The approach to developing Ireland ’s first national health protection strategy and lessons learnt, December 2021 to October 2022
We describe the approach taken to develop a first national health protection strategy for Ireland, and highlight the key lessons learned. Key steps in strategy formation included detailed stakeholder analysis, exploration of the context for the strategy and development of a comprehensive consultation plan. Two stakeholder consultation workshops were held. The first focused on defining strategic vision, aim and objectives, the second verified objectives and identified enablers. A subsequent e-consultation invited feedback from wider stakeholders. The published strategy outlines 10 strategic objectives and 11 enablers. Key l...
Source: Eurosurveillance - April 4, 2024 Category: Infectious Diseases Authors: Ciara Kelly, Joan Gallagher, Lola Odewumi, Robert Conway, Mary E Black, Kristin Concannon, Louise Marron and Lorraine Doherty Source Type: research

Service user perspectives on recovery: the construction of unfulfilled promises in mental health service delivery in Ireland
Calvin Swords, Stan Houston The Journal of Mental Health Training, Education and Practice, Vol. ahead-of-print, No. ahead-of-print, pp.- The concept of personal recovery is now a key pillar of service delivery. It aims to support individuals to flourish and establish a new identity following an acute episode or diagnosis. This view of recovery is unique to each person on that journey. However, there has been a significant focus on measuring these experiences. This paper aims to explore the influence of social constructionism on the concept of recovery within an Irish context, seeking to understand the influence of languag...
Source: The Journal of Mental Health Training, Education and Practice - April 3, 2024 Category: Psychiatry & Psychology Authors: Calvin Swords Stan Houston Source Type: research

Paediatric Escherichia coli urinary tract infection: susceptibility trends and clinical management —a retrospective analysis of a 10-year period
ConclusionsThis study provides important regional AMR data. Co-amoxiclav susceptibility increased significantly over time, contrasting with previous studies. This was temporally associated with stewardship measures reducing co-amoxiclav prescribing. Decreasing utility of gentamicin supports recent CHI guideline updates reducing gentamicin use. (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - April 3, 2024 Category: General Medicine Source Type: research

A bioecological systems review of ethical practice in educational and school psychology
. (Source: Ethics and Behavior)
Source: Ethics and Behavior - April 3, 2024 Category: Medical Ethics Authors: Paula PrendevilleWilliam KinsellaSchool of Education, University College Dublin, Ireland Source Type: research

Optimising oncology drug expenditure in Ireland
AbstractA combination of improvements in patient survival, increasing treatment duration, and the development of more expensive agents has led to a doubling of per-capita spending on cancer medicines in Ireland (2008 –2018). Despite this, access to new drugs is poor in comparison to other EU countries. We examine methods to optimise oncology drug spending to facilitate access to newer anticancer agents. Key targets for spending optimisation (biosimilar use, clinical trials and expanded access programs, waste r eduction, avoidance of futile treatment, and altered drug scheduling) were identified through an exploratory ana...
Source: Irish Journal of Medical Science - April 3, 2024 Category: General Medicine Source Type: research

A bioecological systems review of ethical practice in educational and school psychology
. (Source: Ethics and Behavior)
Source: Ethics and Behavior - April 3, 2024 Category: Medical Ethics Authors: Paula PrendevilleWilliam KinsellaSchool of Education, University College Dublin, Ireland Source Type: research

Emergency surgery preoperative delays: realities, economic impacts and gains of a second emergency operating theatre
CONCLUSION: Investment in emergency surgical services resulted in more efficient access to emergency theatres. There was a reduction in out-of-hours operating across all specialties and across the more at-risk groups such as those over the age of 65, who had an overall reduction in TTT. This had significant financial benefits and likely reduced the clinical risk associated with delayed TTT and out-of-hours operating.PMID:38563079 | DOI:10.1308/rcsann.2024.0021 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: Á Lucey S Beecher R McLaughlin Source Type: research

The roads to managed competition for mixed public-private health systems: a conceptual framework
Health Econ Policy Law. 2024 Apr 2:1-16. doi: 10.1017/S1744133123000373. Online ahead of print.ABSTRACTHealth systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means o...
Source: Health Economics, Policy, and Law - April 2, 2024 Category: Health Management Authors: Josefa Henriquez Wynand van de Ven Adrian Melia Francesco Paolucci Source Type: research

Emergency surgery preoperative delays: realities, economic impacts and gains of a second emergency operating theatre
CONCLUSION: Investment in emergency surgical services resulted in more efficient access to emergency theatres. There was a reduction in out-of-hours operating across all specialties and across the more at-risk groups such as those over the age of 65, who had an overall reduction in TTT. This had significant financial benefits and likely reduced the clinical risk associated with delayed TTT and out-of-hours operating.PMID:38563079 | DOI:10.1308/rcsann.2024.0021 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: Á Lucey S Beecher R McLaughlin Source Type: research

The roads to managed competition for mixed public-private health systems: a conceptual framework
Health Econ Policy Law. 2024 Apr 2:1-16. doi: 10.1017/S1744133123000373. Online ahead of print.ABSTRACTHealth systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means o...
Source: Health Economics, Policy, and Law - April 2, 2024 Category: Health Management Authors: Josefa Henriquez Wynand van de Ven Adrian Melia Francesco Paolucci Source Type: research

Emergency surgery preoperative delays: realities, economic impacts and gains of a second emergency operating theatre
CONCLUSION: Investment in emergency surgical services resulted in more efficient access to emergency theatres. There was a reduction in out-of-hours operating across all specialties and across the more at-risk groups such as those over the age of 65, who had an overall reduction in TTT. This had significant financial benefits and likely reduced the clinical risk associated with delayed TTT and out-of-hours operating.PMID:38563079 | DOI:10.1308/rcsann.2024.0021 (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - April 2, 2024 Category: Surgery Authors: Á Lucey S Beecher R McLaughlin Source Type: research

The roads to managed competition for mixed public-private health systems: a conceptual framework
Health Econ Policy Law. 2024 Apr 2:1-16. doi: 10.1017/S1744133123000373. Online ahead of print.ABSTRACTHealth systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means o...
Source: Health Economics, Policy, and Law - April 2, 2024 Category: Health Management Authors: Josefa Henriquez Wynand van de Ven Adrian Melia Francesco Paolucci Source Type: research

The roads to managed competition for mixed public-private health systems: a conceptual framework
Health Econ Policy Law. 2024 Apr 2:1-16. doi: 10.1017/S1744133123000373. Online ahead of print.ABSTRACTHealth systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means o...
Source: Health Economics, Policy, and Law - April 2, 2024 Category: Health Management Authors: Josefa Henriquez Wynand van de Ven Adrian Melia Francesco Paolucci Source Type: research

The roads to managed competition for mixed public-private health systems: a conceptual framework
Health Econ Policy Law. 2024 Apr 2:1-16. doi: 10.1017/S1744133123000373. Online ahead of print.ABSTRACTHealth systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means o...
Source: Health Economics, Policy, and Law - April 2, 2024 Category: Health Management Authors: Josefa Henriquez Wynand van de Ven Adrian Melia Francesco Paolucci Source Type: research

The roads to managed competition for mixed public-private health systems: a conceptual framework
Health Econ Policy Law. 2024 Apr 2:1-16. doi: 10.1017/S1744133123000373. Online ahead of print.ABSTRACTHealth systems' insurance/funding can be organised in several ways. Some countries have adopted systems with a mixture of public-private involvement (e.g. Australia, Chile, Ireland, South Africa, New Zealand) which creates two-tier health systems, allowing consumers (groups) to have preferential access to the basic standard of care (e.g. skipping waiting times). The degree to which efficiency and equity are achieved in these types of systems is questioned. In this paper, we consider integration of the two tiers by means o...
Source: Health Economics, Policy, and Law - April 2, 2024 Category: Health Management Authors: Josefa Henriquez Wynand van de Ven Adrian Melia Francesco Paolucci Source Type: research