卫生区域：实现正确治理.pdf

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1、Health Regions:Getting governance rightA case study of the design and implementation of new decentralised health regions in Ireland,2018-2023Prof Sara Burke,Dr Carlos Bruen,Dr Sarah Parker,Dr Rikke Siersbaek,Luisne Mac Conghail&Dr Katharine SchulmannHealth Summit Croke Park 6 February 2025 Trinity C

2、ollege Dublin,The University of DublinKey reform context&component:Decentralised Health RegionsContextMixed,fragmented system of public-private financing and deliveryOnly European country without universal healthcare systemSlintecare 10-year programme of healthcare reform in 2018 overarching aim of

3、universal healthcareRationale for decentralising health services to six regions:i.Integration of careii.Clinical Governanceiii.Corporate Governance and Accountabilityiv.Population-Based Approach to Service PlanningTrinity College Dublin,The University of DublinDraws on research we did in 2003To use

4、governance of the design and implementation of the regions as focus of our policy analysis To inform design and implementation of the Health Regions To shed light on broader Slintecare reforms through a governance lensTo contribute to international academic research on centralisation/decentralisatio

5、n3Trinity College Dublin,The University of DublinMethodology Qualitative multi-method approach to explore how aspects of governance have shaped the design and implementation of theHSE Health Regions(2018-2023)Two methods employed,enabling the triangulation of information:1.Document analysis:Systemat

6、ic examination of policy documents,government reports,white papers,and official statements between 2018 and 20232.Key informant interviews:12 semi-structured interviews conducted with policymakers and health system leaders between Nov 2022 and Aug 2023 Thematic analysis of data,applying deductive/in