In 2025, Portuguese people submitted more than 1,400 self-declarations of illness per day. The Association of Family Doctors highlights the positive impact of this measure in easing pressure on health centres.
Portuguese people submitted more than 1,400 self-declarations of illness per day in 2025

Context & Explainers
Primary care (Cuidados de Saúde Primários) is the first level of Portugal's health system — the network of health centers (centros de saúde) and family health units (Unidades de Saúde Familiar, USF) that provide general practice consultations, nursing care, vaccinations, chronic disease management, preventive screening, and referrals to specialist care.
Every resident registered with the SNS (Serviço Nacional de Saúde) is entitled to a family doctor (médico de família), though in practice over a million people lack an assigned GP due to doctor shortages. The strength of primary care directly affects hospital pressure — when health centers are understaffed or closed, patients turn to hospital emergency departments, increasing waiting times.
Portugal has been expanding USF coverage and recruiting more GPs, but access remains uneven, particularly in rural inland areas and some Lisbon suburbs.










