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g., Poland), an evolving public supply type (e.g., Korea), a need-based supply type (e.g., Switzerland), and an evolving private need-based type (e.g., United States). Portugal underwent a paradigmatic Primary Health Care (PHC) reform in 2005. The reform implemented better health information systems, goal-oriented management, pay-for-performance schemes, functional autonomy for the front-line units, and the general adoption of commissioning processes. Since the implementation of the reform, the same set of indicators have been monitored