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Conflicting Financial Incentives in the Irish Health-Care System

Author

Listed:
  • AOIFE BRICK

    (Economic and Social Research Institute, Dublin Trinity College Dublin)

  • ANNE NOLAN

    (Economic and Social Research Institute, Dublin Trinity College Dublin)

  • JACQUELINE O’REILLY

    (Economic and Social Research Institute, Dublin Trinity College Dublin)

  • SAMANTHA SMITH

    (Economic and Social Research Institute, Dublin Trinity College Dublin)

Abstract

In health care, there is extensive empirical evidence that the behaviour of both providers and users is affected by the financial incentives that they face. In this paper, we adopt a systemwide perspective and develop a conceptual framework to examine how current financial incentives in Irish health care conflict along four dimensions: provider versus user, user across type of provider, provider versus provider, and provider across type of user. We highlight areas within each of these four dimensions where current financial incentive structures are incompatible with existing policy priorities. The analysis in the paper also provides a framework to assess the effects of proposed policy changes on financial incentives within the health-care system using a joint analytic approach.

Suggested Citation

  • Aoife Brick & Anne Nolan & Jacqueline O’Reilly & Samantha Smith, 2012. "Conflicting Financial Incentives in the Irish Health-Care System," The Economic and Social Review, Economic and Social Studies, vol. 43(2), pages 273-301.
    • Handle: RePEc:eso:journl:v:43:y:2012:i:2:p:273-301
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    References listed on IDEAS

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    Cited by:

    1. Richard Layte & Anne Nolan, 2015. "Eligibility for free GP care and the utilisation of GP services by children in Ireland," International Journal of Health Economics and Management, Springer, vol. 15(1), pages 3-27, March.
    2. Connolly, Sheelah & Brick, Aoife & O'Neill, Ciarán & O'Callaghan, Michael, 2022. "An analysis of the primary care systems of Ireland and Northern Ireland," Research Series, Economic and Social Research Institute (ESRI), number RS137, June.
    3. Richard Layte & Anne Nolan, 2015. "Income-related inequity in the use of GP services by children: a comparison of Ireland and Scotland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(5), pages 489-506, June.
    4. Whyte, Richard & Connolly, Sheelah & Wren, Maev-Ann, 2020. "Insurance status and waiting times for hospital-based services in Ireland," Health Policy, Elsevier, vol. 124(11), pages 1174-1181.
    5. Layte, Richard & Nolan, Anne, 2013. "Income-Related Inequity in the Use of GP Services: A Comparison of Ireland and Scotland," Papers WP454, Economic and Social Research Institute (ESRI).
    6. Nolan, Anne, 2019. "Reforming the delivery of public dental services in Ireland: potential cost implications," Research Series, Economic and Social Research Institute (ESRI), number RS80, June.
    7. Conor Keegan & Samantha Smith, 2013. "The Length of Stay of In-Patient Stroke Discharges in Irish Acute Hospitals," The Economic and Social Review, Economic and Social Studies, vol. 44(3), pages 351-370.
    8. Hudson, Eibhlin & Nolan, Anne, 2015. "Public healthcare eligibility and the utilisation of GP services by older people in Ireland," The Journal of the Economics of Ageing, Elsevier, vol. 6(C), pages 24-43.

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