ArticleHealth policy (Amsterdam, Netherlands)2021
Sláintecare implementation status in 2020: Limited progress with entitlement expansion.
Article in Health policy (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Barriers and facilitators for community surgery in general practice / family medicine settings: a scoping review.Irish journal of medical science · 2026Review
- Effect of Chronic Noncommunicable Diseases Multimorbidity on Functional Disability in Older Adults in Ireland: Evidence From the 2019 Irish Health Survey.Chronic diseases and translational medicine · 2026Article
- Primary oral healthcare in Ireland: a health systems analysis of publicly funded contracted services delivered by the general dental practitioner workforce.BMC health services research · 2025Article
- Out-of-pocket prescription medicine expenditure amongst community-dwelling adults: Findings from the Irish longitudinal study on ageing (TILDA) in 2016.Exploratory research in clinical and social pharmacy · 2025Article
- Health system reform in the context of COVID-19: a policy brief outlining lessons from Ireland's journey towards the goal of universal healthcare.Global health research and policy · 2025Article
- The role of governance in shaping health system reform: a case study of the design and implementation of new health regions in Ireland, 2018-2023.BMC health services research · 2024Article
- Examining universal access to acute hospital care in Ireland during the first three months of COVID-19: Lessons from the policy process.HRB open research · 2024Article
- Formal health care costs among older people in Ireland: methods and estimates using The Irish Longitudinal Study on Ageing (TILDA).HRB open research · 2023Article
- Building health system resilience through policy development in response to COVID-19 in Ireland: From shock to reform.The Lancet regional health. Europe · 2021Review
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Authors and funding
5 authors.
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Abstract
The Sláintecare report developed by political consensus sets out a ten year plan for achieving Universal Health Care (UHC) in Ireland. This paper evaluates the design and progress of the report to mid 2020, but with some reflection on the new COVID 19 era, particularly as it relates to the expansion of entitlements to achieve UHC. The authors explore how close Sláintecare is to the UHC ideal. They also review the phased strategy of implementation in Sláintecare that utilises a systems-thinking approach with interlinkages between entitlements, funding, capacity and implementation. Finally the authors review the Sláintecare milestones against the reality of implementation since the publication of the report in 2017, cognisant of government policy and practice. Some of the initial assumptions around the context of Sláintecare were not realised and there has been limited progress made toward expanding entitlements, and certainly short of the original plan. Nevertheless there have been positive developments in that there is evidence that Government's Implementation Strategy and Action Plans are focussing on reforming a complex adaptive system rather than implementing a blueprint with such initiatives as integrated care pilots and citizen engagement. The authors find that this may help the system change but it risks losing some of the essential elements of entitlement expansion in favour of organisational change.
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