Centre for Health Policy and Management, School of Medicine, Trinity College, Dublin, Ireland.
Health Policy. 2018 Dec;122(12):1278-1282. doi: 10.1016/j.healthpol.2018.05.006. Epub 2018 May 22.
In May 2017, an Irish cross-party parliamentary committee published the 'Houses of the Oireachtas Committee on the Future of Healthcare "Sláintecare" report'. The report, known as 'Sláintecare', is unique and historic as it is the first time there has been a cross-party political consensus on major health reform in Ireland. Sláintecare sets out a high level policy roadmap to deliver whole system reform and universal healthcare, phased over a ten year period and costed. Sláintecare details reform proposals which, if delivered, will establish; a universal, single-tier health service where patients are treated solely on the basis of health need; the reorientation of the health system 'towards integrated primary and community care, consistent with the highest quality of patient safety in as short a time-frame as possible'. Sláintecare has five interrelated components: population health; entitlements and access to healthcare; integrated care; funding; and implementation. In this article, the authors use documents in the public domain (parliamentary reports, public hearings, submissions to the Committee, media coverage, the final report of the Committee, speeches by Committee members) to describe the policy process and the main contents of the proposed Sláintecare reforms. It is too soon tell if the political consensus in the policy formation can hold for its implementation.
2017 年 5 月，爱尔兰跨党派议会委员会发布了“爱尔兰议会未来医疗保健委员会‘斯拉因泰卡尔’报告”。该报告被称为“斯拉因泰卡尔”，是独一无二且具有历史意义的，因为这是爱尔兰首次在重大医疗改革方面达成跨党派政治共识。斯拉因泰卡尔提出了一个高层次的政策路线图，以在十年内分阶段实现整个系统的改革和全民医疗保健，并对其进行了成本核算。斯拉因泰卡尔详细介绍了改革提案，如果实施，将建立一个普遍的、单一层次的医疗服务体系，患者仅根据医疗需求接受治疗；将医疗体系重新定位为以整合初级和社区护理为重点，以尽可能短的时间框架实现最高质量的患者安全。斯拉因泰卡尔有五个相互关联的组成部分：人口健康；医疗保健的权益和准入；综合护理；资金；和实施。在本文中，作者使用了公开文献（议会报告、公开听证会、委员会提交的材料、媒体报道、委员会的最终报告、委员会成员的演讲）来描述政策制定过程和拟议的斯拉因泰卡尔改革的主要内容。目前还很难说政策制定过程中的政治共识是否能够坚持到实施阶段。
