Slaintecare - A ten-year plan to achieve universal healthcare in Ireland
Slaintecare - A ten-year plan to achieve universal healthcare in Ireland
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DOI：
10.1016/j.healthpol.2018.05.006
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发表时间：
2018-12-01
期刊：
影响因子：
3.3
通讯作者：
Thomas, Steve
中科院分区：
文献类型：
--
作者：
Burke, Sara;Barry, Sarah;Thomas, Steve
2017 年 5 月，爱尔兰跨党派议会委员会发布了“爱尔兰议会众议院委员会关于医疗保健“Slaintecare”未来的报告”。这份被称为“Slaintecare”的报告是独特且具有历史意义的，因为它是爱尔兰首次就重大医疗改革达成跨党派政治共识。Slaintecare 制定了一个高级别政策路线图，以实现整个系统改革和全民医疗保健，分阶段在十年内进行并计算成本。Slaintecare 详细介绍了改革建议，如果交付，将制定；全民、单级卫生服务，仅根据患者的健康需求提供治疗；卫生系统的重新定位“走向综合初级和社区护理，在尽可能短的时间内实现最高质量的患者安全”。Slaintecare 有五个相互关联的组成部分：人口健康；权利和获得医疗保健的机会；综合护理；资金;在本文中，作者使用公共领域的文件（议会报告、公开听证会、向委员会提交的材料、媒体报道、委员会的最终报告、委员会成员的发言）来描述政策进程和拟议的 Slaintecare 改革的主要内容。现在判断政策形成中的政治共识是否能够维持其实施还为时过早。 (C) 2018 作者。由 Elsevier B.V. 出版
In May 2017, an Irish cross-party parliamentary committee published the 'Houses of the Oireachtas Committee on the Future of Healthcare "Slaintecare" report'. The report, known as 'Slaintecare', is unique and historic as it is the first time there has been a cross-party political consensus on major health reform in Ireland.Slaintecare sets out a high level policy roadmap to deliver whole system reform and universal health-care, phased over a ten year period and costed.Slaintecare details reform proposals which, if delivered, will establish; a universal, single-tier health service where patients are treated solely on the basis of health need; the reorientation of the health system 'towards integrated primary and community care, consistent with the highest quality of patient safety in as short a time-frame as possible'.Slaintecare has five interrelated components: population health; entitlements and access to healthcare; integrated care; funding; and implementation.In this article, the authors use documents in the public domain (parliamentary reports, public hearings, submissions to the Committee, media coverage, the final report of the Committee, speeches by Committee members) to describe the policy process and the main contents of the proposed Slaintecare reforms.It is too soon tell if the political consensus in the policy formation can hold for its implementation. (C) 2018 The Author(s). Published by Elsevier B.V.