Policy analysis: palliative care in Ireland.

Détails

ID Serval
serval:BIB_BBEAB3D34EEE
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Policy analysis: palliative care in Ireland.
Périodique
Health policy
Auteur⸱e⸱s
May P., Hynes G., McCallion P., Payne S., Larkin P., McCarron M.
ISSN
1872-6054 (Electronic)
ISSN-L
0168-8510
Statut éditorial
Publié
Date de publication
03/2014
Peer-reviewed
Oui
Volume
115
Numéro
1
Pages
68-74
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
13/02/2019 15:34
Dernière modification de la notice
20/08/2019 16:29
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