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Policy of free GP care for children under 6 years: The impact on emergency department attendance

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  • McDonnell, Thérèse
  • Nicholson, Emma
  • Barrett, Michael
  • Bury, Gerard
  • Collins, Claire
  • Cummins, Fergal
  • Deasy, Conor
  • Denny, Kevin
  • De Brún, Aoife
  • Hensey, Conor
  • McAuliffe, Eilish

Abstract

Universal health coverage (UHC) aims to improve child health. Ireland, the only country in the European Union without universal access to primary care, introduced general practitioner (GP) care at no charge for children aged under six in 2015. This paper aims to evaluate the impact of this policy on attendance at the emergency department (ED).

Suggested Citation

  • McDonnell, Thérèse & Nicholson, Emma & Barrett, Michael & Bury, Gerard & Collins, Claire & Cummins, Fergal & Deasy, Conor & Denny, Kevin & De Brún, Aoife & Hensey, Conor & McAuliffe, Eilish, 2021. "Policy of free GP care for children under 6 years: The impact on emergency department attendance," Social Science & Medicine, Elsevier, vol. 279(C).
    • Handle: RePEc:eee:socmed:v:279:y:2021:i:c:s0277953621003208
    DOI: 10.1016/j.socscimed.2021.113988
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    References listed on IDEAS

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    1. Dolton, Peter & Pathania, Vikram, 2016. "Can increased primary care access reduce demand for emergency care? Evidence from England's 7-day GP opening," Journal of Health Economics, Elsevier, vol. 49(C), pages 193-208.
    2. 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.
    3. Walsh, Brendan & Nolan, Anne & Brick, Aoife & Keegan, Conor, 2019. "Did the expansion of free GP care impact demand for Emergency Department attendances?," Papers RB201901, Economic and Social Research Institute (ESRI).
    4. Nolan, Anne & Layte, Richard, 2017. "The impact of transitions in insurance coverage on GP visiting among children in Ireland," Social Science & Medicine, Elsevier, vol. 180(C), pages 94-100.
    5. 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.
    6. Sophie Mitra & Michael Palmer & Shannon Pullaro & Daniel Mont & Nora Groce, 2017. "Health Insurance and Children in Low- and Middle-income Countries: A Review," The Economic Record, The Economic Society of Australia, vol. 93(302), pages 484-500, September.
    7. Currie, Janet & Decker, Sandra & Lin, Wanchuan, 2008. "Has public health insurance for older children reduced disparities in access to care and health outcomes?," Journal of Health Economics, Elsevier, vol. 27(6), pages 1567-1581, December.
    8. Connolly, Sheelah & Wren, Maev-Ann, 2017. "Unmet healthcare needs in Ireland," Papers RB20170301, Economic and Social Research Institute (ESRI).
    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. Hausman, Dan & Le Grand, Julian, 1999. "Incentives and health policy: primary and secondary care in the British National Health Service," Social Science & Medicine, Elsevier, vol. 49(10), pages 1299-1307, November.
    11. Ricardo Mora & Iliana Reggio, 2015. "didq: A command for treatment-effect estimation under alternative assumptions," Stata Journal, StataCorp LP, vol. 15(3), pages 796-808, September.
    12. repec:cte:werepe:we1233 is not listed on IDEAS
    13. Janet Currie, 2020. "Child health as human capital," Health Economics, John Wiley & Sons, Ltd., vol. 29(4), pages 452-463, April.
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    1. McDonnell, Thérèse & Nicholson, Emma & Bury, Gerard & Collins, Claire & Conlon, Ciara & Denny, Kevin & O'Callaghan, Michael & McAuliffe, Eilish, 2022. "Policy of free GP care for children under 6 years: The impact on daytime and out-of-hours general practice," Social Science & Medicine, Elsevier, vol. 296(C).

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