ReviewThe Lancet regional health. Europe2021
Building health system resilience through policy development in response to COVID-19 in Ireland: From shock to reform.
Review in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Metrics and indicators used to assess health system resilience in response to shocks to health systems in high income countries-A systematic review.Health policy (Amsterdam, Netherlands) · 2022Pooled it
- The Evolution of Balanced Scorecard in Healthcare: A Systematic Review of Its Design, Implementation, Use, and Review.International journal of environmental research and public health · 2022Pooled it
- Planetary health and environmentally sustainable healthcare: perceptions of primary care practitioners in Ireland - a qualitative study.BMJ open quality · 2025Article
- Breast cancer patients' perceptions of safety: insights from the Italian NHS.BMC health services research · 2025Article
- Examining the roles, relationships and power dynamics shaping universal health system policy processes in high- and upper-middle-income countries: a scoping review.BMC health services research · 2025Article
- Advancing equitable access to innovation in breast cancer.NPJ breast cancer · 2025Article
- 'At a tipping point': a comparative analysis of oral health coverage for children across six European countries: Denmark, Germany, Hungary, Ireland, Scotland, and Spain.BMC oral health · 2025Article
- Resilience model of public health sector during unknown pandemics: a grounded theory approach for COVID-19 in Iran.BMC public health · 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
- Navigating Acute Stroke: Perspectives from Survivors, Caregivers, and Healthcare Professionals in Ireland During COVID-19: A Qualitative Study.Journal of multidisciplinary healthcare · 2025Article
- Exploring the inherent resilience of health districts in a context of chronic armed conflict: a case study in Eastern Democratic Republic of the Congo.Health research policy and systems · 2024Article
- 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
- Concept analysis of health system resilience.Health research policy and systems · 2024Review
- Article
- 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
- A pragmatic dialogue amongst stakeholders on the impact of COVID-19 on Irish cancer patients and healthcare services and lessons learned.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- An update of the reported effects of the COVID-19 pandemic on person with intellectual disability and their carers: a scoping review.Annals of medicine · 2023Article
- Use of information communication technologies by older people and telemedicine adoption during COVID-19: a longitudinal study.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- The impact of the COVID-19 pandemic on non-national doctors in Ireland.Irish journal of medical science · 2023Article
- Assessing resilience of a health system is difficult but necessary to prepare for the next crisis.BMJ (Clinical research ed.) · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Health systems worldwide are experiencing profound shocks resulting from the COVID-19 pandemic, with increased attention to health system resilience and researching ways to endure shocks. Pre-COVID-19, Ireland had begun a ten-year programme of reform, Sláintecare, aiming to deliver universal, timely access to integrated care. This study examines whether and how the Irish government's pandemic response contributed to health system reform and increased resilience including delivering universal healthcare. Documentary analysis identified and critiqued relevant government, health system and budgetary documents, published March 2020 - May 2021. Thirteen national policy documents were found, showing increased policy rhetoric and intent to implement reform, demonstrated by increased policy alignment with and budgetary allocation to Sláintecare, alongside implementation of key innovations. Ireland's health system response to COVID-19 offers a unique opportunity to advance understanding of government efforts to reform amidst a global pandemic. It indicated policy intent and funding to manage the Irish COVID-19 crisis, but to also build health system resilience through implementing Sláintecare. This case study has international significance, enabling policy development with potential for long-term health system transformation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.