A5045322825- Emergency and Acute Care Studies
- Palliative Care and End-of-Life Issues
- Healthcare Systems and Practices
- Geriatric Care and Nursing Homes
- Interprofessional Education and Collaboration
- Healthcare Systems and Challenges
- Healthcare Quality and Management
- Healthcare innovation and challenges
- Grief, Bereavement, and Mental Health
- Global Health Workforce Issues
- Clinical practice guidelines implementation
- Trauma and Emergency Care Studies
- Health Systems, Economic Evaluations, Quality of Life
- Frailty in Older Adults
- Nursing Roles and Practices
- Cancer survivorship and care
- Chronic Disease Management Strategies
- Health Services Management and Policy
- Healthcare Policy and Management
- Disaster Management and Resilience
- Healthcare Systems and Reforms
- Patient Satisfaction in Healthcare
- Cardiac Arrest and Resuscitation
Health Service Executive
2019-2024
University College Cork
2015-2019
Trinity College Dublin
2017
Congruence between the preferred and actual place of death is recognised as an important quality indicator in end-of-life care. However, there may be complexities about preferences that are ignored summary congruence measures. This article examined factors associated with death, for a sample patients who had received specialist palliative care last three months life Ireland.
Economic evaluation of palliative care has been slow to develop and the evidence base remains small.This article estimates formal informal costs in last year life for a sample patients who received specialist three different areas Ireland.Formal are calculated community, care, acute hospital other services. Where possible, bottom-up approach is used, multiplying service utilisation by unit cost. Informal valued at replacement cost care.Data on were collected during 215 'after death'...
Major changes have been made to how emergency care services are configured in several regions the Republic of Ireland. This study investigated hypothesis that engagement activities undertaken prior these influenced stakeholder perspectives on proposed and impacted success implementation. A comparative case-study approach was used explore three regions. These were chosen for case as nature proposals reconfigure provision broadly similar but implementation outcomes varied considerably....
Research evidence suggests that a multidisciplinary team approach improves the outcomes of patients with breast cancer. However, limited attention has examined extent to which clinical nurse specialist's (CNS's) role can impact Irish patients' care, particularly given novelty this in Ireland.The objective study was examine informational CNSs supporting during their cancer journey and its on care.Three teams were investigated. A Picker questionnaire administered more than 100 per who had...
Summary Background There is an increasing tendency to reconfigure acute hospital care towards a more centralised and specialised model, particularly for complex conditions. Although centralisation presented as “evidence‐based”, the relevant studies are often challenged by groups which hold perspectives values beyond those implicit in literature. This study investigated stakeholder on rationale reconfiguration of urgent emergency Ireland. Specifically, it considered hypothesis that...
Objectives To compare user experiences of 8 regional urgent and emergency care systems in the Republic Ireland, explore potential avenues for improvement. Design A cross-sectional survey. Setting Several distinct models operate as system reconfiguration has been implemented some regions but not others. The Urgent Care System Questionnaire was used to service users' with care. Linear regression logistic were detect variation each 3 domains overall ratings Participants nationally...
Abstract Background A key challenge for most systems is how to provide effective access urgent and emergency care across rural urban populations. Tensions about the placement scope of hospital services are longstanding in Irish political life there has been recent reform centralise some regions. The focus this paper a system approach examine geographic variation resourcing utilisation such GP practices, out-of-hours care, ambulance services, Emergency Departments Local Injury Units Ireland....
<h3>Background</h3> The Health Service Executive (HSE) has embarked on a series of regional system re-designs to radically change the organisation urgent and emergency care delivery in Ireland, at time when budgets staff levels have been substantially reduced there is growing awareness problems with quality safety. general purpose this initiative "develop integrated services across all stages journey" goal increasing efficiency improving performance. Major changes initiated so far include...
<h3>Background</h3> The Health Service Executive (HSE) has embarked on a series of regional system re-designs to radically change the organisation urgent and emergency care services in Ireland, at time when budgets staff levels have been substantially reduced there is growing awareness problems with quality safety. first priority this initiative "develop integrated across all stages journey" goal increasing efficiency improving performance. Major changes initiated so far include...
<h3>Background</h3> An increasing and often inappropriately large proportion of the resources attention healthcare system is being diverted into Emergency Urgent Care System (EUCS). This aim this study was to describe evolution health policy relevant EUCS in Ireland, using Health Policy Triangle, examine coherence between different documents assess implementation these policies. <h3>Methods</h3> A retrospective documentary analysis published national regional related conducted. Current...
<h3>Background</h3> A series of urgent and emergency care system reconfiguration programmes have recently been implemented in several regions across Ireland. Changes included the transfer from small, rural hospitals to larger, typically urban-based hospitals. Programme planning documents state that changes are designed improve patient safety efficiency, while preserving access services. This view has openly contested by members public, politicians some clinicians, with organised opposition...
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)
<h3>Background</h3> 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 response quality safety concerns, unsustainable costs workforce issues. However, implementation has been inconsistent at regional level. Our aim was identify factors that led this inconsistency. <h3>Methods</h3> Using multiple case study design, regions were selected...