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Health policy and the policymaking system: a case study of primary care in Ireland

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dc.contributor.author Kelly, Niall
dc.contributor.author Garvey, John
dc.contributor.author Palcic, Dónal
dc.date.accessioned 2017-02-20T11:59:05Z
dc.date.issued 2016
dc.identifier.uri http://hdl.handle.net/10344/5538
dc.description peer-reviewed en_US
dc.description.abstract In 2001 the Irish government published a reforming policy intended to modernise and expand the delivery of primary care in Ireland. Fifteen years later, the Irish health system remains beset by problems indicative of a fragmented and underdeveloped primary care system. This case study examines the formation and implementation of the 2001 primary care policy and identifies key risk categories within the policymaking process itself that inhibited the timely achievement of policy objectives. Our methodology includes a directed content analysis of the policy formation and implementation documents and the influencing academic literature, as well as semi-structured interviews with key personnel involved in the process. We identify three broad risk categories - power, resources and capability - within the policymaking process that strongly influenced policy formation and implementation. We additionally show that the disjoint between policy formation and policy implementation was a contested issue among those involved in the policy process and provided space for these risks to critically undermine Ireland's primary care policy. (C) 2016 Elsevier Ireland Ltd. All rights reserved. en_US
dc.language.iso eng en_US
dc.publisher Elsevier en_US
dc.relation.ispartofseries Health Policy;120 (8) pp. 913-919
dc.relation.uri http://dx.doi.org/10.1016/j.healthpol.2016.06.006
dc.rights This is the author’s version of a work that was accepted for publication in Health Policy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Health Policy, 120 (8), pp. 913-9193, http://dx.doi.org/10.1016/j.healthpol.2016.06.006 en_US
dc.subject primary care en_US
dc.subject policy making en_US
dc.subject health policy en_US
dc.subject risk en_US
dc.subject Ireland en_US
dc.subject social determinants en_US
dc.title Health policy and the policymaking system: a case study of primary care in Ireland en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2017-02-20T11:53:19Z
dc.description.version ACCEPTED
dc.identifier.doi 10.1016/j.healthpol.2016.06.006
dc.date.embargoEndDate 2017-06-16
dc.embargo.terms 2017-06-16 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2644334
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Health Policy
dc.description.status peer-reviewed


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