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Case Studies
Portugal Multi-Institution Collaborative Implementation
Case Study

Portugal Multi-Institution Collaborative Implementation

A collaborative initiative bringing together multiple Portuguese institutions to establish a standardised digital nutrition monitoring framework, enabling cross-institutional data sharing and national-level comparison.

Location
Portugal
Institution
Multi-Institution Partnership
Timeline
2020 - 2023
Scale
5,000+ participants
Partnership ModelInfrastructure

Background & Context

This implementation brought together Portuguese public health authorities, academic research centres, and regional health services to create a unified digital dietary assessment infrastructure. Prior to this project, dietary data collection was fragmented across institutions, making national-level comparison and policy development challenging.

The collaborative model enabled shared infrastructure investment, standardised data collection protocols, and a common food composition database, significantly improving the comparability and utility of nutrition data across Portugal.

Collaboration & Stakeholders

→Portuguese Directorate-General of Health - Lead coordinating body
→University of Porto - Technical implementation and validation
→Regional Health Administrations (5) - Fieldwork coordination and participant recruitment
→National Institute of Health - Food composition and data standards

Approaches Considered

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Individual Institution Systems

Each institution implements its own dietary assessment solution independently.

✓ Institution-level autonomy
× Data incompatibility across institutions
× Duplicated infrastructure costs
× Inconsistent data quality

Centralised National Platform (Selected Approach)

Selected

Shared Intake24 infrastructure with standardised protocols across all participating institutions.

✓ Standardised data collection
✓ Shared infrastructure costs
✓ Nationally comparable datasets

Implementation Process

1

Governance Framework (3 months)

Establishing a multi-institution steering committee and data governance agreements.

2

Technical Infrastructure Setup (5 months)

Deploying a shared Intake24 instance with Portuguese food database and national branding.

3

Staff Training (2 months)

Training coordinators across all 5 regional health administrations on the system.

4

Pilot & Full Deployment (12 months)

Rolling out across all participating regions with ongoing technical support and quality monitoring.

Challenges & Solutions

Challenge

Inter-institutional Data Governance

Solution

Developed a comprehensive data sharing agreement framework with clear ownership and usage rights for each participating institution.

Challenge

Varied Technical Capacity

Solution

Provided tiered technical support and training tailored to the capacity of each regional team.

Challenge

Sustaining Cross-institution Engagement

Solution

Established quarterly cross-institution steering meetings with shared dashboards showing collective progress toward programme milestones.

Outcomes & Lessons Learned

Key Outcomes

→First nationally standardised dietary dataset across 5 Portuguese regions
→60% reduction in per-institution infrastructure costs through shared platform model
→Data used to inform the 2023 national nutrition policy update
→Framework adopted as model for future multi-institution health data initiatives in Portugal

Key Lessons

Governance First: Establishing clear data governance and institutional agreements before technical implementation prevented conflicts later in the project.

Shared Infrastructure, Local Flexibility: A centralised platform with configurable local settings satisfied both standardisation requirements and individual institution needs.

Sustained Coordination Mechanisms: Regular cross-institution meetings and shared visibility into collective progress were essential for maintaining momentum across a complex multi-stakeholder project.