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Understanding the impetus for major systems change: A multiple case study of decisions and non-decisions to reconfigure emergency and urgent care services

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  • McHugh, Sheena
  • Droog, E.
  • Foley, Conor
  • Boyce, M.
  • Healy, O.
  • Browne, J.P.

Abstract

The optimal organisation of emergency and urgent care services (EUCS) is a perennial problem internationally. Similar to other countries, the Health Service Executive in Ireland pursued EUCS reconfiguration in response to quality and safety concerns, unsustainable costs and workforce issues. However, the implementation of reconfiguration has been inconsistent at a regional level. Our aim was to identify the factors that led to this inconsistency.

Suggested Citation

  • McHugh, Sheena & Droog, E. & Foley, Conor & Boyce, M. & Healy, O. & Browne, J.P., 2019. "Understanding the impetus for major systems change: A multiple case study of decisions and non-decisions to reconfigure emergency and urgent care services," Health Policy, Elsevier, vol. 123(8), pages 728-736.
    • Handle: RePEc:eee:hepoli:v:123:y:2019:i:8:p:728-736
    DOI: 10.1016/j.healthpol.2019.05.018
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    References listed on IDEAS

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    1. Fulop, Naomi & Walters, Rhiannon & 6, Perri & Spurgeon, Peter, 2012. "Implementing changes to hospital services: Factors influencing the process and ‘results’ of reconfiguration," Health Policy, Elsevier, vol. 104(2), pages 128-135.
    2. Douw, Karla & Nielsen, Camilla Palmhøj & Pedersen, Camilla Riis, 2015. "Centralising acute stroke care and moving care to the community in a Danish health region: Challenges in implementing a stroke care reform," Health Policy, Elsevier, vol. 119(8), pages 1005-1010.
    3. Foley, Conor & Droog, Elsa & Healy, Orla & McHugh, Sheena & Buckley, Claire & Browne, John Patrick, 2017. "Understanding perspectives on major system change: A comparative case study of public engagement and the implementation of urgent and emergency care system reconfiguration," Health Policy, Elsevier, vol. 121(7), pages 800-808.
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    Cited by:

    1. Murphy, Aileen & Bourke, Jane & Turner, Brian, 2020. "A two-tiered public-private health system: Who stays in (private) hospitals in Ireland?," Health Policy, Elsevier, vol. 124(7), pages 765-771.
    2. 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.

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