Transparency in re-designing urgent and emergency care services: an examination of the consultation process, trade-offs and the role of evidence.

2 Sep 2015
The Health Service Executive (HSE) has embarked on a series of regional system re-design storadically change the organisation of urgent and emergency care services in Ireland.This is at a time when budgetsand stafflevels have been substantially reducedandthere is growing awareness of problems with qualityand safety.
•First priority of this initiative is to‘develop integrated services across all stages of the care journey’with the goal of increasing efficiencyand improving performance. Major changes initiated so far include the reconfiguration of acute hospital services and the introduction of ambulance bypass protocols.
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