Impact

What happens when art enters a hospital?

Real change happens, and we make a point of measuring it. Our work does not end when the visit does. Through independent impact evaluations, we measure the results of our work to understand and demonstrate the difference the Doutores d'Opital make to the routine of older people, their families and healthcare professionals.

Theory of Change

From what we do to what lasts.

Every visit aims to create positive experiences and contribute to more humane hospital care. This is the path of change that guides our work.

What we do

Pairs of professional artists make regular visits to partner hospitals, using humour, music and personalised interaction. Each visit is prepared and adapted to the hospital's routine and to the condition of the older people we visit, in coordination with the healthcare teams.

During the visit

Visits create moments of artistic interaction and sharing, involving people in hospital, their families and healthcare professionals. Through humour and creativity, they open up room for emotional expression, closeness and positive experiences.

Over the following days

We aim to improve the emotional wellbeing of the older people we visit, reducing the feeling of isolation and making hospital stays more positive. We also want to help make the hospital a more welcoming place and support the wellbeing of healthcare professionals.

What lasts

We want to contribute to a more humane culture of hospital care, where people's emotional wellbeing and dignity are valued and artistic work is recognised as a relevant complementary practice in humanising care.

The Palhaços d'Opital Theory of Change.

From what we do to what we want to last. The map we follow, designed with MAGNA Consultores.

What we do

Activities
  • Regular artistic visits by pairs of specially trained clown doctors.
  • Personalised interactions with people in hospital, family members, companions and healthcare professionals.
  • Preparing and coordinating visits with hospital teams.
  • Awareness activities on humanising care.
  • Recording and monitoring the visits carried out.

What we deliver

Outputs
  • Number of artistic visits made to hospital wards.
  • Hours of artistic work in hospitals.
  • Number of people reached: people in hospital, family members, companions and professionals.
  • Artistic interactions and moments of sharing created.
  • Monitoring data collected and organised.

What we aim to change

Outcomes
  • Positive emotions and a perceived improvement in the mood of people in hospital.
  • Perceived stress relief and greater emotional wellbeing among healthcare professionals.
  • More interaction, closeness and social connection during the hospital stay.
  • A reduced sense of isolation among people in hospital.
  • A hospital environment perceived as more welcoming and humane.

The change we aim for

Impacts
  • A contribution to a more humane, person-centred culture of hospital care.
  • Recognition of artistic work as a relevant complementary practice in humanising care.
  • Sustainable integration of artistic work in hospitals.
  • A consolidated model with potential for continuity and replication.

What makes this possible

  • Professional artists with specific training for hospitals
  • Hospitals open to collaboration
  • Stable funding
  • SDG 3 Good Health and Well-being
  • SDG 10 Reduced Inequalities

Developed with MAGNA Consultores, 2026.

Outputs

2025 in numbers.

Behind every number there is someone who was seen and heard.

hospital visits made

hours of artistic work

people reached

Change from 2023 to 2025.

Hospital visits made
2023215
2024322
2025446
Hours of artistic work
2023+1,075
2024+1,610
2025+2,200
People reached
2023+150k
2024+220k
2025+223k

In 2025, we increased our presence in partner hospitals from 9 to 13 visits a week.

Source: Annual Reports 2023, 2024 and 2025.

Outcomes

What we have measured so far.

Magna Consultores, an external organisation, surveyed people in hospital, healthcare professionals, companions and hospital management in six hospitals in the Centre region, between 2022 and June 2023. These are the results of the 3rd Social Impact Evaluation. Since then, our network has grown and we now visit 11 hospitals.

How respondents saw it.

Results of the 3rd Evaluation, Magna Consultores, 2023.

79.8%

of people in hospital said they felt better right after the visit than in the previous days. For 17.3% it was the same and for 2.9% it was worse.
n = 381 people in hospital

70.3%

of healthcare professionals fully agree that the visits help reduce stress at work.
n = 148 healthcare professionals

74.3%

of healthcare professionals fully agree that the visits help humanise the hospital service.
n = 148 healthcare professionals

Source: 3rd Social Impact Evaluation of Palhaços d'Opital, Magna Consultores, June 2023.

Data collected between 2022 and June 2023 in six hospitals in the Centre region. These are people's own answers about what they felt and noticed: they measure perception, not clinical effects.

Long-term impact

Long-term results.

Our Theory of Change points to five major long-term results. These are the goals that give meaning to our daily presence in partner hospitals.

A more humane culture of care.

Humanising the daily delivery of hospital care through the art of Palhaços d'Opital.

Art as a complement to clinical care.

Recognising artistic work as an effective complement to healthcare and to humanising hospitals.

Better mood for people in hospital.

Offering moments of respite from pain and illness, promoting emotional wellbeing and supporting a faster, healthier recovery.

Less isolation during hospital stays.

Easing the sadness and distress of being away from home, and strengthening the interaction of people in hospital and their families with health services.

A replicable, sustainable model.

Serving as an example for work in other settings, ensuring the project's continuity and its expansion across the country.

Who we reach

Who does our art reach?

Older people in hospital

We reduce the loneliness of hospital stays through humour and affection, and make sure smiles remain part of older people's routine.

Those who accompany and care for them

Our work also reaches family members, carers and healthcare professionals, easing daily stress and strengthening the interaction between the person who is ill, their companions and health services.

Partner hospitals

We work to make humanisation a daily practice, and we share concrete data on the changes achieved with each hospital.

Join this mission

Everything we achieve in hospitals only happens because someone decides to be part of this mission.