an action plan to reduce the use of antibiotics in animals was also introduced in dgav dgs the standardised inhospital mortality rate per patients for acute myocardial infarction ami in portugal in has halved since and is similar to that of spain but higher than in other countries such as italy and france a similar scenario can be found for day mortality after admission to hospital for ischaemic stroke and haemorrhagic stroke with regard to the quality of primary care in dealing with chronic diseases portugal has some of the lowest age and sexstandardised rates per population for avoidable admissions due to asthma copd and congestive heart failure chf figure suggesting that these conditions are being effectively managed at the primary health care level and that such care is of good quality