The drivers and impact of emergency care reconfiguration in Ireland: Results from a large mixed-methods research programme

dc.check.date2021-02-14
dc.check.infoAccess to this article is restricted until 12 months after publication by request of the publisher.en
dc.contributor.authorBrowne, John P.
dc.date.accessioned2020-02-24T11:46:00Z
dc.date.available2020-02-24T11:46:00Z
dc.date.issued2020-02-14
dc.date.updated2020-02-19T12:35:24Z
dc.description.abstractIreland, like many countries, has reconfigured emergency care in recent years towards a more centralised model. Although centralisation is presented as ‘evidence-based’, the relevance of this evidence is challenged by groups which hold values beyond those implicit in the literature. The Study of the Impact of Reconfiguration on Emergency and Urgent Care Networks (SIREN) programme was funded to evaluate the development and performance of emergency and urgent care systems in Ireland. SIREN found that the drivers of reconfiguration in Ireland are based on safety and efficiency claims which are highly contestable. Reconfiguration was not associated with improvements in safety or efficiency and may have exacerbated the growing capacity challenges for acute hospitals. These findings are consistent with UK research. Our study adds to an emerging literature on the interaction between a narrow technocratic approach to health system planning and the perspectives of the public and patients.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationBrowne, J. P. (2020) 'The drivers and impact of emergency care reconfiguration in Ireland: Results from a large mixed-methods research programme', Future Healthcare Journal, 7(1), pp. 33-37. doi: 10.7861/fhj.2019-0065en
dc.identifier.doi10.7861/fhj.2019-0065en
dc.identifier.endpage37en
dc.identifier.issn2055-3323
dc.identifier.issn2055-3331
dc.identifier.issued1en
dc.identifier.journaltitleFuture Healthcare Journalen
dc.identifier.startpage33en
dc.identifier.urihttps://hdl.handle.net/10468/9691
dc.identifier.volume7en
dc.language.isoenen
dc.publisherRoyal College of Physiciansen
dc.relation.urihttps://www.rcpjournals.org/content/futurehosp/7/1/33.full.pdf
dc.rights© Royal College of Physicians 2020. All rights reserved.en
dc.subjectEmergency careen
dc.subjectSmaller hospitalsen
dc.subjectIrelanden
dc.titleThe drivers and impact of emergency care reconfiguration in Ireland: Results from a large mixed-methods research programmeen
dc.typeArticle (peer-reviewed)en
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