Policy analysis: Palliative care in Ireland
Palliative care for patients with advanced illness is a subject of growing importance in health services, policy and research. In 2001 Ireland became one of the first nations to publish a dedicated national palliative care policy. This paper uses the ‘policy analysis triangle’ as a framework to exam...
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ftrepec:oai:RePEc:eee:hepoli:v:115:y:2014:i:1:p:68-74 2024-04-14T08:11:42+00:00 Policy analysis: Palliative care in Ireland May, Peter Hynes, Geralyn McCallion, Philip Payne, Sheila Larkin, Philip McCarron, Mary http://www.sciencedirect.com/science/article/pii/S0168851013002054 unknown http://www.sciencedirect.com/science/article/pii/S0168851013002054 article ftrepec 2024-03-19T10:29:13Z Palliative care for patients with advanced illness is a subject of growing importance in health services, policy and research. In 2001 Ireland became one of the first nations to publish a dedicated national palliative care policy. This paper uses the ‘policy analysis triangle’ as a framework to examine what the policy entailed, where the key ideas originated, why the policy process was activated, who were the key actors, and what were the main consequences. Although palliative care provision expanded following publication, priorities that were unaddressed or not fully embraced on the national policy agenda are identified. The factors underlying areas of non-fulfilment of policy are then discussed. In particular, the analysis highlights that policy initiatives in a relatively new field of healthcare face a trade-off between ambition and feasibility. Key policy goals could not be realised given the large resource commitments required; the competition for resources from other, better-established healthcare sectors; and challenges in expanding workforce and capacity. Additionally, the inherently cross-sectoral nature of palliative care complicated the co-ordination of support for the policy. Policy initiatives in emerging fields such as palliative care should address carefully feasibility and support in their conception and implementation. Palliative care; Terminal care; Hospices; Policy making; Health policy; Ireland; Article in Journal/Newspaper First Nations RePEc (Research Papers in Economics) |
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Palliative care for patients with advanced illness is a subject of growing importance in health services, policy and research. In 2001 Ireland became one of the first nations to publish a dedicated national palliative care policy. This paper uses the ‘policy analysis triangle’ as a framework to examine what the policy entailed, where the key ideas originated, why the policy process was activated, who were the key actors, and what were the main consequences. Although palliative care provision expanded following publication, priorities that were unaddressed or not fully embraced on the national policy agenda are identified. The factors underlying areas of non-fulfilment of policy are then discussed. In particular, the analysis highlights that policy initiatives in a relatively new field of healthcare face a trade-off between ambition and feasibility. Key policy goals could not be realised given the large resource commitments required; the competition for resources from other, better-established healthcare sectors; and challenges in expanding workforce and capacity. Additionally, the inherently cross-sectoral nature of palliative care complicated the co-ordination of support for the policy. Policy initiatives in emerging fields such as palliative care should address carefully feasibility and support in their conception and implementation. Palliative care; Terminal care; Hospices; Policy making; Health policy; Ireland; |
format |
Article in Journal/Newspaper |
author |
May, Peter Hynes, Geralyn McCallion, Philip Payne, Sheila Larkin, Philip McCarron, Mary |
spellingShingle |
May, Peter Hynes, Geralyn McCallion, Philip Payne, Sheila Larkin, Philip McCarron, Mary Policy analysis: Palliative care in Ireland |
author_facet |
May, Peter Hynes, Geralyn McCallion, Philip Payne, Sheila Larkin, Philip McCarron, Mary |
author_sort |
May, Peter |
title |
Policy analysis: Palliative care in Ireland |
title_short |
Policy analysis: Palliative care in Ireland |
title_full |
Policy analysis: Palliative care in Ireland |
title_fullStr |
Policy analysis: Palliative care in Ireland |
title_full_unstemmed |
Policy analysis: Palliative care in Ireland |
title_sort |
policy analysis: palliative care in ireland |
url |
http://www.sciencedirect.com/science/article/pii/S0168851013002054 |
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First Nations |
genre_facet |
First Nations |
op_relation |
http://www.sciencedirect.com/science/article/pii/S0168851013002054 |
_version_ |
1796309426027626496 |