Ireland Case Study

Áine Carroll () and P. J. Harnett
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Áine Carroll: University College Dublin
P. J. Harnett: Health Service Executive

Chapter Chapter 71 in Handbook Integrated Care, 2021, pp 1185-1202 from Springer

Abstract: Abstract As with many other health and care systems, healthcare in Ireland is a complex adaptive system and mechanistic linear reductionist thinking is insufficient for systemic change. Creating the conditions for change, an adaptive space and some simple rules or enabling constraints has been successful in our experience. At the end of the day, all Integration is local and attending to relationships and history is important to be successful. You ignore history at your peril. Creating rich connections especially locally is vital for success. Improvement is iterative, dynamic, and organic. It takes time to build trust and confidence and patience by policy makers and funders is required. The relentless restructuring within the Irish healthcare system has made implementation challenging but the Sláintecare policy is perhaps an opportunity for full implementation.

Date: 2021
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DOI: 10.1007/978-3-030-69262-9_71

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