Indicators of health system coverage and activity in Ireland during the economic crisis 2008-2014 - from 'more with less' to 'less with less'.

Hdl Handle:
http://hdl.handle.net/10147/335737
Title:
Indicators of health system coverage and activity in Ireland during the economic crisis 2008-2014 - from 'more with less' to 'less with less'.
Authors:
Burke, Sara; Thomas, Steve; Barry, Sarah; Keegan, Conor
Affiliation:
Centre for Health Policy and Management, School of Medicine, 3-4 Fosters Place, Trinity College, Dublin 2, Ireland. Electronic address: sarabur@gmail.com.
Citation:
Burke, S. et al., 2014. Indicators of health system coverage and activity in Ireland during the economic crisis 2008-2014 - from 'more with less' to 'less with less'. Health Policy, 117 (3) pp 275-8
Journal:
Health policy (Amsterdam, Netherlands)
Issue Date:
Sep-2014
URI:
http://hdl.handle.net/10147/335737
DOI:
10.1016/j.healthpol.2014.07.001
PubMed ID:
25082466
Additional Links:
http://www.sciencedirect.com/science/article/pii/S0168851014001663
Abstract:
A new Irish government came to power in March 2011 with the most radical proposals for health system reform in the history of the state, including improving access to healthcare, free GP care for all by 2015 and the introduction of Universal Health Insurance after 2016. All this was to be achieved amidst the most severe economic crisis experienced by Ireland since the 1930s. The authors assess how well the system coped with a downsizing of resources by an analysis of coverage and health system activity indicators. These show a health system that managed 'to do more with less' from 2008 to 2012. They also demonstrate a system that was 'doing more with less' by transferring the cost of care onto people and by significant resource cuts. From 2013, the indicators show a system that has no choice but 'to do less with less' with diminishing returns from crude cuts. This is evident in declining numbers with free care, of hospital cases and home care hours, alongside increased wait-times and expensive agency staffing. The results suggest a limited window of benefit from austerity beyond which cuts and rationing prevail which is costly, in both human and financial terms.
Item Type:
Article
Language:
en
Description:
A new Irish government came to power in March 2011 with the most radical proposals for health system reform in the history of the state, including improving access to healthcare, free GP care for all by 2015 and the introduction of Universal Health Insurance after 2016. All this was to be achieved amidst the most severe economic crisis experienced by Ireland since the 1930s. The authors assess how well the system coped with a downsizing of resources by an analysis of coverage and health system activity indicators. These show a health system that managed ‘to do more with less’ from 2008 to 2012. They also demonstrate a system that was ‘doing more with less’ by transferring the cost of care onto people and by significant resource cuts. From 2013, the indicators show a system that has no choice but ‘to do less with less’ with diminishing returns from crude cuts. This is evident in declining numbers with free care, of hospital cases and home care hours, alongside increased wait-times and expensive agency staffing. The results suggest a limited window of benefit from austerity beyond which cuts and rationing prevail which is costly, in both human and financial terms.
Keywords:
HEALTH SERVICES AND THEIR MANAGEMENT; HEALTH POLICY; PERFORMANCE INDICATOR; PERFORMANCE AND ASSESSMENT FRAMEWORK
ISSN:
1872-6054
Sponsors:
Funder: Open Access funded by European Observatory on Health Systems and Policies Under a Creative Commons license

Full metadata record

DC FieldValue Language
dc.contributor.authorBurke, Saraen_GB
dc.contributor.authorThomas, Steveen_GB
dc.contributor.authorBarry, Sarahen_GB
dc.contributor.authorKeegan, Conoren_GB
dc.date.accessioned2014-11-18T07:57:55Z-
dc.date.available2014-11-18T07:57:55Z-
dc.date.issued2014-09-
dc.identifier.citationBurke, S. et al., 2014. Indicators of health system coverage and activity in Ireland during the economic crisis 2008-2014 - from 'more with less' to 'less with less'. Health Policy, 117 (3) pp 275-8en_GB
dc.identifier.issn1872-6054-
dc.identifier.pmid25082466-
dc.identifier.doi10.1016/j.healthpol.2014.07.001-
dc.identifier.urihttp://hdl.handle.net/10147/335737-
dc.descriptionA new Irish government came to power in March 2011 with the most radical proposals for health system reform in the history of the state, including improving access to healthcare, free GP care for all by 2015 and the introduction of Universal Health Insurance after 2016. All this was to be achieved amidst the most severe economic crisis experienced by Ireland since the 1930s. The authors assess how well the system coped with a downsizing of resources by an analysis of coverage and health system activity indicators. These show a health system that managed ‘to do more with less’ from 2008 to 2012. They also demonstrate a system that was ‘doing more with less’ by transferring the cost of care onto people and by significant resource cuts. From 2013, the indicators show a system that has no choice but ‘to do less with less’ with diminishing returns from crude cuts. This is evident in declining numbers with free care, of hospital cases and home care hours, alongside increased wait-times and expensive agency staffing. The results suggest a limited window of benefit from austerity beyond which cuts and rationing prevail which is costly, in both human and financial terms.en_GB
dc.description.abstractA new Irish government came to power in March 2011 with the most radical proposals for health system reform in the history of the state, including improving access to healthcare, free GP care for all by 2015 and the introduction of Universal Health Insurance after 2016. All this was to be achieved amidst the most severe economic crisis experienced by Ireland since the 1930s. The authors assess how well the system coped with a downsizing of resources by an analysis of coverage and health system activity indicators. These show a health system that managed 'to do more with less' from 2008 to 2012. They also demonstrate a system that was 'doing more with less' by transferring the cost of care onto people and by significant resource cuts. From 2013, the indicators show a system that has no choice but 'to do less with less' with diminishing returns from crude cuts. This is evident in declining numbers with free care, of hospital cases and home care hours, alongside increased wait-times and expensive agency staffing. The results suggest a limited window of benefit from austerity beyond which cuts and rationing prevail which is costly, in both human and financial terms.-
dc.description.sponsorshipFunder: Open Access funded by European Observatory on Health Systems and Policies Under a Creative Commons licenseen_GB
dc.language.isoenen
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S0168851014001663en_GB
dc.rightsArchived with thanks to Health policy (Amsterdam, Netherlands)en_GB
dc.subjectHEALTH SERVICES AND THEIR MANAGEMENTen_GB
dc.subjectHEALTH POLICYen_GB
dc.subjectPERFORMANCE INDICATORen_GB
dc.subjectPERFORMANCE AND ASSESSMENT FRAMEWORKen_GB
dc.titleIndicators of health system coverage and activity in Ireland during the economic crisis 2008-2014 - from 'more with less' to 'less with less'.en_GB
dc.typeArticleen
dc.contributor.departmentCentre for Health Policy and Management, School of Medicine, 3-4 Fosters Place, Trinity College, Dublin 2, Ireland. Electronic address: sarabur@gmail.com.en_GB
dc.identifier.journalHealth policy (Amsterdam, Netherlands)en_GB
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