Child Health Care in Ireland

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• 作者：Anthony Staines ; PhD ; FFPHMI¹ ; Kevin P. Balanda ; PhD ; FFPH² ; Steve Barron ; MSc² ; Yvonne Corcoran ; RCN ; MSc¹ ; Lorraine Fahy ; MSc ; BSc² ; Louise Gallagher ; PhD ; MRCPsych³ ; Tessa Greally ; MB ; FFPHMI⁴ ; Jean Kilroe ; BA ; MSc¹ ; Caroline Mason Mohan ; FFPHMI ; MRCGP⁵ ; Anne Matthews ; PhD ; RGN/RM¹ ; Elyce McGovern ; MICGP ; MFPHMI⁶ ; Alf Nicholson ; FRCPI ; FRCPCH⁷ ; Anne O'Farrell ; MSc ; PhD¹ ; Roy K. Philip ; FRCPI ; MD ; FJFICMI⁸ ; Helen Whelton ; BDS ; PhD ; FFPHM⁹
• 关键词：AMO ; Area medical officer ; CAMHS ; Child and Adolescent Mental Health Services ; CCHSSS ; Core Child Health Screening and Surveillance Service ; CEO ; Chief Executive Officer ; CFA ; Child and Family Agency ; CUH ; Children's University Hospital ; DCYA ; Department of Children and Youth Affairs ; ED ; Emergency department ; EU ; European Union ; GDP ; Gross domestic product ; GP ; General practitioner ; GUI ; Growing Up in Ireland ; HiAP ; Health in All Policies ; HIPE ; Hospital Inpatient Enquiry ; HIQA ; Health Informat
• 刊名：The Journal of Pediatrics
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：177
• 期：supp_S
• 页码：S87-S106
• 全文大小：313 K

文摘

The Irish health care system is based on a complex and costly mix of private, statutory, and voluntary provisions. The majority of health care expenditure comes from the state, with a significant proportion of acute hospital care funded from private insurance, but there are relatively high out-of-pocket costs for most service users. There is free access to acute hospital care, but not for primary care, for all children. About 40% of the population have free access to primary care. Universal preventive public health services, including vaccination and immunization, newborn blood spot screening, and universal neonatal hearing screening are free. Major health challenges include poverty, obesity, drug and alcohol use, and mental health. The health care system has been dominated for the last 5 years by the impact of the current recession, which has led to very sharp cuts in health care expenditure. It is unclear if the necessary substantial reform of the system will happen. Government policy calls for a move toward a patient-centered, primary care-led system, but without very substantial transfers of resources and investment in Information and Communication Technology, this is unlikely to occur.