{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T14:45:12Z","timestamp":1747838712842,"version":"3.38.0"},"reference-count":25,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T00:00:00Z","timestamp":1693526400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Health Management"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p> The need to guarantee public health spending sustainability remains on the governments\u2019 agenda, despite constant efforts to improve health sector efficiency and to contain health spending growth. In this paper, we analyse citizens\u2019, managers\u2019 and health professionals\u2019 views concerning the choice of alternative National Health Service (NHS)\u2019 financing sources and the selection of priority areas to be financed from public funds. The main novelty of this study is the auscultation and the evaluation of different stakeholders\u2019 perspectives concerning health spending decisions, namely, health professionals, managers and the general public. An online questionnaire was used to collect data. Methods include descriptive and inferential statistics, a Pareto graph and a factorial analysis. Our results reveal the preferable additional NHS funding sources are lottery and games of chance and the increase in alcohol and tobacco taxes. The respondents defend that priorities should consider the improvement of the population\u2019s health status, namely, considering the universality of access, equity, effectiveness and efficiency, in line with the NHS\u2019 mission. Health professionals are also concerned about disease prevention and health promotion. This paper contributes empirical evidence to support health manager decisions, focusing on rationing decisions and alternative financing sources. <\/jats:p>","DOI":"10.1177\/09720634231201698","type":"journal-article","created":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T10:39:46Z","timestamp":1696070386000},"page":"579-586","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Managing Public Health Spending Growth: Public\u2019s Views"],"prefix":"10.1177","volume":"25","author":[{"given":"Nuno","family":"Ara\u00fajo","sequence":"first","affiliation":[{"name":"IA&Sa\u00fade, The Artificial Intelligence and Health Research Unit, North Polytechnic Institute of Health, CESPU, Porto, Portugal"},{"name":"ISCTE, Instituto Universit\u00e1rio de Lisboa, ISCTE Business Research Unit, Lisbon, Portugal"}]},{"given":"Ana Maria","family":"Reis","sequence":"additional","affiliation":[{"name":"ISAG, European Business School; Research Center in Business Sciences and Tourism (CICET), Porto, Portugal"}]},{"given":"Ana Pinto","family":"Borges","sequence":"additional","affiliation":[{"name":"ISAG, European Business School; Research Center in Business Sciences and Tourism (CICET), Porto, Portugal"},{"name":"Centro de Investiga\u00e7\u00e3o em Organiza\u00e7\u00f5es, Mercados e Gest\u00e3o Industrial (COMEGI), Porto, Portugal"}]},{"given":"\u00c1lvaro","family":"Rosa","sequence":"additional","affiliation":[{"name":"ISCTE, Instituto Universit\u00e1rio de Lisboa, ISCTE Business Research Unit, Lisbon, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2023,9,30]]},"reference":[{"key":"bibr1-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1007\/BF02723327"},{"key":"bibr2-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7032.670"},{"key":"bibr3-09720634231201698","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.15.155721"},{"key":"bibr4-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1071\/AH16209"},{"key":"bibr5-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-0814-3"},{"key":"bibr6-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.03.003"},{"key":"bibr7-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-019-0992-x"},{"key":"bibr8-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1353\/ken.2019.0008"},{"key":"bibr9-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X19829726"},{"key":"bibr10-09720634231201698","volume-title":"Multivariate data analysis","author":"Hair J.","year":"2010","edition":"7"},{"journal-title":"Censos 2011\u2014Resultados definitivos Portugal","year":"2012","author":"Instituto Nacional de Estat\u00edstica","key":"bibr11-09720634231201698"},{"key":"bibr12-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12064"},{"issue":"1435","key":"bibr13-09720634231201698","first-page":"10","volume":"129","author":"Keene L.","year":"2016","journal-title":"The New Zealand Medical Journal"},{"key":"bibr14-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1111\/hex.12397"},{"key":"bibr15-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1046\/j.1369-6513.2002.00157.x"},{"key":"bibr16-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.05.023"},{"key":"bibr17-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1002\/gch2.1008"},{"key":"bibr18-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1108\/IJHRH-03-2015-0008"},{"key":"bibr19-09720634231201698","unstructured":"PORDATA. 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Funda\u00e7\u00e3o Francisco Manuel dos Santos. http:\/\/www.pordata.pt\/en\/Portugal."},{"key":"bibr20-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-131"},{"issue":"2","key":"bibr21-09720634231201698","first-page":"1","volume":"19","author":"Sim\u00f5es J.","year":"2017","journal-title":"Health Systems in Transition"},{"key":"bibr22-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.03.005"},{"key":"bibr23-09720634231201698","doi-asserted-by":"publisher","DOI":"10.1177\/009539979302400402"},{"journal-title":"New perspectives on global health spending for universal health coverage","year":"2018","author":"WHO","key":"bibr24-09720634231201698"},{"journal-title":"Facing the future: Opportunities and challenges for 21st-century public health in implementing the sustainable development goals and the health 2020 policy framework","year":"2018","author":"WHO Regional Office for Europe","key":"bibr25-09720634231201698"}],"container-title":["Journal of Health Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09720634231201698","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09720634231201698","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09720634231201698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T18:43:40Z","timestamp":1740941020000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09720634231201698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/09720634231201698"],"URL":"https:\/\/doi.org\/10.1177\/09720634231201698","relation":{},"ISSN":["0972-0634","0973-0729"],"issn-type":[{"type":"print","value":"0972-0634"},{"type":"electronic","value":"0973-0729"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}