Bibliografie tematiche / Medical policy – Ireland

Letteratura scientifica selezionata sul tema "Medical policy – Ireland"

Autore: Grafiati

Pubblicato: 26 luglio 2024

Ultima modifica: 26 luglio 2024

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Articoli di riviste sul tema "Medical policy – Ireland"

McKernan, David, e Olivia McDermott. "The Evolution of Ireland’s Medical Device Cluster and Its Future Direction". Sustainability 14, n. 16 (16 agosto 2022): 10166. http://dx.doi.org/10.3390/su141610166.

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Ireland has developed a highly successful medical device cluster. Most of the industry started from USA multinationals that moved to Ireland in the 1990s. An ecosystem has now developed with strong linkages between universities, start-ups, multinationals, venture capital, suppliers, and supporting industries. This paper explores the Medical Device cluster in Ireland. It characterizes the industry through the companies, innovation, products, markets, and regulatory framework. It concludes that the Irish MedTech industry is successful but has been highly dependent on USA multinationals that established themselves here in the 1990s. Based on this, we summarize the opportunities and threats the industry now faces. This is one of the first studies that categorized the MedTech industry in Ireland. This study will provide valuable insights to aid government policy to sustain the medical device cluster in Ireland as well as provide insights into other countries.

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Davidson, Hope. "The Vexed Question of the Voluntary Patient". European Journal of Health Law 26, n. 3 (19 giugno 2019): 205–20. http://dx.doi.org/10.1163/15718093-12261426.

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Abstract The current statutory framework in Ireland provides certain key safeguards for people who are admitted involuntarily for mental health treatment and care; the same legislation makes scant reference to the person who seeks treatment and care on a voluntary basis. This has led to concerns in relation to deprivation of liberty and to non-consensual medical treatment for these patients. This article seeks to examine the development of the law in relation to voluntary patients in Ireland and to assess in light of recent developments where Ireland now stands in terms of protecting the right of the voluntary patient to liberty.

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Whelan, Darius. "Application of the Paternalism Principle to Constitutional Rights: Mental Health Case-Law in Ireland". European Journal of Health Law 28, n. 3 (11 giugno 2021): 223–43. http://dx.doi.org/10.1163/15718093-bja10047.

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Abstract In adjudicating on matters relating to fundamental constitutional or human rights, courts make important statements about the principles which apply. The principles articulated will have a profound impact on the outcomes of such cases, and on the development of case-law in the relevant field. In the fields of medical law and mental health law, various courts have moved away from deference to medical decision-making and paternalism to a person-centred rights-based approach. However, courts in Ireland have continued to interpret mental health law in a paternalistic fashion, praising paternalism as if it is particularly suitable for mental health law. This raises profound questions about judicial attitudes to people with mental health conditions and judicial reluctance to confer full personhood on people with disabilities. This article outlines case-law in Ireland regarding paternalism in mental health law and discusses the consequences for constitutional rights in Ireland.

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Sheikh, Asim. "Ireland and Medical Research with Minors: Some Medico-Legal Aspects". European Journal of Health Law 15, n. 2 (2008): 169–81. http://dx.doi.org/10.1163/157180908x322978.

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AbstractThe practice of medical research with minors in Ireland consist of practices pertaining to therapeutic and non-therapeutic medical research. Clinical trials (a category of therapeutic research), is governed by legislation. However, any other therapeutic research (non-clinical trials research) and non-therapeutic research, e.g. observational medical research such as a longitudinal study of children or non-therapeutic research such as blood sample collection for analysis of cause of disease, are unregulated by legislation. This, article will outline and describe some of the medico-legal issues involved in both types of research and will comment on matters such as what national law exists, how the directive on good clinical practice has been implemented, what guidelines, if any, exist.

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Mishtal, Joanna, Karli Reeves, Dyuti Chakravarty, Lorraine Grimes, Bianca Stifani, Wendy Chavkin, Deirdre Duffy et al. "Abortion policy implementation in Ireland: Lessons from the community model of care". PLOS ONE 17, n. 5 (9 maggio 2022): e0264494. http://dx.doi.org/10.1371/journal.pone.0264494.

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Background In 2018, the right to lawful abortion in the Republic of Ireland significantly expanded, and service provision commenced on 1 January, 2019. Community provision of early medical abortion to 9 weeks plus 6 days gestation delivered by General Practitioners constitutes the backbone of the Irish abortion policy implementation. We conducted a study in 2020–2021 to examine the barriers and facilitators of the Irish abortion policy implementation. Methods We collected data using qualitative in-depth interviews (IDIs) which were conducted in-person or remotely. We coded and analysed interview transcripts following the grounded theory approach. Results We collected 108 IDIs in Ireland from May 2020 to March 2021. This article draws on 79 IDIs with three participant samples directly relevant to the community model of care: (a) 27 key informants involved in the abortion policy development and implementation representing government healthcare administration, medical professionals, and advocacy organisations, (b) 22 healthcare providers involved in abortion provision in community settings, and (c) 30 service users who sought abortion services in 2020. Facilitators of community-based abortion provision have been: a collaborative approach between the Irish government and the medical community to develop the model of care, and strong support systems for providers. The MyOptions helpline for service users is a successful national referral model. The main barriers to provision are the mandatory 3-day wait, unclear or slow referral pathways from primary to hospital care, barriers for migrants, and a shortage and incomplete geographic distribution of providers, especially in rural areas. Conclusions We conclude that access to abortion care in Ireland has been greatly expanded since the policy implementation in 2019. The community delivery of care and the national helpline constitute key features of the Irish abortion policy implementation that could be duplicated in other contexts and countries. Several challenges to full abortion policy implementation remain.

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Balyk, Olexandr, James Glynn, Vahid Aryanpur, Ankita Gaur, Jason McGuire, Andrew Smith, Xiufeng Yue e Hannah Daly. "TIM: modelling pathways to meet Ireland's long-term energy system challenges with the TIMES-Ireland Model (v1.0)". Geoscientific Model Development 15, n. 12 (29 giugno 2022): 4991–5019. http://dx.doi.org/10.5194/gmd-15-4991-2022.

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Abstract. Ireland has significantly increased its climate mitigation ambition, with a recent government commitment to reduce greenhouse gases by an average of 7 % yr−1 in the period to 2030 and a net-zero target for 2050, underpinned by a series of 5-year carbon budgets. Energy systems optimisation modelling (ESOM) is a widely used tool to inform pathways to address long-term energy challenges. This article describes a new ESOM developed to inform Ireland's energy system decarbonisation challenge. The TIMES-Ireland Model (TIM) is an optimisation model of the Irish energy system, which calculates the cost-optimal fuel and technology mix to meet future energy service demands in the transport, buildings, industry, and agriculture sectors, while respecting constraints in greenhouse gas emissions, primary energy resources, and feasible deployment rates. TIM is developed to take into account Ireland's unique energy system context, including a very high potential for offshore wind energy and the challenge of integrating this on a relatively isolated grid, a very ambitious decarbonisation target in the period to 2030, the policy need to inform 5-year carbon budgets to meet policy targets, and the challenge of decarbonising heat in the context of low building stock thermal efficiency and high reliance on fossil fuels. To that end, model features of note include future-proofing with flexible temporal and spatial definitions, with a possible hourly time resolution, unit commitment and capacity expansion features in the power sector, residential and passenger transport underpinned by detailed bottom-up sectoral models, cross-model harmonisation, and soft-linking with demand and macro models. The paper also outlines a priority list of future model developments to better meet the challenge of deeply decarbonising energy supply and demand, taking into account the equity, cost-effectiveness, and technical feasibility. To support transparency and openness in decision-making, TIM is available to download under a Creative Commons licence.

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Ahern, Frank, e Nessa O'Doherty. "HEALTH TECHNOLOGY ASSESSMENT IN IRELAND". International Journal of Technology Assessment in Health Care 16, n. 2 (aprile 2000): 449–58. http://dx.doi.org/10.1017/s0266462300101096.

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Ireland's health system is primarily funded from general taxation and is publicly provided, although private health care retains a considerable role. It is a unique structure, a mixture of universal health service free at the point of consumption and a fee-based private system where individuals subscribe to private health insurance that covers some of their medical expenses. The recent history of the Irish health services saw consolidation of existing services and an expansion into new areas to adapt to changing practices and needs. There has also been a drive to extract maximum efficiency so as to maintain the volume and quality of patient services at a time of very tight financial constraints. Introduction of new health technologies continued to accelerate. New technologies tended to spread rapidly before systematic appraisal of their costs and benefits. When the state is involved in funding the public hospital system, acceptance of new technology is a matter for discussion between agencies and the Department of Health and Children. Decisions about spending annual “development funding” have generally not been based on careful assessment of proposals for new technology. In 1995, a healthcare reform put new Public Health Departments in Health Boards in a prime position in Ireland's health services organization. These departments now emphasize evidence-based medicine. While Ireland does not have a national health technology assessment (HTA) program, there are plans to form an advisory group on HTA in 1998. HTA is seen as a significant element of future health policy in Ireland.

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Dooley, Dolores. "Medical Ethics in Ireland: A Decade of Change". Hastings Center Report 21, n. 1 (gennaio 1991): 18. http://dx.doi.org/10.2307/3563341.

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Brown, J., A. Hogg, C. Scullin, G. Fleming e M. Scott. "7-Steps medication reviews: analysis of medicine changes in acute medical wards". International Journal of Pharmacy Practice 30, Supplement_2 (30 novembre 2022): ii7—ii8. http://dx.doi.org/10.1093/ijpp/riac089.007.

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Abstract Introduction In Northern Ireland, medication errors cause 20 patient deaths, lead to around 800 non-elective hospital admissions and cost £1.9 million annually.1 The iSIMPATHY (implementing Stimulating Innovation in the Management of Polypharmacy and Adherence Through the Years) project is an EU-funded partnership between Scotland, Ireland and Northern Ireland delivering medication reviews using the 7-Steps medication review tool and asking ‘what matters to you?’ 2 The iSIMPATHY 7-Steps review is a new research study in Northern Ireland. Aim To identify medicine changes made by an independent prescribing pharmacist during 7-Steps medication reviews. Method Medication reviews were delivered on acute medical wards in the Northern Health and Social Care Trust. No patients were excluded from reviews, however reviews were targeted at patients aged 50 years and older and resident in a care home, approaching the end of their lives, prescribed 10 or more medicines or on high-risk medication. Data on medication changes made during 192 medication reviews was collected and analysed to identify the numbers and types of medicines stopped, started and doses altered. Ethical approval was not required, an approved Data Protection Impact Assessment was in place. Results Mean number of medicines per patient pre- and post-review were 12.2 and 12.3 respectively. Medicines were stopped in 49% of patients, dose decreased in 36%, changed to a more appropriate medicine in 15%, dose increased in 15% and new medicines started in 55%. Medicines stopped included opioids and gabapentenoids (18%), nutritional and electrolyte supplements (15%), items for comfort (9%), antidepressants (including amitriptyline for pain) (10%), antihypertensives and diuretics (8%), bladder anticholinergics and mirabegron (5%), laxatives (4%), betahistine (3%), quinine (2%). Dose decreases were made for analgesics including opioids (28%), PPI/H2RA (23%), anticoagulants (13%), statins and fibrates (6%), antihypertensives (6%), benzodiazepines and z-drugs (5%), antidiabetics (3%). Dose increases were made for anticoagulants and items for comfort (both 26%), laxatives (24%), pancreatin (15%), nutritional and electrolyte supplements (9%). Medicines started included nutritional and electrolyte supplements (45%), medicines for comfort (19%), laxatives (15%), nicotine replacement (7%), PPI/H2RA (2%), bisphosphonates (2%). Discussion/Conclusion The 7-STEPS medicine reviews led to important medicine changes while the number of medicines following review remained the same. The person-centred, holistic approach facilitated identification and actioning of the medicine changes that mattered to individual patients. Stopped and decreased dose medicines included high risk medicines, those likely to cause adverse effects or high anticholinergic burden and medicines no longer needed or effective for the individual. Medicine doses were increased for high risk medicines, to ensure sufficient nutritional, electrolyte and enzyme replacement and items for comfort for example constipation. Importantly, unmet therapeutic needs were identified and new medicines were prescribed to address these needs, for example, acid suppressants, bisphosphonates, anticoagulants, statins, antidiabetics, nicotine replacement therapy and for patient’s comfort including pain relief. Limitations include results may not be reflective of all hospital patients as set in an acute setting and through the iSIMPATHY project. References 1. Transforming medication safety in Northern Ireland, Department of Health 2022. Available from: https://www.health-ni.gov.uk/sites/default/files/publications/health/Transforming-medication-safety-in-Northern-Ireland_1.pdf 2. iSimpathy. Making Medication Personal. 2022. Available from: https://www.isimpathy.eu/

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Tumelty, Mary-Elizabeth. "Medical Negligence Litigation and Apologies: An Empirical Examination". European Journal of Health Law 27, n. 4 (1 luglio 2020): 386–403. http://dx.doi.org/10.1163/15718093-bja10021.

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Abstract Research has evidenced the various aims of patient-plaintiffs and/or their families in medical negligence litigation, with emphasis frequently placed on the importance of an apology. Drawing on the findings of an empirical study conducted in Ireland, this article contributes to the discourse on apologies in medical negligence disputes. In particular, with reference to the findings of the research and the literature, it discusses components of apologies deemed to be important by patient-plaintiffs and/or their families. The article concludes by arguing that legislative protection for apologies in isolation will not necessarily increase the use or effectiveness of apologies in medical negligence disputes, and a combination of measures is required.

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Più fonti

Libri sul tema "Medical policy – Ireland"

McKevitt, David. Health care policy in Ireland: A study in control. [Ireland]: Hibernian University Press, 1990.

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Desmond, McCluskey, a cura di. Health policy and practice in Ireland. Dublin, Ireland: University College Dublin Press, 2006.

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Barrington, Ruth. Health, medicine & politics in Ireland, 1900-1970. Dublin, Ireland: Institute of Public Administration, 1987.

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Durkan, Joe. Health care expenditure in Ireland: A comparative analysis and policy issues. Dublin: University College Dublin, Centre for Health Economics, 1994.

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Social care in Ireland: Theory, policy and practice. Cork: CIT Press, 2006.

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Burke, Sara. Irish apartheid: Healthcare inequality in Ireland. Dublin: New Island, 2009.

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Burke, Sara. Irish apartheid: Healthcare inequality in Ireland. Dublin: New Island, 2009.

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Burke, Sara. Irish apartheid: Healthcare inequality in Ireland. Dublin: New Island, 2009.

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Nolan, Anne. Medicine costs in the context of overall health care costs in Ireland. Dublin: University College Dublin, 1993.

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Mauger, Alice, e Anne Mac Lellan. Growing pains: Childhood Illness in Ireland 1750-1950. Dublin: Irish Academic Press, 2013.

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Capitoli di libri sul tema "Medical policy – Ireland"

Dolan, Catherine, e Brian Lawlor. "Ireland". In Dementia Care: International Perspectives, 181–88. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0024.

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This chapter examines the prevalence and pathways to the diagnosis of dementia, as well as dementia care infrastructure, in the Republic of Ireland. The economic burden of dementia in Ireland is explored, including both formal and informal costs. Dementia care in the community, residential, and acute hospital settings is described. Associated policy, legislation, standards, and guidelines relevant to dementia care in Ireland are addressed. Current funding structures are examined. The contributions of dementia-specific educational efforts and relevant research in Ireland are highlighted. Challenges encountered in moving from a more traditional medical model of dementia care to a psycho-social, person-centred care model in Ireland, including inequitable funding allocation, are outlined.

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Share, Michelle, e Perry Share. "Doing the ‘right thing’? Children, families and fatness in Ireland". In Reframing Health and Health Policy in Ireland. Manchester University Press, 2017. http://dx.doi.org/10.7228/manchester/9780719095870.003.0003.

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Set up against the background of increasing concerns in the Irish media and government discourses around a childhood obesity epidemic since the 2000s, this chapter critically unpicks the ways in which particular truths are created about childhood obesity by a complex range of institutional actors, and become the basis for interventions and actions targeted at particular groups. Specifically, it explores how data from the National Longitudinal Study of Children, Growing up in Ireland (GUI) has been used to construct a particular reality of the ‘problem’ of childhood obesity, grounded in an uncritical acceptance of medical norms and instruments (such as the Body Mass Index). This chapter points to the sheer complexity of both the institutional actors (medical and social scientists, policy makers, and the media), and types of knowledges, invoked in the problematisation of obesity, whilst also highlighting the limits of interventions that place responsibility for tackling the ‘risk’ of obesity at the feet of children, parents (and most specifically, mothers), and schools through individualised interventions to act on the behaviours and bodies of children.

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Dukelow, Fiona. "32 and 37 inches – the healthy body and the politics of waist circumference: a governmental analysis of the Stop the Spread campaign". In Reframing Health and Health Policy in Ireland. Manchester University Press, 2017. http://dx.doi.org/10.7228/manchester/9780719095870.003.0004.

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This chapter focuses on a the 2011 health promotion campaign Stop the Spread, part of which involved the distribution of measuring tapes to the population via pharmacies to encourage people to measure their waists. Drawing on an analysis of campaign materials, the chapter explores the significance of Stop the Spread as a governmental technology and form of biopower in which medical discourse was utilised in an effort to not only re-programme ideas of what a normal healthy body should measure and look like, but also to more directly attempt to change behaviour by gifting people the technology to measure themselves, and to ultimately inscribe those numbers on their bodies. This chapter provides insights into how neoliberal governmentality is evolving in relation to public health policy, not least in the context of soft paternalism which is more directive in its use of techniques and strategies to steer norms and behaviour, whilst remaining highly individualised in terms of its understanding of health and its determinants.

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Parsons, Jordan A., e Elizabeth Chloe Romanis. "Piecemeal progression and home use of misoprostol in the United Kingdom". In Early Medical Abortion, Equality of Access, and the Telemedical Imperative, 57–74. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780192896155.003.0004.

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In this chapter, we detail the chain reaction of approving home use of misoprostol for the purposes of early medical abortion that took place throughout the UK over a four-year period, beginning in 2017. Home use of misoprostol can, in many ways, be considered a stepping-stone to the approval of home use of mifepristone. This has been the case in Great Britain. Observing the steps that led to the introduction of home use of misoprostol, we highlight three important procedural aspects of abortion policy in Great Britain (and, to a lesser extent, Northern Ireland): (i) that this policy development can be considered, at best, evidence informed rather than evidence based, (ii) that a highly political use of the precautionary principle is employed, and (iii) that the individual nations of Great Britain have a tendency to stay within arm’s reach of each other on abortion policy.

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Parsons, Jordan A., e Elizabeth Chloe Romanis. "The legal and policy response to abortion care in the United Kingdom during COVID-19". In Early Medical Abortion, Equality of Access, and the Telemedical Imperative, 127–46. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780192896155.003.0008.

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In this chapter, we consider the changes to abortion law introduced in Great Britain in March 2020 in response to access concerns related to the COVID-19 pandemic. These changes allowed, for the first time in Great Britain, home use of mifepristone. This meant people could access abortion entirely remotely, and thus safely, from their homes. Before these changes, remote abortion care was unlawful because it was not lawful for persons to receive abortion medications without attending a clinic nor for them to administer mifepristone at home. This chapter outlines how these changes came to fruition, the substantive detail of the changes, and what they mean for abortion care in Great Britain. We also consider why these changes have not been made, and the impact of this, in Northern Ireland. We argue that these changes to the law should be made permanent in order to address socio-legal barriers to care.

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Farrell, A. M., e E. S. Dove. "3. The Governance of the Health System". In Mason and McCall Smith's Law and Medical Ethics, 60–103. Oxford University Press, 2023. http://dx.doi.org/10.1093/he/9780192866226.003.0003.

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This chapter examines the governance of the health system in the UK. In the UK, there are four health services which are often referred to collectively as the National Health Service (NHS). A general overview of the UK health system is provided, which includes examining how health policy is made and how health decision-makers are held to account, what public bodies are involved in the health system, and how the health system is financed. Consideration is given to the impact of current political devolution arrangements in the UK, which has resulted in health care and public health becoming the responsibility of the devolved administrations of Northern Ireland, Scotland, and Wales. Thereafter, each of the UK’s four health services are examined in more detail, focusing on their organisational structure, specific health initiatives, and their approach to patient safety and quality improvement.

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"Regional innovation systems and public policy: Ireland’s medical technology cluster". In Public Policy for Regional Development, 79–101. Routledge, 2008. http://dx.doi.org/10.4324/9780203927809-11.

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Watt, J. A. "Gaelic polity and cultural identity". In A New History of IrelandVolume II, Medieval Ireland 1169–1534, 314–51. Oxford University Press, 2008. http://dx.doi.org/10.1093/acprof:oso/9780199539703.003.0013.

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Quinn, D. B. "The reemergence of English policy as a major factor in Irish affairs, 1520–34". In A New History of IrelandVolume II, Medieval Ireland 1169–1534, 662–87. Oxford University Press, 2008. http://dx.doi.org/10.1093/acprof:oso/9780199539703.003.0025.

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O’Halpin, Eunan, e Daithí Ó Corráin. "1917". In The Dead of the Irish Revolution, 102–3. Yale University Press, 2020. http://dx.doi.org/10.12987/yale/9780300123821.003.0003.

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This chapter focuses on the deaths of the people who died in Ireland in 1917. Some of these deaths were those of the released 1916 Rising prisoners, including packaging porter Christopher Brady, who was released due to ill-health and died at home from pneumonia. Other 1916 Rising prisoners, like carpenter Bernard Ward, died from prison-related illness. Trade unionist engineer William Partridge, who died two months after release from Lewes on medical grounds and whose 'death was due to prison treatment', became a union official after losing his railway job for protesting at the preferential promotion of Protestants. Meanwhile, schoolteacher Thomas Ashe was jailed in Mountjoy for a seditious speech, during which he and others went on hunger strike for political status. Ashe died due to 'heart failure and congestion of the lungs caused by being left to lie on the cold floor for fifty hours and then subjected to forcible feeding in his weak condition after hunger strike'. Police reported that Ashe's death 'evoked demonstrations of sympathy on the part of Nationalists' across Ireland and gave a fresh impetus to the Sinn Féin movement.

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