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Policy analysis: palliative care in Ireland
Peter May1, Geralyn Hynes1, Philip McCallion2
1School of Nursing and Midwifery, Trinity College Dublin, D'Olier Street, Dublin 2, Ireland.
Health Policy (Amsterdam, Netherlands)
|August 13, 2013
Summary
Ireland's national palliative care policy expanded services but faced challenges. Key goals were unmet due to resource limits, competition, and coordination issues, highlighting the ambition-feasibility trade-off in new health policies.
Area of Science:
- Health Services Research
- Health Policy Analysis
- Palliative Care
Background:
- Palliative care for advanced illness is increasingly vital in healthcare.
- Ireland introduced a national palliative care policy in 2001.
- This policy aimed to improve end-of-life care services.
Purpose of the Study:
- To analyze Ireland's national palliative care policy using the policy analysis triangle.
- To examine the policy's content, origins, drivers, actors, and consequences.
- To identify unaddressed priorities and factors hindering policy fulfillment.
Main Methods:
- Policy analysis using the 'policy analysis triangle' framework.
- Examination of policy content, context, and outcomes.
- Identification of key stakeholders and their roles.
Main Results:
- Palliative care provision expanded post-policy implementation.
- Several key policy priorities remained unaddressed or incompletely realized.
- Challenges included resource constraints, competition with established sectors, workforce limitations, and cross-sectoral coordination difficulties.
Conclusions:
- National palliative care policy initiatives face a trade-off between ambition and feasibility.
- Successful implementation requires careful consideration of resource needs and support structures.
- Addressing the complexities of emerging healthcare fields is crucial for policy success.
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