Pádraic Fleming
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View article: Primary oral healthcare in Ireland: a health systems analysis of publicly funded contracted services delivered by the general dental practitioner workforce
Primary oral healthcare in Ireland: a health systems analysis of publicly funded contracted services delivered by the general dental practitioner workforce Open
These findings are very relevant and timely to the planned policy implementation given that Smile agus Sláinte is reliant on the greater provision of publicly funded care by private GDPs. There is a potential lack of GDP supply into the pu…
View article: Barriers and Facilitators to International Universal Health Coverage Reforms: A Realist Review
Barriers and Facilitators to International Universal Health Coverage Reforms: A Realist Review Open
Background: The journey towards Universal Health Coverage (UHC) began decades ago but has recently moved to centre stage in global health discourses with its inclusion in the Sustainable Development Goals. As part of this renewed interest,…
View article: How and why do health system factors influence general dentists’ participation in publicly funded, contracted primary dental care services: A realist review
How and why do health system factors influence general dentists’ participation in publicly funded, contracted primary dental care services: A realist review Open
The factors influencing GDP participation in state-funded, contracted dental care over private dental care are complex. The findings presented in this review have the potential to act as a good place to start leveraging health system chang…
View article: How 2008 financial crisis legacies impacted future health workforce resilience – a realist review
How 2008 financial crisis legacies impacted future health workforce resilience – a realist review Open
The 2008 financial crisis and subsequent recession led many Governments to adopt programmes of austerity. This had a lasting impact on health system functionality, resources, staff (numbers, motivation and morale) and patient outcomes. Thi…
View article: Barriers to resilience among healthcare staff in Ireland in the post-austerity period: A cross- sectional analysis
Barriers to resilience among healthcare staff in Ireland in the post-austerity period: A cross- sectional analysis Open
The health workforce is the motor of any health system. Although the focus of health systems has been on increasing the availability of health workers, less attention has been devoted to exploring the factors associated with the satisfacti…
View article: Health services, 2022
Health services, 2022 Open
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View article: How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience – A Realist Review
How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience – A Realist Review Open
Background: The Great Recession, following the 2008 financial crisis, led many governments to adopt programmes of austerity. This had a lasting impact on health system functionality, resources, staff (numbers, motivation and morale) and pa…
View article: Metrics and indicators used to assess health system resilience in response to shocks to health systems in high income countries—A systematic review
Metrics and indicators used to assess health system resilience in response to shocks to health systems in high income countries—A systematic review Open
Health system resilience has never been more important than with the COVID-19 pandemic. There is need to identify feasible measures of resilience, potential strategies to build resilience and weaknesses of health systems experiencing shock…
View article: Strategies for developing preparedness and building legacy – learning from the experience of building Health System Resilience in Ireland
Strategies for developing preparedness and building legacy – learning from the experience of building Health System Resilience in Ireland Open
Health system resilience to shocks is perhaps the biggest global challenge facing health systems in the 21st Century. Health systems face an increasing prevalence and likelihood of a broad range of shocks (including economic crises, pandem…
View article: Individualised Funding: A Realist Analysis to Identify the Causal Factors That Facilitate Positive Outcomes
Individualised Funding: A Realist Analysis to Identify the Causal Factors That Facilitate Positive Outcomes Open
There is growing interest, internationally, in empowering people with disabilities, and the United Nations have identified individualised funding as one way in which empowerment might be achieved. ‘Individualised funding’ is an umbrella te…
View article: Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed‐methods systematic review
Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed‐methods systematic review Open
Individualized funding provides personal budgets for people with disabilities, to increase independence and quality of life. The approach has consistently positive effects on overall satisfaction, with some evidence also of improvements in…
View article: Research Activity in the HSE and its Funded Organisations: a report of staff engaged in research, research studies undertaken, publication output and research networks
Research Activity in the HSE and its Funded Organisations: a report of staff engaged in research, research studies undertaken, publication output and research networks Open
This study was carried out in response to the Action Plan for Health Research 2009- 2013, which placed on the HSE the responsibility for establishing a benchmark of research activity in the health service against which opportunities can be…
View article: Intensive home care packages for people with dementia: a realist evaluation protocol
Intensive home care packages for people with dementia: a realist evaluation protocol Open
This realist evaluation of a complex intervention involves a variety of data and perspectives in order to provide confidence in moving from hypothetical constructs about how IHCPs might work to explanations of potential or observable causa…
View article: An evaluation of the development and implementation of individualised funding for people with a disability
An evaluation of the development and implementation of individualised funding for people with a disability Open
Background \nSince the 1970s, there has been an important and continuing shift within the disability sector toward self-determination and independence for people with a disability. Individualised funding provides one way of achieving such …
View article: How personal budgets are working in Ireland - evaluating the implementation of four individualised funding initiatives for people with a disability in Ireland
How personal budgets are working in Ireland - evaluating the implementation of four individualised funding initiatives for people with a disability in Ireland Open
There were four organisations involved in this evaluation. The briefing document presents a summary of the main lessons learned according to the key people involved in these four individualised funding initiatives, including individuals wi…