改善爱尔兰获得医疗保健的机会:实施失败
1Economic and Social Research Institute, Whitaker Square, Sir John Rogerson's Quay, Dublin 2, Ireland.
Health economics, policy, and law
|August 22, 2023
概括
在爱尔兰,获得医疗和社会护理受到高成本和长时间等待的阻碍. 政策失败,政治周期和抵抗反复阻止关键的获取改革,质疑对公平医疗保健的真正承诺.
科学领域:
- 卫生政策 卫生政策
- 社会护理服务 社会护理服务
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 爱尔兰存在重大障碍,阻碍人们获得健康和社会护理,包括高额的用户费用,延长的等待时间和服务可用性的限制.
- 尽管有许多旨在改善医疗保健准入的改革提议,但其实施受到显著限制.
研究的目的:
- 在爱尔兰背景下,识别和批判性地讨论与改善获得健康和社会护理服务有关的政策实施失败.
- 分析在将医疗保健改革提案转化为服务可访问性的有形改进中遇到的反复出现的挑战.
主要方法:
- 对爱尔兰有关卫生和社会护理准入的改革提案的政策分析.
- 确定和讨论导致执行赤字的关键因素.
主要成果:
- 报告指出,改革持续失败的四个主要原因是:对实际实施细节的关注不足,医疗保健需求的竞争,政治周期的影响和利益相关者的抵抗.
- 尽管在过去十年中,政策转向了基于需求而不是支付能力的获取,但反复出现的实施失败使人们对改善医疗保健获取的承诺产生了怀疑.
结论:
- 在改善爱尔兰医疗保健和社会护理准入方面,政策实施的反复失败表明了超出声明的政策意图的系统性问题.
- 政策承诺与实际实施之间的差距引发了关于确保基于需求获得公平医疗保健的政治意愿和实际能力的重大问题.
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