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Building health system resilience through policy development in response to COVID-19 in Ireland: From shock to reform.
Burke, Sara; Parker, Sarah; Fleming, Padraic; Barry, Sarah; Thomas, Steve.
  • Burke S; Centre for Health Policy and Management, School of Medicine, Trinity College Dublin, 3-4 Foster Place, Dublin 2, Ireland.
  • Parker S; Centre for Health Policy and Management, School of Medicine, Trinity College Dublin, 3-4 Foster Place, Dublin 2, Ireland.
  • Fleming P; Centre for Health Policy and Management, School of Medicine, Trinity College Dublin, 3-4 Foster Place, Dublin 2, Ireland.
  • Barry S; Centre for Health Policy and Management, School of Medicine, Trinity College Dublin, 3-4 Foster Place, Dublin 2, Ireland.
  • Thomas S; Edward Kennedy Professor of Health Policy and Management, Director Health Policy and Engagement, School of Medicine, Trinity College Dublin, 3-4 Foster Place, Dublin 2, Ireland.
Lancet Reg Health Eur ; 9: 100223, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1466769
ABSTRACT
Health systems worldwide are experiencing profound shocks resulting from the COVID-19 pandemic, with increased attention to health system resilience and researching ways to endure shocks. Pre-COVID-19, Ireland had begun a ten-year programme of reform, Sláintecare, aiming to deliver universal, timely access to integrated care. This study examines whether and how the Irish government's pandemic response contributed to health system reform and increased resilience including delivering universal healthcare. Documentary analysis identified and critiqued relevant government, health system and budgetary documents, published March 2020 - May 2021. Thirteen national policy documents were found, showing increased policy rhetoric and intent to implement reform, demonstrated by increased policy alignment with and budgetary allocation to Sláintecare, alongside implementation of key innovations. Ireland's health system response to COVID-19 offers a unique opportunity to advance understanding of government efforts to reform amidst a global pandemic. It indicated policy intent and funding to manage the Irish COVID-19 crisis, but to also build health system resilience through implementing Sláintecare. This case study has international significance, enabling policy development with potential for long-term health system transformation.
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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: Lancet Reg Health Eur Year: 2021 Document Type: Article Affiliation country: J.lanepe.2021.100223

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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: Lancet Reg Health Eur Year: 2021 Document Type: Article Affiliation country: J.lanepe.2021.100223