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dc.contributor.authorThomas, Steve
dc.contributor.authorBurke, Sara
dc.contributor.authorBarry, Sarah
dc.date.accessioned2014-06-17T09:10:28Z
dc.date.available2014-06-17T09:10:28Z
dc.date.issued2014-05
dc.identifier.citationThomas S, Burke S, Barry S. The Irish health-care system and austerity: sharing the pain. Lancet 2014, 383 (9928):1545en_GB
dc.identifier.issn01406736
dc.identifier.doi10.1016/S0140-6736(14)60744-3
dc.identifier.urihttp://hdl.handle.net/10147/321679
dc.descriptionAs Ireland exits its bailout, the experience of the Irish health system provides valuable insights into the opportunities and pitfalls of managing austerity. Ireland is being held up for prudent adjustment and austerity. Yet 6 years into the crisis, Ireland's economy is only just emerging from its second bout of recession, its debt to GDP ratio stands at about 120%, and its fiscal deficit, although falling, is still above the 3% European Union guideline.1 It is revealing to sift through the evidence and see how the Irish health system has adjusted to this macroeconomic environment, providing lessons for those who must embrace austerity. The Irish health system has endured radical resource cuts. From 2009 to 2013 financing of the Health Service Executive fell by 22%, which amounted to almost €3·3 billion less in public funding.2 Staffing of public services has also fallen by 12 200 whole time equivalents or 10% of total staffing from its peak in 2007.2 A major concern at the beginning of the crisis was that the Irish health-care system would not be able to sustain cuts and maintain services and quality. Nevertheless, many indicators of performance suggest better outputs with fewer resources. There are now more day cases in the hospital sector, more attendances and admissions at emergency departments, and slightly lower average lengths of stay.3en_GB
dc.language.isoenen
dc.publisherThe Lanceten_GB
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S0140673614607443en_GB
dc.rightsArchived with thanks to The Lanceten_GB
dc.subjectHEALTH SERVICESen_GB
dc.subjectECONOMICSen_GB
dc.titleThe Irish health-care system and austerity: sharing the painen_GB
dc.typeArticleen
dc.identifier.journalThe Lanceten_GB


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