Most private health units (83 percent) in business in Portugal is not licensed, although this process is mandatory, advances to the Health Regulatory Authority (ERS).
Among the some 2 000 medical and dental clinics that exist in Portugal, there is not even a single licensee, as are the spas. "The licensing system does not work in Portugal", summarizes the chairman of the ERS, Alvaro Almeida Santos, stressing that this does not mean that the plants healthy is legalized not being able to work, but that this process is too "cumbersome and time consuming."
So how do people have assurances that these institutions are able to operate? "There are no guarantees ...", admits the chairman of the ERS. The "extreme case" of medical and dental clinics have a justification: the inability to set up a committee of technical verification - that made the surveys and inspections required for this type of establishments in the regional health - and the manual of good practices due to disagreement between the various stakeholders in the process (orders of doctors, dentists and the doctors associations of dentistry), explains the ERS.
In the case of spas, there is no licensing for lack of regulation of various issues, such as the requirements of a technical nature or the tables of staff. The problem of lack of licensing is still "particularly serious" in the laboratories of clinical pathology or clinical analysis (of 393, are licensed 98) and the more providers of radiation therapy and diagnostic radiology (of 451, only 90 are licensed).
Despite the lower the percentage of graduates is not yet significant in physical medicine and rehabilitation (47 percent) and private health units with hospitalization (25 percent). Already the 89 units of dialysis, only 11 are not licensed.
But this is not the only reason for the delays in examining applications for licensing. Anyway, the situation varies depending on the type of plant health, because there is no single legal regime for licensing, but specific qualifications. And there are even establishments - such as a doctor - which are not subject to this process, because the diploma that fits (a decree law of 1942) only obliges them to report their existence to the Directorate General of Health (DGS) and the Order of Doctors.
But even bizarre is that the applications for licensing of nursing posts (also made from DGS) have to be made upon presentation of a form of the National Printing-Mint (INCM). The problem is that "the INCM says that this form does not exist", which means that there is no center of licensed nursing, means that the ERS. In addition, the establishments of the public sector and social sector (such as private institutions of social solidarity) are not subject to licensing, but only to power guiding and inspection of the Ministry of Health.
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