The Complex And Historical Problem Accessibility

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Introduction Every country faces the vital, yet daunting, task of instituting a successful healthcare system. This is exceedingly difficult as each country is unique in their history, culture, population and health needs, all of which require a specialized system. Furthermore, an ideal system addresses equally the three key aspects of healthcare: quality, affordability and availability. A system without even one of these aspects at its full potential is not providing the best care possible for the population. Arguably, accessibility is the most crucial and challenging aspect. This is still a tall hurdle for almost every state; even the most high-income countries that posses vast amounts of money and resources struggle to provide…show more content…
Their funding scheme resulted in a two-tier system, which became a main cornerstone of policy after the failure of the two White Papers in 1947-1949 (Harvey 14). A two-tier health system can be explained by the unequal access to healthcare and unequal quality of care: “Too many people cannot receive care when they need it, either because they cannot afford to access primary care or because they must wait for so long for treatment in hospital,” (Wren, 2003). These disparities are most often seen in acute care settings but are still present in primary care and home care. An illustration of this inequality in healthcare in Ireland comes from a ranking of Ireland in The Euro Health Consumer Index for 2006. This report ranked 25 OECD countries based on criteria such as patient rights and information, waiting times for treatment, outcomes, levels of provision and availability of medicines (Harvey, 2007). Sadly, Ireland ranked 25th (Harvey, 2007). Ireland’s healthcare system is a mix of state funded and privately funded care. Though it is substantially publically funded through the HSE, the funding never seems to be enough and results in a problem in access and quality of care. Patients without private insurance face excruciatingly long waiting lists and a lesser quality of treatment. Those with private insurance (purchased on their own or through their
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