public health in ireland implications of health sector reform l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Public Health in Ireland: Implications of Health Sector Reform PowerPoint Presentation
Download Presentation
Public Health in Ireland: Implications of Health Sector Reform

Loading in 2 Seconds...

play fullscreen
1 / 17

Public Health in Ireland: Implications of Health Sector Reform - PowerPoint PPT Presentation


  • 104 Views
  • Uploaded on

Public Health in Ireland: Implications of Health Sector Reform. Ruth Barrington. Public Health. A perspective and a methodology To protect health To ensure equity of access and quality of care To achieve health potential. What problem is reform addressing?. Poor outcomes?

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Public Health in Ireland: Implications of Health Sector Reform' - payton


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
public health
Public Health
  • A perspective and a methodology
  • To protect health
  • To ensure equity of access and quality of care
  • To achieve health potential
what problem is reform addressing
What problem is reform addressing?
  • Poor outcomes?
  • Lack of capacity?
  • A black hole?
what problem is reform addressing6
What Problem is Reform Addressing?
  • Waste and inefficiency?
  • Failure of structures?
change in prospectus s mandate
Change in Prospectus’s Mandate
  • ‘as the project developed it became apparent ….that there was a need for a sense of direction around a new health system architecture in order to provide a framework for the future …This involved more fundamental consideration of the wider health system and the development of a shape for whole system reform.’ pg 28
what problem is reform addressing8
What Problem is Reform Addressing?
  • Take politics out of health?
what problem is reform addressing9
What Problem is Reform Addressing?
  • Introduce discipline of the market?
  • How significant is the next photo?
    • Taoiseach laying the foundation stone in March for new private hospital in Galway made possible by tax incentives?
what is reform attempting to do
What is Reform Attempting to do?
  • Reduce fragmentation and duplication
  • Improve policy development and oversight
  • Manage health services as ‘a single national entity’
  • Improve information and quality
  • Modernise support services
assumptions of reform programme
Assumptions of Reform programme
  • Structures have failed. Number of agencies is the problem
  • Main challenges are hospital care and value for money
  • Improved care, not health, is the goal
  • Services can be managed as ‘a single national entity’
  • Health stands alone
  • The Oireachtas can provide the political accountability that is required
how did public health fare
How did Public Health Fare?
  • Poor outcomes and fair access not drivers of reform
  • Public health not mentioned
  • Focus on care and value for money
  • Highly centralised approach
  • Health as stand alone system
  • Number of agencies with publi health mandate to be amalgamated.
where is implementation at
Where is Implementation at?
  • Interim HSE established
  • Three criteria to be achieved
    • Better outcomes for patients/staff
    • Better outcomes for staff
    • Value for money
  • National Steering Committee
an alternative reform agenda
An Alternative Reform Agenda?
  • Vision of a healtier Ireland
  • Health policy informed by public health perspective
  • Benchmark against best international practice
  • Agree on core public health issue – poor health of those on low incomes
an alternative reform agenda16
An Alternative Reform Agenda?
  • Monitor extent to which access to care is equitable and of high quality
  • Defend the public health system
  • Demedicalise public health
  • Build a coalition for public health
reconciling the reform and public health agenda
Reconciling the Reform and Public Health Agenda ?
  • Articulate public health perspective urgently
  • Esure HSE has a statutory mandate to promote and protect health, improve health and ensure equity of access
  • Anticipate strong opposition
  • Have hope – we live in a democracy!