Collaborating on Healthcare on an All-Island Basis: A Scoping Study

Collaborating on Healthcare on an All-Island Basis: A Scoping Study
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全岛医疗保健合作:范围界定研究

DOI:
10.3318/isia.2021.32b.43
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发表时间:
2021
影响因子:
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通讯作者:
D. Heenan
D. Heenan
中科院分区:
--
文献类型:
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作者:
D. Heenan

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摘要:在过去的二十年里,健康已被确定为爱尔兰岛跨境工作增加的关键领域。但迄今为止,该方法一直是极简的,并且通常是针对特定项目的。全球疫情大流行、英国脱欧的持续影响以及共享岛屿倡议的建立,将医疗合作这一广泛问题推上了政策议程。从理论上讲,更密切的合作可以带来规模经济、物有所值、临床专业化的机会,并促进知识共享。然而,尽管医疗保健领域的跨境合作具有明显的潜力和政策意义,但其研究关注度却极少。这项小规模定性研究基于对 49 名在该领域具有专业知识和经验的人士的深入访谈。这些采访中出现了六大主题:对合作的支持、缺乏战略方向、知识共享、Covid-19、数据和未来合作的机会。鉴于两个医疗保健系统面临相似的社会、经济和政治压力,得出的结论是,利用跨境合作的优势应成为政策优先事项。
Abstract:Over the past two decades health has been identified as a key area for increased cross-border working on the island of Ireland. To date though, the approach has been minimalist and often project specific. The global pandemic, the continuing fallout from Brexit and the establishment of the Shared Island initiative have pushed the broad issue of healthcare cooperation up the policy agenda. Theoretically, closer cooperation could deliver economies of scale, value for money, opportunities for clinical specialisation, and facilitate the sharing of knowledge. However, despite its obvious potential and policy significance, cross-border collaboration in healthcare has been the subject of remarkably little research attention. This small-scale qualitative study is based on in-depth interviews with 49 individuals with expertise and experience in this area. From these interviews six broad themes emerged: support for collaboration, lack of strategic direction, knowledge sharing, Covid-19, data and opportunities for future cooperation. Given the similar social, economic and political pressures faced by both healthcare systems, it is concluded that leveraging the strengths from cross-border collaboration should be a policy priority.