Decreto-Lei n.º 110/2017

Publicação: Diário da República n.º 168/2017, Série I de 2017-08-31
  • Emissor:Saúde
  • Tipo de Diploma:Decreto-Lei
  • Número:110/2017
  • Páginas:5240 - 5244
Versão pdf: Descarregar
  • Summary in plain english (Without legal value)

    What is it?

    This decree-law creates the career of senior diagnostic and therapeutic technician:

    • in hospitals and other healthcare establishments that are public corporations (EPE)
    • in private healthcare facilities integrated into the National Health System (SNS).

    It also defines the professional conditions and qualifications required for this career.

    Senior diagnostic and therapeutic technicians (TSDT) are workers who perform technical activities of diagnosis and treatment of diseases in health facilities, such as hospitals and healthcare centres. For example, technicians who perform tests, examinations, x-rays and physiotherapy, or develop and apply prostheses.

    What will change?

    The career of a senior diagnostic and therapeutic technician (TSDT) will be created for public healthcare facilities that are EPE and private healthcare facilities that are partners of the SNS.

    The professional qualifications needed to integrate into this career will be defined.

    To whom these rules apply

    These rules apply to all senior diagnostic and therapeutic technicians with an individual work contract who work in the healthcare facilities mentioned above.

    TSDT are the technicians of:

    • laboratory biomedical sciences (analysis of blood, cells, tissues and other body fluids)
    • medical image and radiotherapy (including radiographs, CT scans, MRI, mammograms and radiotherapy treatments)
    • clinical and biosignal physiology (exams and treatments related to cardiovascular, respiratory and nervous system diseases)
    • therapy and rehabilitation
    • vision
    • hearing
    • oral health
    • pharmacy
    • orthopaedic prosthesis (preparation and application of prostheses and other devices that replace limbs or help overcome functional deficiencies)
    • public health (help prevent or combat disease by taking action with people and the community).

    The professions included in each of these categories will be defined in the law that will be approved within 90 days after this decree-law comes into effect.

    The special TSDT career has three categories

    • senior diagnostic and therapeutic technician (TSDT)
    • specialist senior diagnostic and therapeutic technician (specialist TSDT)
    • lead specialist senior diagnostic and therapeutic technician (lead specialist TSDT).

    The number of specialist TSDT in a health facility cannot be more than 50% of the number of TSDT.

    The number of lead specialist TSDT in a health facility cannot be more than 30% of the number of TSDT.

    The percentage can be changed if there is a well-founded request from the health establishment, with permission from the Ministers of Finance, Public Administration and Health, and a favourable opinion from the Central Administration of the Health System.

    In addition to scientific and technical skills and knowledge, an TSDT must have:

    • academic qualifications
    • a professional title
    • professional experience.

    A specialist TSDT must also have six years of experience as a TSDT, with a positive performance evaluation.

    A lead specialist TSDT must have six years experience as a specialist TSDT, with a positive performance evaluation.

    The TSDT career is organized in areas of healthcare provision:

    • hospital
    • public health
    • primary healthcare
    • long-term healthcare
    • palliative healthcare
    • teaching and research.

    Other areas may be created.

    Coordination

    Where there are more than four TSDT of the same profession in a health establishment, the establishment’s management must appoint a TSDT to coordinate those TSDT. The person appointed must have a proven background or experience in health service management.

    If there are no more than four TSDT of the same profession, TSDT from more than one profession may be grouped as long as they have similar characteristics.

    This function is assigned for 3 years and can be renewed. It must be performed by a lead specialist TSDT or specialist TSDT. If there is no specialist TSDT or lead specialist, it may be performed by a TSDT with more than four years of experience in the profession and with training or proven experience in health service management.

    The coordinator:

    • plans, controls and evaluates the work of the team's TSDT
    • helps define the goals of the team he coordinates
    • oversees technical coordination of the team and ensures the quality standards of the healthcare the team provides
    • coordinates, promotes or supports the implementation of technical, scientific, institutional, quality, innovation and sustainability development projects
    • distributes work and prepares the team’s schedules, work plans and vacations
    • communicates team problems to management and proposes measures to resolve them
    • participates in accreditation and quality control processes
    • evaluates, plans and controls the use of materials the team needs
    • creates a previous year's team activity report and an activity plan for the following year.

    Technical council

    In health services and facilities with at least three diagnostic and therapeutic professions, a technical council should be created to support management and:

    • promote the articulation between these professions, for example creating technical rules for their activity
    • give advice on subjects related to these professions, for example on their training
    • coordinate the TSDT career assessment.

    This council is composed of all coordinators of the TSDT professions of the health establishment. If a profession does not have a coordinator, a TSDT of that profession is integrated.

    When there is a technical council, a senior technical director must be appointed who also chairs the council. They are appointed for 3 years, and the appointment can be renewed. The senior technical director must be a TSDT with at least 10 years of experience.

    Among other things, the senior technical director:

    • advises and clarifies the service’s highest body
    • participates in the creation of the performance report
    • articulates their activity with the other management bodies of the service or establishment.

    What are its benefits?

    This decree-law is intended to ensure that all TSDT in establishments providing public healthcare services:

    • have access to the same professional career and the same rights and duties, whatever the type of contract
    • may be placed in another health facility temporarily, on a mobility scheme.

    When does it come into effect?

    This decree-law comes into effect the day after being published.

    This text is intended to present the content of the legal act in accessible, plain and understandable language for citizens. The summary of the legal act in plain language has no legal value and does not replace the consultation of the legal act in the Diário da República.