescente do tema da desinstitucionalização na agenda política da União Europeia. Os objetivos políticos definidos na União para a Igualdade - Estratégia para os Direitos das Pessoas com Deficiência 2021-2030 são claros na visão de garantir que as pessoas com deficiência possam efetivamente exercer o seu direito de viver, de forma independente, e ser incluídas na comunidade, com escolhas iguais às dos outros cidadãos sobre o seu local de residência, e sobre com quem e como vivem. Nesse mesmo documento político, a Comissão Europeia (CE) afirma o seu empenho em apoiar as autoridades nacionais, regionais e locais dos Estados-Membros nos seus esforços de promoção da desinstitucionalização e da vida independente.2025-01-01T00:00:00ZRelatório Final Projeto Caesar - Castro De Alvarelhos (Trofa). Estudo Científico Do Registo Arqueológicohttps://hdl.handle.net/10216/1650142025-01-28T07:21:28Z2024-01-01T00:00:00ZTitle: Relatório Final Projeto Caesar - Castro De Alvarelhos (Trofa). Estudo Científico Do Registo Arqueológico2024-01-01T00:00:00ZManual de boas práticas e casos de sucesso na gestão ativa do espaço ruralhttps://hdl.handle.net/10216/1648242025-01-18T07:21:54Z2024-01-01T00:00:00ZTitle: Manual de boas práticas e casos de sucesso na gestão ativa do espaço rural
Description: O Manual de Boas Práticas do Paisactivo compila estratégias e ações que visam a revitalização do espaço rural, incentivando o seu desenvolvimento socioeconómico e melhorando a qualidade de vida dos seus habitantes. Para cada prática identificada foi elaborada uma ficha descritiva que aborda os desafios e oportunidades para a sua aplicação e o potencial de transferência para outros territórios.
O projeto Paisactivo (Paisages cortalume: ativação do espaço rural para um território resiliente) procura aumentar a resiliência do território face ao risco de incêndios, valorizando e melhorando a gestão sustentável dos terrenos agroflorestais, protegendo e revitalizando os aglomerados rurais, promovendo a sua sustentabilidade. O projeto é financiado pelo Programa de Cooperação Interreg VI A Espanha - Portugal (POCTEP) 2021-2027.2024-01-01T00:00:00ZDiálogos sobre a inovação pedagógica nas escolas : Ciclo de seminários do conselho nacional de educação | 2024 : Relatório-Síntese do 2º Semináriohttps://hdl.handle.net/10216/1646172025-01-10T07:21:15Z2024-07-01T00:00:00ZTitle: Diálogos sobre a inovação pedagógica nas escolas : Ciclo de seminários do conselho nacional de educação | 2024 : Relatório-Síntese do 2º Seminário2024-07-01T00:00:00ZEtnografia do trabalho docente: um percurso metodológico e monitorização de práticas educativashttps://hdl.handle.net/10216/1643732024-12-20T07:22:04Z2024-01-01T00:00:00ZTitle: Etnografia do trabalho docente: um percurso metodológico e monitorização de práticas educativas2024-01-01T00:00:00ZRelatório dos trabalhos arqueológicos Projeto Caesar - Castro De Alvarelhos (Trofa). Estudo Científico do Registo Arqueológico (2023-2025): campanha de trabalhos arqueológicos 2023 - Alvarelhos e Guidões - Trofahttps://hdl.handle.net/10216/1641742024-12-17T07:22:12Z2024-01-01T00:00:00ZTitle: Relatório dos trabalhos arqueológicos Projeto Caesar - Castro De Alvarelhos (Trofa). Estudo Científico do Registo Arqueológico (2023-2025): campanha de trabalhos arqueológicos 2023 - Alvarelhos e Guidões - Trofa2024-01-01T00:00:00Z