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Ireland Case Study

In: Handbook Integrated Care

Author

Listed:
  • Áine Carroll

    (University College Dublin
    National Rehabilitation Hospital)

  • P. J. Harnett

    (Health Service Executive)

Abstract

As with many other health and care systems, healthcare in Ireland is a complex adaptive system and mechanistic linear reductionist thinking is insufficient for systemic change. Creating the conditions for change, an adaptive space and some simple rules or enabling constraints has been successful in our experience. At the end of the day, all Integration is local and attending to relationships and history is important to be successful. You ignore history at your peril. Creating rich connections especially locally is vital for success. Improvement is iterative, dynamic, and organic. It takes time to build trust and confidence and patience by policy makers and funders is required. The relentless restructuring within the Irish healthcare system has made implementation challenging but the Sláintecare policy is perhaps an opportunity for full implementation.

Suggested Citation

  • Áine Carroll & P. J. Harnett, 2021. "Ireland Case Study," Springer Books, in: Volker Amelung & Viktoria Stein & Esther Suter & Nicholas Goodwin & Ellen Nolte & Ran Balicer (ed.), Handbook Integrated Care, edition 2, chapter 0, pages 1185-1202, Springer.
    • Handle: RePEc:spr:sprchp:978-3-030-69262-9_71
    DOI: 10.1007/978-3-030-69262-9_71
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