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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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    File URL: http://www.esr.ie/vol43_2/04%20Nolan%20PP_ESRI%20Vol%2043-2.pdf
    File Function: First version,2012
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    References listed on IDEAS

    as
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    Cited by:

    1. 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.
    2. 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.
    3. repec:eee:joecag:v:6:y:2015:i:c:p:24-43 is not listed on IDEAS
    4. 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).

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