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Universal GP care in Ireland: Potential cost implications

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  • Connolly, Sheelah
  • Nolan, Anne
  • Walsh, Brendan
  • Maev-Ann Wren

Abstract

In 2011, the Government made a commitment to the introduction of universal General Practitioner (GP) care, which they equated to the removal of fees for GP care. The aim of this paper is to quantify the potential cost implications of implementing universal GP care in Ireland. The analysis finds that universal GP care would add between 2 and 3.5 per cent to overall public healthcare expenditure and up to 1.2 per cent to total healthcare expenditure. While the introduction of universal GP care in Ireland would go some way to addressing limitations of the current system, other reforms may be required before universality can be achieved.
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Suggested Citation

  • Connolly, Sheelah & Nolan, Anne & Walsh, Brendan & Maev-Ann Wren, 2018. "Universal GP care in Ireland: Potential cost implications," Papers RB201813, Economic and Social Research Institute (ESRI).
    • Handle: RePEc:esr:wpaper:rb201813
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    References listed on IDEAS

    as
    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 & Wren, Maev-Ann, 2017. "Unmet healthcare needs in Ireland," Papers RB20170301, Economic and Social Research Institute (ESRI).
    3. Nolan, Anne, 2008. "Evaluating the impact of eligibility for free care on the use of general practitioner (GP) services: A difference-in-difference matching approach," Social Science & Medicine, Elsevier, vol. 67(7), pages 1164-1172, October.
    4. Connolly, Sheelah & Wren, Maev-Ann, 2017. "Unmet healthcare needs in Ireland: Analysis using the EU-SILC survey," Health Policy, Elsevier, vol. 121(4), pages 434-441.
    5. Wren, Maev-Ann & Connolly, Sheelagh & Cunningham, Nathan, 2015. "An Examination of the Potential Costs of Universal Health Insurance in Ireland," Research Series, Economic and Social Research Institute (ESRI), number RS45, June.
    6. Brick, Aoife & Nolan, Anne & O'Reilly, Jacqueline & Smith, Samantha, 2010. "Resource Allocation, Financing and Sustainability in the Health Sector," Papers RB2010/3/1, Economic and Social Research Institute (ESRI).
    7. Wren, Maev-Ann & Keegan, Conor & Walsh, Brendan & Bergin, Adele & Eighan, James & Brick, Aoife & Connolly, Sheelah & Watson, Dorothy & Banks, Joanne, 2017. "Projections of demand for healthcare in Ireland, 2015-2030: First report from the Hippocrates Model," Research Series, Economic and Social Research Institute (ESRI), number RS67, June.
    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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    Citations

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    Cited by:

    1. Brendan Walsh & Samantha Smith & Maev-Ann Wren & James Eighan & Seán Lyons, 2022. "The impact of inpatient bed capacity on length of stay," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(3), pages 499-510, April.
    2. Walsh, Brendan & Doorley, Karina, 2022. "Occupations and health," Papers BP2023/3, Economic and Social Research Institute (ESRI).
    3. Ma, Yuanyuan & Nolan, Anne & Smith, James P., 2020. "Free GP care and psychological health: Quasi-experimental evidence from Ireland," Journal of Health Economics, Elsevier, vol. 72(C).
    4. Keegan, Conor & Brick, Aoife & García-Rodríguez, Abián & Hill, Leonie, 2022. "Projections of workforce requirements for public acute hospitals in Ireland, 2019–2035: a regional analysis based on the hippocrates model," Research Series, Economic and Social Research Institute (ESRI), number RS147, June.
    5. Walsh, Brendan & Mac Domhnaill, Ciarán & Mohan, Gretta, 2021. "Developments in healthcare information systems in Ireland and internationally," Research Series, Economic and Social Research Institute (ESRI), number SUSTAT105, June.
    6. Walsh, Brendan & Keegan, Conor & Brick, Aoife & Connolly, Sheelah & Bergin, Adele & Wren, Maev-Ann & Lyons, Seán & Hill, Leonie & Smith, Samantha, 2021. "Projections of expenditure for primary, community and long-term care Ireland, 2019–2035, based on the Hippocrates model," Research Series, Economic and Social Research Institute (ESRI), number RS126, June.
    7. Keane, Claire & Regan, Mark & Walsh, Brendan, 2021. "Failure to take-up public healthcare entitlements: Evidence from the Medical Card system in Ireland," Social Science & Medicine, Elsevier, vol. 281(C).
    8. Kelleher, Dan & Doherty, Edel & O'Neill, Ciaran, 2022. "Examining the transnational preventive healthcare utilisation of a group of Eastern European migrants living full-time in another European state," Health Policy, Elsevier, vol. 126(4), pages 318-324.
    9. Walsh, Brendan & Nolan, Anne & Brick, Aoife & Keegan, Conor, 2019. "Did the expansion of free GP care impact demand for Emergency Department attendances? A difference-in-differences analysis," Social Science & Medicine, Elsevier, vol. 222(C), pages 101-111.
    10. Ann, Kirby & Murphy, Aileen, 2022. "Would universal general practitioner care impact Irish adolescents’ utilisation?," Health Policy, Elsevier, vol. 126(7), pages 652-660.
    11. Smith, Samantha & Walsh, Brendan & Wren, Maev-Ann & Barron, Steve & Morgenroth, Edgar & Eighan, James & Lyons, Seán, 2019. "Geographic profile of healthcare needs and non-acute healthcare supply in Ireland," Research Series, Economic and Social Research Institute (ESRI), number RS90, June.
    12. Mohan, Gretta & Nolan, Anne & Lyons, Seán, 2019. "An investigation of the effect of accessibility to General Practitioner services on healthcare utilisation among older people," Social Science & Medicine, Elsevier, vol. 220(C), pages 254-263.
    13. Gretta Mohan & Anne Nolan, 2020. "The impact of prescription drug co-payments for publicly insured families," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 261-274, March.
    14. Walsh, Brendan & Wren, Maev-Ann & Smith, Samantha & Lyons, Seán & Eighan, James & Morgenroth, Edgar, 2019. "An analysis of the effects on Irish hospital care of the supply of care inside and outside the hospital," Research Series, Economic and Social Research Institute (ESRI), number RS91, June.

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