Abstract：
:In 2006, Dutch authorities introduced a new health financing system of compulsory private for-profit insurance with strong government regulation. This system has recently attracted attention in Ireland. This paper assesses the theoretical arguments and evidence for applying the Dutch ideas to Ireland. In particular, the authors address how it would help the stated health system policy objectives of improving value for money, fairness and capacity. While the current Dutch reform is still a work in progress, it offers the headline attraction of a single tier system with few waiting lists. Nevertheless, the Dutch system of managed competition may entail risks for Ireland relating to ensuring sufficient system capacity, protecting those on low-incomes and ensuring cost control.
journal_name
Ir J Med Scijournal_title
Irish journal of medical scienceauthors
Ryan P,Thomas S,Normand Cdoi
10.1007/s11845-009-0365-xsubject
Has Abstractpub_date
2009-09-01 00:00:00pages
245-8issue
3eissn
0021-1265issn
1863-4362journal_volume
178pub_type
杂志文章,评审abstract：BACKGROUND:ADHD is the most frequent reason for attendance at Child and Adolescent Mental Health Services (CAMHS). General practitioners (GPs) play a key role in recognising symptoms, referring for assessment and supporting ongoing treatment. However, there is an ambiguous understanding of ADHD among GPs, and different...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-018-1804-3
更新日期：2019-02-01 00:00:00
abstract：BACKGROUND:Diabetic foot ulcers (DFU) are associated with an increased risk of lower limb amputation and death. Reported mortality rates for patients with DFU are as high as 50% after 5 years. AIMS:The aim of this retrospective study was to examine the 5-year clinical outcomes of patients with high-risk diabetic foot ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-019-02108-2
更新日期：2020-05-01 00:00:00
abstract：:The evaluation of fetal health using ultrasound to establish a biophysical profile in the Rotunda Hospital in 1987 is reported. The corrected perinatal mortality rate fell from 10.0 in 1986 to 6.9 per 1,000 for babies over 500g and from 5.9 in 1986 to 3.4 for babies over 1,000g. This was achieved without significant a...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02984636
更新日期：1989-07-01 00:00:00
abstract：BACKGROUND:In Europe, adverse drug reactions and drug interactions are the cause of considerable morbidity and mortality. In over 75s, hospital access due to adverse drug reactions can be as high as 1 in every 3. AIMS:To assess the quality of the prescribed polytherapies in the territory, in terms of the risk of drug ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-019-02148-8
更新日期：2020-08-01 00:00:00
abstract：BACKGROUND:Cognitive impairment (CI) is common in multiple sclerosis (MS), including newly diagnosed MS, where it is particularly underrecognised. Determining the presence of CI in the outpatient clinic often relies on patient-reported complaints, with limited time and resources in this setting. Prior studies have show...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02404-2
更新日期：2020-10-27 00:00:00
abstract：BACKGROUND:A relationship may exist between body iron stores, endothelial dysfunction and overall cardiovascular risk. AIMS:To compare vascular compliance, biochemical endothelial function and antioxidant status between patients with homozygous hereditary haemochromatosis and healthy controls. METHODS:Haemochromatosi...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-013-1010-2
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:The apolipoprotein (Apo) E gene, and thus its gene product, plays a central and pervasive role in lipid metabolism by serving as a ligand for lipoprotein receptors. Polymorphisms of this gene have been associated with variation in lipid phenotypes in some Caucasian and Asian populations, but not in others. N...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF03170486
更新日期：2000-01-01 00:00:00
abstract：PURPOSE:Internal iliac artery (IIA) embolisation is commonly performed prior to endovascular aneurysm repair (EVAR) of aortoiliac aneurysms to prevent type 2 endoleaks via the internal iliac arteries. The safety of this procedure is controversial due to the high incidence of pelvic ischaemic complications. METHODS:We ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-015-1384-4
更新日期：2016-11-01 00:00:00
abstract：:Twenty-eight carcinoid tumours were stained with monoclonal antibodies to epithelial and neural related intermediate filaments. All were found to express epithelial markers, and none expressed neural markers. These results support the theory that carcinoids are of epithelial, rather than neural crest origin. ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02957889
更新日期：1991-11-01 00:00:00
abstract：:Eighty-one epithelial lesions were studied immunohistologically for cytokeratin protein expression using three anticytokeratins CAM 5.2, NCL5D3 and RCK102. Consistent differences were noted between squamous and glandular neoplasms. Squamous and cutaneous carcinomas were found to preferentially express higher molecular...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02942094
更新日期：1993-03-01 00:00:00
abstract：BACKGROUND:While considerable changes are happening in primary care in Ireland and considerable potential exists in intelligence derived from practice-based data to inform these changes, relatively few large-scale general morbidity surveys have been published. AIMS:To examine the most common reasons why people attend ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-015-1367-5
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Multiple primary neoplasms, a common clinical entity, can be classified as synchronous or metachronous. Renal cell carcinoma, in particular, is associated with a high rate of multiple primary neoplasms. METHODS:We report a case of a 67-year-old Caucasian woman, who was admitted with history of bleeding per ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-009-0298-4
更新日期：2012-06-01 00:00:00
abstract：INTRODUCTION:The transcription factor forkhead box D3 (FoxD3) is a forkhead protein and serves as a transcriptional repressor. The functions of FoxD3 in embryogenesis and in the development of neural crest cells have been diversely studied. Its role associated with tumor development has attracted attention just in rece...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-015-1297-2
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:There is extensive focus on the rising costs of healthcare. However, for patients undergoing cancer treatment, there are additional personal costs, which are poorly characterised. AIM:To qualify indirect costs during anti-cancer therapy in a designated Irish cancer centre. METHODS:An anonymous questionnair...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-016-1483-x
更新日期：2017-02-01 00:00:00
abstract：INTRODUCTION:Heparin-induced thrombocytopenia syndrome (HITS) is an infrequent complication of heparin anticoagulation. CASE REPORT:We present the case of a 44-year-old male who was admitted with acute ischaemia of his right lower limb. He was initially treated with unfractionated heparin and thrombolysis, but subsequ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-010-0531-1
更新日期：2012-09-01 00:00:00
abstract：:The management of breast cancer has evolved in the last 40 years to now encompass not only treating the cancer in the most effective way, but also to detect and treat cancers before they can pose a risk to patients. This evolution in therapy and diagnostics has moved away from treating patients with the maximum amount...
journal_title：Irish journal of medical science
pub_type： 杂志文章,评审
doi：10.1007/s11845-014-1142-z
更新日期：2015-03-01 00:00:00
abstract：BACKGROUND:Sport-related concussion (SRC) is a potential issue within Gaelic Football. Therefore, it is essential that concussion management guidelines are adhered to. HYPOTHESIS/PURPOSE:The aim of this study is to determine if potential concussive events (PCEs) in the Gaelic Athletic Association (GAA) National Footba...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02390-5
更新日期：2020-09-30 00:00:00
abstract：BACKGROUND:Inadequate medical documentation has been associated with a higher rate of adverse events and may have medicolegal consequences. An accurate admission note is critical as it is frequently referred to during inpatient stay, particularly when the patient is acutely unwell and during handover of care. AIM:We s...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-020-02475-1
更新日期：2021-01-19 00:00:00
abstract：BACKGROUND:Oesophageal cancer is advanced in the majority at presentation and its symptoms are usually present for many months suggesting poor awareness of its symptoms. Few studies have examined awareness of oesophageal cancer amongst the public. AIMS:This study aimed to identify the level of awareness among the gene...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-008-0147-x
更新日期：2008-06-01 00:00:00
abstract：:The improved survival of cystic fibrosis (CF) patients is partly due to intensive treatment for their chronic infections. Treatment usually includes intravenous and nebulised aminoglycoside antibiotics and they receive a large cumulative dose of these antibiotics over their lifetime. There is little information in the...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02961666
更新日期：1991-06-01 00:00:00
abstract：BACKGROUND:Warfarin is the mainstay of anticoagulation therapy worldwide. CYP2C9 and VKORC1 are two major genetic factors associated with inter-individual and inter-ethnic variability in the warfarin dose. AIM:This study aims to assess the impact of VKORC1-1639G>A polymorphism and the most common CYP2C9 variant allele...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-013-0978-y
更新日期：2014-06-01 00:00:00
abstract：BACKGROUND:Circumcision is one of the world's most common operations. Series describing a new technique involving the use of fibrin-based glue have become more apparent in the literature. Here we outline the first 100 such cases for 62 children and 38 adults in our practice describing complications and learning curve. ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-010-0545-8
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND:Data from randomized trials evaluating the efficacy of on- versus off-pump coronary artery bypass grafting remain inconclusive, particularly in high-risk populations. AIMS:The aim of this study is to compare the outcomes associated with on- versus off-pump coronary artery bypass grafting among high-risk pat...
journal_title：Irish journal of medical science
pub_type： 杂志文章,meta分析
doi：10.1007/s11845-017-1679-8
更新日期：2018-05-01 00:00:00
abstract：PURPOSE:Although good evidence exists regarding the clinical effectiveness of mechanical thrombectomy for people with acute ischaemic stroke, cost-effectiveness should also be considered. The aim of this study was to systematically review the evidence of cost-effectiveness of emergency endovascular therapy using mechan...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-018-1946-3
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:The Structure of Irish General Practice over 23 years was the third in a series of national studies that examined the development of general practice in 1982, 1992, and 2005. AIMS:This study analysed specific data from the 2005 survey to determine the types of services offered by GPs, and to examine the cha...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-007-0006-1
更新日期：2007-03-01 00:00:00
abstract：:The aim of this paper is to assess the adequacy of the diet of individuals over 60 yr of age, participating in the 1990 Irish National Nutritional Survey. A nationwide random sample based on the most recently updated electoral register was used. Demographic information was collected. Anthropometric measurements were t...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02944238
更新日期：1997-10-01 00:00:00
abstract：:Serum antibodies to Epstein-Barr virus (EBV) were measured in members of twenty-nine families in which two or more first degree relatives had rheumatoid arthritis (RA). These patients were assessed clinically for activity of disease and their treatment recorded. A higher proportion of seropositive individuals was foun...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02943612
更新日期：1989-08-01 00:00:00
abstract：INTRODUCTION:Although neck pain is common in patients with chronic rheumatic disorders, any change in the quality or severity of pain should be further investigated. MATERIALS AND METHODS:We report two patients who recently presented with increasing neck pain on a background of chronic inflammatory arthritis. RESULTS...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-008-0256-6
更新日期：2009-06-01 00:00:00
abstract：:The purpose of this case presentation is to illustrate the rate association between acute pancreatitis and colonic pseudo-obstruction and to highlight the difficulties of assessing intestinal motility in a defunctioned segment of bowel prior to closure of a defunctioning stoma. ...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/BF02937554
更新日期：1998-01-01 00:00:00
abstract：BACKGROUND:The role of surgery in the intensive care unit (ICU) remains unclear. Although previous studies have not shown any increase in morbidity when operating on patients in the ICU for surgical procedures; there remains a reluctance to operate on sick patients in the ICU. AIM:We did a retrospective study of criti...
journal_title：Irish journal of medical science
pub_type： 杂志文章
doi：10.1007/s11845-012-0819-4
更新日期：2013-03-01 00:00:00
