Policy analysis: palliative care in Ireland.

Details

Serval ID
serval:BIB_BBEAB3D34EEE
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Policy analysis: palliative care in Ireland.
Journal
Health policy
Author(s)
May P., Hynes G., McCallion P., Payne S., Larkin P., McCarron M.
ISSN
1872-6054 (Electronic)
ISSN-L
0168-8510
Publication state
Published
Issued date
03/2014
Peer-reviewed
Oui
Volume
115
Number
1
Pages
68-74
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Palliative care for patients with advanced illness is a subject of growing importance in health services, policy and research. In 2001 Ireland became one of the first nations to publish a dedicated national palliative care policy. This paper uses the 'policy analysis triangle' as a framework to examine what the policy entailed, where the key ideas originated, why the policy process was activated, who were the key actors, and what were the main consequences. Although palliative care provision expanded following publication, priorities that were unaddressed or not fully embraced on the national policy agenda are identified. The factors underlying areas of non-fulfilment of policy are then discussed. In particular, the analysis highlights that policy initiatives in a relatively new field of healthcare face a trade-off between ambition and feasibility. Key policy goals could not be realised given the large resource commitments required; the competition for resources from other, better-established healthcare sectors; and challenges in expanding workforce and capacity. Additionally, the inherently cross-sectoral nature of palliative care complicated the co-ordination of support for the policy. Policy initiatives in emerging fields such as palliative care should address carefully feasibility and support in their conception and implementation.
Keywords
Health Policy/legislation & jurisprudence, Humans, Ireland/epidemiology, Palliative Care/legislation & jurisprudence, Palliative Care/organization & administration, Policy Making, Health policy, Hospices, Ireland, Palliative care, Policy making, Terminal care
Pubmed
Web of science
Create date
13/02/2019 14:34
Last modification date
20/08/2019 15:29
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