Annex 1: Statistical information sources, Variables, Limitations

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1 Annex 1: Statistical information sources, Variables, Limitations Source Type of information Variables Comments ational Institute of Statistics (IE (Instituto acional de Estatistica) ational population census "Activities of human health" The national population censuses provide the broadest picture available of the workforce in general and specifically of the healthcare workforce Last one in 2001 Health workforce statistics: IE uses the databases from the following professional associations: a) Medical Council (Ordem dos Médicos); b) Dental Council (Ordem dos Médicos Dentistas); c) Veterinary Council (Ordem dos Médicos Veterinários); d) ursing Council (Ordem dos Enfermeiros); e) Pharmaceutical Council (Ordem dos Farmacêuticos); f) Infarmed (Instituto da Farmácia e do Medicamento) for Pharmacy technicians -; Variables observed by IE: a) umber of registered medical doctors, dentists, veterinaries, nurses, pharmacists; pharmacy technicians; social services workers; odontologists and paramedical b) number of health professionals by geographical distribution, sex and age Annual data umber of registered members ationality is not a variable under observation In the case of dentists, statistics which do not come from the Dental Council, are confusing, as various terms are used (dentista, odontologista, médico dentista)

2 g) SPSS ational social services professionals labour union (Sindicato acional dos Profissionais do Serviço Social); h) Andep acional Association of Portugueses Dentists; i) SCTS Labour union of Health Sciences and Technologies (for paramedical techncicians) Hospital surveys (public and private sector): Mainland and Islands Medical doctors per hospital, geographical distribution, activity and sex. urses per hospital, geographical distribution, activity and sex. Annual data since 1999 For the public sector, in the mainland is done with the collaboration of the High Directorate of Health (DGS) ationality is not yet studied. Health centres surveys: Mainland and Islands Variables: Total number of personnel; umber of medical doctors and nurses per activity Annual data since 1985 Health centres inquired are exclusively public. For the public sector, in the mainland, this inquiry is done with the collaboration of the High Directorate of Health (DGS) The 2008 inquiry has already included the variable nationality but the results won t be officially release before end of 2009 ACSS Administração Central do Health personnel database ationality, Annual data; 38

3 Sistema de Saúde Profession Agregates Health personnel per hospital and for Central administration of the acional Health Service, Ministry of health Age Sex Place of work (hospital or subregion) Primary Health Care, by subregions (5 Regions, 18 subregions) Personnel working on the national health service (mainland, not including the islands of Azores and Professional specialization Madeira) As different reforms aggregated different hospitals into administrative single hospital, and the health subregions (18) are being replaced by groups of health centres, the comparison of data in temporal trends is possible only for national aggregated data. Gives static photographs of the situation at the end of the year. ot possible to know reasons of leaving the system neither transfers/movements within the system. MTSS GEP Ministério do Trabalho Workers nationality Annual data e da Segurança Social - Gabinete de estratégia e planeamento Ministry of work and social affairs Strategy and planning office Personnel list from enterprises with employees Remuneration Contract types Remunerated number of hours by month, normal and supplementary hours The legal imperative of providing the information exists for all the enterprises but the practice is that the public ones do not perform this duty regularly Medical Council (Ordem dos Registration data ame Only demographic characteristics and geographical Médicos) Address distribution based on the area of residence. Age Although the title of specialist is jointly provided by the Ministry of Health and the Medical Council, the 39

4 Year of graduation information of specializations is only attained by the School of graduation Specialization (most of the times) Council if each single specialist delivers a certificate to the Council. Other limitations are associated with lack of information on register updating as a result of, for example, long-term absence, death, retiring. ursing Council (Ordem dos Registration data ame Demographic characteristics and geographical Enfermeiros Address distribution based on place of work. ) Age Year of graduation However, there are limitations associated with lack of information on register updating as a result of, for example, long-term absence, death, retiring. School of graduation Place of work Specialization Dental Council (Ordem dos Médicos dentistas) Registration data demographic characteristics and geographical distribution based on the area of residence However, there are limitations associated with lack of information on register updating as a result of, for example, long-term absence or death. Pharmaceutical Council (Ordem dos Farmacêuticos) Registration data 40

5 Foreigners and Borders Application for residency in Portugal ationality Information on immigrants but the declared Department (SEF - Serviço de Estrangeiros e Fronteiras Portuguese ) Profession that allows to have ways of living at the moment of making the request of residency profession might be different from that the person had on its country of origin. The information on grade of education is not Age, sex available Grade of education 41

6 Annex 2: STATISTICAL AEX TABLE 1 - UMBER OF REGISTERED PHYSICIAS, DETISTS, URSES, PHARMACISTS, GROWTH RATE (COMPARED WITH PREVIOUS YEAR I %) AD RATIO PER IHABITATS FROM 2000 TO TABLE 2 URSE PER PHYSICIAS RATIO, FROM 2000 TO TABLE 3 - UMBER OF HEALTH WORKERS I THE ATIOAL HEALTH SERVICE, BY OCCUPATIOAL CATEGORY, FROM TABLE 4 - UMBER OF HEALTH WORKERS I THE ATIOAL HEALTH SERVICE, BY LEVEL OF CARE (PRIMARY HEALTH CARE PHC AD HOSPITALS), I 1998, 2002, 2003, 2006 AD TABLE 5 - HEALTH WORKERS WORKIG I PRIVATE HEALTH UITS, TABLE 6 - REGISTERED HEALTH WORKERS BY DESITY (WORKERS PER IHABITATS) TABLE 7 - UMBER OF HEALTH WORKERS I PRIVATE SECTOR BY SEX, 2000, TABLE 8 - UMBER OF REGISTERED PHYSICIAS BY CATEGORY, FROM 1998 TO TABLE 9 - REGISTERED PHYSICIAS BY AGE AD SEX, TABLE 10 - UMBER OF REGISTERED PHYSICIAS BY DISTRICT OF RESIDECE, FROM 1998 TO TABLE 11 - REGISTERED PHYSICIAS BY DESITY (IHABITATS/MEDICAL DOCTOR), I 1990 AD FROM 1995 TO TABLE 12 - REGISTERED PHYSICIAS BY DESITY (DOCTORS PER IHABITATS), FROM 2000 TO TABLE 13 - UMBER OF PHYSICIAS I PRIVATE SECTOR BY SPECIALTY, TABLE 14 - UMBER OF PHYSICIAS I PRIVATE SECTOR BY REGIO OF WORK, 2000, AD FROM 2001 TO TABLE 15 - UMBER OF PHYSICIAS, I PRIVATE SECTOR, BY AGE GROUP, 2000 AD FROM 2002 TO TABLE 16 - UMBER OF PHYSICIAS I PRIVATE SECTOR, BY SEX, TABLE 17 - UMBER OF GEERAL PRACTITIOERS I PRIVATE SECTOR BY REGIO OF WORK, 2000 AD FROM 2002 TO TABLE 18 - UMBER OF SPECIALISTS PHYSICIAS I PRIVATE SECTOR BY REGIO OF PLACE OF WORK, I 2000 AD FROM 2002 TO TABLE 19 - UMBER OF REGISTERED URSES BY SPECIALTY, FROM 2000 TO TABLE UMBER OF REGISTERED URSES BY DISTRICT OF WORK, FROM 2000 TO TABLE 21 DESITY OF REGISTERED URSES BY REGIO (URSES PER IHABITATS) TABLE 22 - UMBER OF URSES I PRIVATE SECTOR, BY SPECIALITY, I 2000 AD FROM 2002 TO TABLE 23- UMBER OF URSES I PRIVATE SECTOR BY REGIO OF WORK, I 2000 AD FROM 2002 TO TABLE 24 - UMBER OF URSES I PRIVATE SECTOR BY AGE GROUP, I 2000 AD FROM 2002 TO TABLE 25 - UMBER OF URSES I THE PRIVATE SECTOR BY SEX, I 2000 AD FROM 2002 TO TABLE 26 - REGISTERED URSES BY SEX AD AGE GROUP, FROM 2000 TO TABLE 27 - UMBER OF REGISTERED PHARMACISTS BY TYPE OF PROFESSIOAL PRACTICE, I 2001 AD FROM 2003 TO TABLE 28 - UMBER OF REGISTERED PHARMACISTS BY DISTRICT OF WORK, FROM 2000 TO

7 TABLE 29 - REGISTERED PHARMACISTS BY DESITY (PHARMACISTS PER IHABITATS), PER REGIO, FROM 2000 TO TABLE 30 - UMBER OF PHARMACISTS I PRIVATE SECTOR BY REGIO OF PLACE OF WORK, I 2000 AD FROM 2002 TO TABLE 31 - UMBER OF PHARMACISTS I THE PRIVATE SECTOR BY SEX, I 2000 AD FROM 2002 TO TABLE 32- UMBER OF PHARMACISTS I PRIVATE SECTOR BY AGE GROUP, I 2000 AD FROM 2002 TO TABLE 33 - REGISTERED PHARMACISTS BY SEX, TABLE 34 - REGISTERED PHARMACISTS BY AGE GROUP, FROM 2001 TO TABLE 35 - UMBER OF REGISTERED DETISTS BY DISTRICT OF RESIDECE, FROM 2000 TO TABLE 36- DESITY OF REGISTERED DETISTS BY REGIO (DETISTS PER IHABITATS) TABLE 37 - UMBER OF DETISTS I PRIVATE SECTOR BY REGIO OF WORK, I 2000 AD FROM 2002 TO TABLE 38 - UMBER OF DETISTS I PRIVATE SECTOR BY SEX, TABLE 39 - UMBER OF DETISTS I PRIVATE SECTOR BY AGE GROUP, I 2000 AD FROM 2002 TO TABLE 40 - REGISTERED DETISTS (%) BY AGE, FROM 2001 TO TABLE 41- REGISTERED DETISTS BY AGE GROUP AD SEX I 2006 AD TABLE 42- UMBER AD YEARLY GROWTH FROM OF ADMISSIOS BY PROFESSIO ( ) TABLE 43 UMBER AD YEARLY GROWTH OF GRADUATES BY PROFESSIO ( )

8 Table 1 - umber of registered physicians, dentists, nurses, pharmacists, growth rate (compared with previous year in %) and ratio per inhabitants from 2000 to Physicians urses Dentists Pharmacists umber A Growth rate 5% 1,7% 3,9% 2,9% 3,3% 2,4% 2,8% A Physicians/1 000 inhabitants 3,1 3, 3 3,38 3,5 3,6 3,7 3,8 3,9 A umber Growth rate 5,4% 5,7% 4,9% 4,3% 5,2% 5,7% 5,8% 4,6% urses /1 000 inhabitants 3,4 3,7 3,9 4,1 4,3 4,5 4,8 4,7 5,1 umber A Growth rate 12,7% 11,4% 7,7% 4,2% 10,7% 1,9% 6,8% A Dentists/1 000 inhabitants 0,31 0,35 0,39 0,42 0,44 0,48 0,49 0,53 A umber A A Growth rate 5,5% 1,5% A 7,9% 7,8% 3,0% A Pharmacists/ inhabitants 0,74 0,78 0,80 A 0,88 0,95 1,0 1,0 A Sources: Medical Council Database on line: ursing Council, Statistic Data , January Available at: sticos_-_ pdf; Pharmacy Council and Dental Council In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2006. Lisboa: DGS, 2008; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2005. Lisboa: DGS, 2007; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2004. Lisboa: DGS, 2006; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2003. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2000. Lisboa: DGS, 2003 Table 2 urse per physicians ratio, from 2000 to urse per physician ratio 1,12 1,12 1,16 1,17 1,19 1,21 1,25 1,21 44

9 Table 3 - umber of health workers in the ational Health Service, by occupational category, from Health worker Physicians (a) b) c) GP A Public health A 433 Hospital Specialities A urses urses PHC Other nurses Health Superior Technician (includes pharmacists) Pharmacists A 463 Diagnostic and Therapeutic Technician Physiotherapists A A Source: Ministry of Health (ACSS. IP_UFEPRH_ ) : Ministry of health, Human resources department, Department of Modernisation and health resources; Central Administration of the health system In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004 ote a) Includes resident physicians; b)data from the first semester of 2008; c) Data from the first semester of Table 4 - umber of health workers in the ational Health Service, by level of care (primary health care PHC and hospitals), in 1998, 2002, 2003, 2006 and 2007 Health worker Physicians Health Superior Technician (includes Pharmacists) urses Diagnostic and Therapeutic Technician Level of care % % % % % PHC Hospitals PHC Hospitals PHC Hospitals PHC Hospitals Source: Human resources department, Department of Modernisation and health resources; Central Administration of the health system. In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2006. Lisboa: DGS, 2008; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2005. Lisboa: DGS, 2007; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS,

10 Table 5 - Health workers working in private health units 15, Health workers Physicians urses Pharmacists Dentists Source: List of staf database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: For analysis purposes we assumed as private sector all the institutions except those with a juridical nature of: 1 Pessoa colectiva de direito publico (excepto instituições da segurança social); 2 Instituições da segurança social; 4 organismos da administração pública; 6 Empresa pública. Table 6 - Registered health workers by density (workers per inhabitants) Health worker Practising physicians 3,0 3,0 3,1 3,2 3,2 3,2 3,3 3,4 3,5 Practising dentists (*) 0,3 0,3 0,4 0,5 0,5 0,5 0,6 0,6 0,6 Practising nurses (**) 3,7 3,7 3,7 3,8 4,0 4,2 4,4 4,6 5,2 Practising pharmacists 0,7 0,8 0,8 0,8 0,8 0,9 0,9 1,0 1,0 Source: OECD Health Data 2008, June 2008 (*) Figures in OECD data base include all dentists registered in the Dentists Council, stomatologists registered on the Medical Council (they are physicians with a specialization on stomatology) and another professional group, odontologists registered on their trade union; (**) Variable Midwifes and nurses, practising nurses Table 7 - umber of health workers in private sector 16 by sex, 2000, Health workers M F M F M F M F M F M F M F Physicians % 62,5 37,5 56,6 43,4 58,9 41,1 58,6 41,4 60,0 40,0 56,9 43,0 57,6 42,4 urses % 18,2 81,2 23,9 76,1 23,6 76,4 22,2 77,8 20,5 79,5 20,2 79,9 21,1 78,9 Pharmacists % 20,7 79,3 20,8 79,2 21,0 79,0 20,8 79,1 21,2 78,8 21,5 78,5 20,9 79,1 Dentists % 60,3 39,7 56,4 43,6 47,1 52,9 45,0 55,0 52,6 47,4 76,0 24,0 51,2 48,7 Source: Staff databases (Base de dados Quadro de pessoal ) Office of strategy and planning, Ministry of labour and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social). ote: For the purpose of this table, all staff not included in some type of public organization was assumed to be working in the private sector. 15 There is no definition of private units or private sector which call for great care in interpreting data. 16 For the purpose of all table referring to the private sector, all staff not included in some type of public organization was assumed to be working in the private sector. 46

11 Table 8 - umber of registered physicians by category, from 1998 to Category % % % % % % % % % GP (*) , , , , , , , , ,1 Public Health 411 1, , , , , , , , ,1 Specialists (**) , , , , , , , , ,4 Sub-Total , , , , , , , , ,6 on- Specialists , , , , , , , , ,4 Total , , , , , , , ,0 Source: Medical Council Database on line: (*) Specialists in Family Medicine work in Health centres; (**) Includes 67 specializations recognised by the Medical Council 47

12 Table 9 - Registered Physicians by age and sex, Age F M F M F M F M F M F M F M F M F M F M < >61 Sub-total % 11,9 5,0 13,0 7,3 13,9 5,0 14,6 6,1 12,2 6,2 14,8 6,5 14,4 6,6 14,1 6,8 14,6 7,2 15,7 7, % 30 17,4 27,1 15,9 24,3 14,4 22,0 13,1 17,1 12,1 19,8 11,4 19,1 11,2 18,6 10,9 18,2 10,7 18,1 10, % 40,2 38,0 42,9 37,5 22,2 37,2 42,6 36,2 34,6 14,4 39,2 32,7 37,4 30,3 34,6 27,1 31,1 23,9 27,1 21, % 8,4 16,5 9,6 18,1 11,2 19,5 13,1 21,2 12,8 23,3 27,2 25,9 20,9 28,5 24,3 31,5 27,5 33,6 30,0 16, % 7,2 22,9 7,3 23,0 7,4 12,8 7,5 23,3 6,3 23,5 7,6 23,3 7,8 23,2 7,9 23,6 8,4 24,5 8,9 25, % 42,7 57,2 42,4 56,6 43,8 56,1 44,4 55,5 49,4 50,6 45,2 54,7 45,5 54,3 46,0 53,9 46,4 53,5 47,2 52,8 Total Source: Medical Council Database on line: (Assessed in August 2009) 48

13 Table 10 - umber of registered physicians by district of residence, from 1998 to 2007 District of residence Aveiro Beja Braga Bragança Castelo Branco Coimbra Évora Faro Guarda Leiria Lisboa Portalegre Porto Santarém Setúbal Viana do Castelo Vila Real Viseu Mainland total R.A. Madeira R.A. Açores Abroad (includes Macau) Unknown address Total Source: Medical Council Database on line: (Assessed in August 2009) 49

14 Table 11 - Registered Physicians by density (inhabitants/medical doctor), in 1990 and from 1995 to Portugal Health regions and Islands orte Centro Lisboa e Vale do Tejo Alentejo Algarve R.A. Açores R.A. Madeira Source: IE (Statistics Portugal) and Medical Council. In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2003. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2000. Lisboa: DGS, 2003; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/1999. Lisboa: DGS, 2002; Table 12 - Registered Physicians by density (doctors per inhabitants), from 2000 to Portugal Health regions and Islands orte Centro Lisboa e Vale do Tejo Alentejo Algarve R. A. Madeira R.A. Açores Source: IE (Statistics Portugal) and Medical Council. In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2006. Lisboa: DGS, 2008; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2005. Lisboa: DGS, 2007; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2004. Lisboa: DGS, 2006; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2003. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2000. Lisboa: DGS, 2003; 50

15 Table 13 - umber of physicians in private sector by specialty, Speciality General practice % 26,8 18,6 20,1 18,2 18,2 19,1 17, Occupational Health % 5,2 5,3 5,5 5,6 6,3 6,7 7, Stomatology % 5,6 4,6 5,9 5,5 5,9 6,5 7, Ophthalmology % 3,3 3,4 4,8 4,7 4,5 4,9 5, Radiology % 4,0 4,1 4,4 5,4 5,3 5,4 5, Gynaecology-obstetrics % 2,6 4,3 4,9 4,9 4,9 4,6 4, Psychiatry % 2,8 2,8 3,7 3,7 3,9 3,9 4, Paediatrics % 2,4 3,6 3,5 3,7 4,1 3,8 4, Orthopaedics % 2,4 2,9 2,9 2,7 2,9 3,1 2, Clinical analysis % 11,2 9,6 3,9 3,4 2,9 2,8 2, General surgery % 2,8 2,1 2,2 2,4 3,0 2,8 2, Internal medicine % 0,7 5,7 5,7 5,9 3,2 4,0 3, Physiatry % 1,5 2,0 2,1 2,5 2,3 0,3 2, Anesthesia % 0,7 1,8 1,9 2,4 2,5 3,0 2, Cardiology % 1,5 1,5 1,5 2,0 2,4 1,2 2, Others % 30,3 38,6 30,6 39,8 37,9 36,1 37,6 Total Source: Lists of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social). ote: (1) 2001 data is not available, (2) yearly variations may be due to differences in number of private organizations reporting their staff. 51

16 Table 14 - umber of physicians in private sector by region of work, 2000, and from 2001 to 2007 Region of work orte % 22,7 19,0 19,1 19,7 27,5 22,3 25, Centro % 15,3 12,4 11,6 12,5 17,9 18,7 13, Lisboa % 51,2 60,3 60,4 58,8 47,1 51,2 53, Alentejo % 4,7 3,3 29,1 2,7 2,2 2,2 2, Algarve % 2,3 2,1 3,0 3,5 3,0 3,3 3, Total mainland % 93,9 95,1 94,0 93,8 94,7 94,4 94, Açores % 1,8 1,3 1,5 1,4 1,1 11,3 9, Madeira % 1,9 1,5 1,5 1,3 1,1 1,2 1,1 Total Source: List of staf database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 15 - umber of physicians, in private sector, by age group, 2000 and from 2002 to 2007 Age < > Missing Total Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available 52

17 Table 16 - umber of physicians in private sector, by sex, Sex Male Female % 62,6 66,3 70,2 73,9 82,9 76,2 73, % 37,4 33,7 29,7 26,0 17,0 23,7 26,7 Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 17 - umber of General Practitioners in private sector by region of work, 2000 and from 2002 to 2007 Region of work orte Algarve Centro Lisboa Alentejo Total Mainland Açores Madeira Total Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 18 - umber of specialists physicians in private sector by region of place of work, in 2000 and from 2002 to 2007 Region of place of work orte Algarve Centro Lisboa Alentejo Total Mainland R.A.Açores R.A.Madeira Total Source: List of staf database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available; All medical specialities according to the CP94. Others specialities includes all except GP/family medicine and public health. 53

18 Table 19 - umber of registered nurses by specialty, from 2000 to 2008 Specialty Generalist nurse Specialist nurses Specialist nurses Rehabilitation nursing Infant health nursing and paediatrics Maternal health nursing and midwifery Public health nurses Medical and surgical nursing Community health nursing Mental health nursing and psychiatrics Total Generalist and specialist nurses Source: ursing Council, Statistic Data , January Available at: sticos_-_ pdf Table 6 - umber of registered nurses by district of work, from 2000 to 2008 District of work Aveiro Beja Braga Bragança Castelo Branco Coimbra Évora Faro Guarda Leiria Lisboa Portalegre Porto Santarém Setúbal Viana do Castelo Vila Real Viseu Mainland R A Açores R A Madeira Abroad After 2003 Public Health urses became part of Community Heath ursing specialty. 54

19 District of work Total Source: ursing Council, Statistic Data , January Available at: sticos_-_ pdf Table 21 Density of registered nurses by region (nurses per inhabitants) Region Portugal Health regions and Islands orte Centro Lisboa e Vale do Tejo Alentejo Algarve R.A. Madeira R.A. Açores Source: IE (Statistics Portugal) and ursing Council. In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2006. Lisboa: DGS, 2008; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2005. Lisboa: DGS, 2007; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2004. Lisboa: DGS, 2006; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2003. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2000. Lisboa: DGS, 2003; Table 22 - umber of nurses in private sector, by speciality, in 2000 and from 2002 to 2007 urses Generalist Specialist Total Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 23- umber of nurses in private sector by region of work, in 2000 and from 2002 to 2007 Region orte Algarve Centro Lisboa Alentejo Total Mainland Açores Madeira Total

20 Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 24 - umber of nurses in private sector by age group, in 2000 and from 2002 to 2007 Age group < > Missing Total Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 25 - umber of nurses in the private sector by sex, in 2000 and from 2002 to 2007 Sex Male Female % 18,2 23,2 23,6 22,2 20,5 20,3 21, % 82,8 76,8 76,4 77,8 79,5 79,7 79,0 Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available 56

21 Table 26 - Registered nurses by sex and age group, from 2000 to 2009 Age group < >61 Subtotal M F M F M F M F M F M F M F M F M F M F % 2,9 13,4 3,8 15,1 5,3 22,3 5,6 22,3 5,6 22,5 5,7 26,6 5,9 24,9 6,1 26,0 6,0 26,7 6,1 27, % 6,3 29,5 6,0 28,1 5,9 26,5 5,6 25,9 5,5 25,3 5,3 24,3 5,1 23,4 5,0 22,4 5,0 21,9 5,2 21, % 4,9 18,7 4,7 17,9 4,1 16,0 4,2 16,5 4, ,3 16,9 4,3 17,1 4,2 17,0 4,1 17,1 3,9 16, % 2,4 14,1 2,4 13,5 1,9 12, ,9 2,2 11,7 2,2 11,4 2,3 10,9 2,3 10,6 2,4 10,3 2,4 9, % 1,4 6,8 1,3 6,2 1,0 4,4 1,1 4,7 1,1 4,8 1,1 4,9 1,1 5,1 1,1 5,1 1,1 5,2 1,2 5, % 17,8 82,2 18,1 81,9 18,4 81,6 18,6 81,4 18,7 81,3 18,7 81,3 18,7 81,3 18,8 81,2 18,7 81,3 18,8 81,2 Total Source: ursing Council, Statistic Data , January Available at: sticos_-_ pdf 57

22 Table 27 - umber of registered pharmacists by type of professional practice, in 2001 and from 2003 to 2008 Type of professional practice Community pharmacies (farmácia de oficina) Clinical analysis Hospital pharmacy Pharmaceutical industry Education Pharmaceutical distribution (Distribuição farmacêutica) Research Others Total Source: Pharmacy Council; ote: members have more than one professional area; 2005 no information on number of members that have more than one professional area; members have more than one professional area; members have more than one professional area; members have more than one professional area Table 28 - umber of registered pharmacists by district of work, from 2000 to 2007 District of work Braga A Bragança A Porto A Viana do Castelo A Vila Real A Aveiro A Castelo Branco A Coimbra A Guarda A Leiria A Viseu A Lisboa A Santarém A Setúbal A Beja A Évora A Portalegre A Faro A Mainland A R A Açores A R A Madeira A Total A Source: Pharmacy Council In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2006. Lisboa: DGS, 2008; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2005. Lisboa: DGS, 2007; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2004. Lisboa: DGS, 2006; Direcção Geral da Saúde. Elementos estatísticos Informação Geral 58

23 Saúde/2003. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2000. Lisboa: DGS, 2003 Table 29 - Registered pharmacists by density (pharmacists per inhabitants), per region, from 2000 to 2007 Region Portugal orte Centro Lisboa e Vale do Tejo Alentejo Algarve R.A. Madeira R.A. Açores Source: IE (Statistics Portugal) and Pharmacy Council. In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2006. Lisboa: DGS, 2008; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2005. Lisboa: DGS, 2007; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2004. Lisboa: DGS, 2006; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2003. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2000. Lisboa: DGS, 2003; Table 30 - umber of pharmacists in private sector by region of place of work, in 2000 and from 2002 to 2007 Region of place of work orte Algarve Centro Lisboa Alentejo Total Mainland Açores Madeira % 27,9 29,1 27,3 28,2 29,0 28,9 29, % 2,8 2,4 2,3 2,4 2,9 2,9 2, % 21,0 20,7 20,3 20,2 21,1 21,3 20, % 40,1 40,0 42,2 42,3 40,6 40,2 40, % 5,4 5,2 4,8 3,9 4,2 4,1 4, % 96,2 96,2 96,9 97,1 97,2 96,8 96, % 2,0 1,7 1,3 1,1 1,1 1,2 1, % 1,7 2,1 1,8 1,9 1,7 2,0 2,0 Total Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available 59

24 Table 31 - umber of pharmacists in the private sector by sex, in 2000 and from 2002 to 2007 Sex Male Female % 20,7 20,8 21,0 20,8 21,2 21,5 20, % 79,3 79,2 79,0 79,2 78,8 78,5 79,1 Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 32- umber of pharmacists in private sector by age group, in 2000 and from 2002 to 2007 Age group < >61 Missing % 31,3 38,8 41,1 40,9 40,8 39,6 38, % 26,1 10,9 28,4 30,2 30,5 31,3 32, % 20,4 16,3 14,4 13,8 14,1 14,8 14, % 9,5 8,9 9,3 9,2 9,1 8,8 8, % 7,4 4,6 4,4 3,8 3,3 3,4 3, % 5,3 3,3 2,3 2,1 2,1 2,1 1,8 Total Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social), ote: 2001 data is not available 60

25 Table 33 - Registered pharmacists by sex, Sex Male % 19,4 19,6 20,2 20,4 20,6 20, Female % 80,6 80,4 79,8 79,6 79,4 79,3 Total Source: Pharmacy Council; ote: In 2001, 408 of the total were not working; In 2003, 448 of the total were not working; In 2005, 616 of the total were not working; In 2006, 672 of the total were not working; In 2007, 733 of the total were not working; In 2008, 812 of the total were not working Table 34 - Registered pharmacists by age group, from 2001 to 2008 Age group <35 % 31,8 35,8 38,6 39,2 39,4 40, % 28,5 24,9 23,0 22,9 22,7 22, % 17,9 17,7 16,8 16,2 16,2 16, % 8,6 12,8 9,9 10,5 10,9 10, % 13,3 8,8 11,7 11,0 10, Total Source: Pharmacy Council; ote: In 2001, 408 of the total were not working; In 2003, 448 of the total were not working; In 2005, 616 of the total were not working; In 2006, 672 of the total were not working; In 2007, 733 of the total were not working; In 2008, 812 of the total were not working Table 35 - umber of registered dentists by district of residence, from 2000 to 2007 District of residence Aveiro Beja Braga Bragança Castelo Branco Coimbra Évora Faro Guarda Leiria Lisboa Portalegre

26 District of residence Porto Santarém Setúbal Viana do Castelo Vila Real Viseu Mainland R A Açores R A Madeira Abroad A A Total Source: Dental Council In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2006. Lisboa: DGS, 2008; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2005. Lisboa: DGS, 2007; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2004. Lisboa: DGS, 2006; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2003. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2000. Lisboa: DGS, 2003 Table 36- Density of registered dentists by region (dentists per inhabitants) Region Portugal Health regions and Islands orte Centro Lisboa e Vale do Tejo Alentejo Algarve R.A. Madeira R.A. Azores Source: IE (Statistics Portugal) and Dentists Council. In: Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2007. Lisboa: DGS, 2009; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2006. Lisboa: DGS, 2008; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2005. Lisboa: DGS, 2007; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2004. Lisboa: DGS, 2006; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2003. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2002. Lisboa: DGS, 2005; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2001. Lisboa: DGS, 2004; Direcção Geral da Saúde. Elementos estatísticos Informação Geral Saúde/2000. Lisboa: DGS, 2003; 62

27 Table 37 - umber of dentists in private sector by region of work, in 2000 and from 2002 to 2007 Region of work orte % 26,9 33,6 35,3 34,4 36,3 37,6 35, Algarve % 4,9 0,4 5,0 5,3 4,7 4,9 4, Centro % 21,8 21,6 21,2 22,2 21,1 20,3 21, Lisboa % 34,1 27,9 28,1 28,1 27,4 27,5 29, Alentejo % 6,6 6,4 5,3 4,7 5,1 4,5 4, Total Mainland % 94,2 94,1 94,8 94,7 94,1 94,9 94, R.A.Açores % 2,7 2,8 2,3 2,8 2,2 2,2 2, R.A. Madeira % 3,2 3,2 2,9 2,7 3,0 2,9 2,9 Total Source: List of staf database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 38 - umber of dentists in private sector by sex, Sex Male Female ,3 56,4 55,0 53,0 52,6 53,2 51, ,7 44,6 45,0 47,0 47,4 46,8 48,7 Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available Table 39 - umber of dentists in private sector by age group, in 2000 and from 2002 to 2007 Age group < > Missing Total Source: List of staff database (Base de dados Quadro de pessoal ) - Strategy and planning office, Ministry of work and social affairs (Gabinete de estratégia e planeamento, Ministério do Trabalho e da Segurança Social); ote: 2001 data is not available 63