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Ireland Case Study

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Handbook Integrated Care

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Abstract

As with many other health and care systems, healthcare in Ireland is a complex adaptive system and mechanistic linear reductionist thinking is insufficient for systemic change. Creating the conditions for change, an adaptive space and some simple rules or enabling constraints has been successful in our experience. At the end of the day, all Integration is local and attending to relationships and history is important to be successful. You ignore history at your peril. Creating rich connections especially locally is vital for success. Improvement is iterative, dynamic, and organic. It takes time to build trust and confidence and patience by policy makers and funders is required. The relentless restructuring within the Irish healthcare system has made implementation challenging but the Sláintecare policy is perhaps an opportunity for full implementation.

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Acknowledgements

The authors would like to thank all the people who have been involved in the Integrated Care Programmes at local regional and national level and in particular IPPOSI. Without you, none of this would have happened.

Author information

Authors and Affiliations

  1. University College Dublin, Belfield, Dublin, Ireland

    Áine Carroll

  2. National Rehabilitation Hospital, Dublin, Ireland

    Áine Carroll

  3. Health Service Executive, Dublin, Ireland

    P. J. Harnett

Authors
  1. Áine Carroll
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  2. P. J. Harnett
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Corresponding author

Correspondence to Áine Carroll .

Editor information

Editors and Affiliations

  1. Institute for Epidemiology, Social Medicine and Health System Research, Medical School Hannover, Hannover, Germany

    Volker Amelung

  2. Leiden University Medical Center, Leiden, The Netherlands

    Viktoria Stein

  3. Faculty of Social Work, University of Calgary, Calgary, AB, Canada

    Esther Suter

  4. University of Newcastle, Gosford, NSW, Australia

    Nicholas Goodwin

  5. Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK

    Ellen Nolte

  6. Innovation Division and Clalit Research Institute, Clalit Health Services, Tel Aviv, Israel

    Ran Balicer

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Carroll, Á., Harnett, P.J. (2021). Ireland Case Study. In: Amelung, V., Stein, V., Suter, E., Goodwin, N., Nolte, E., Balicer, R. (eds) Handbook Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-030-69262-9_71

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