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Pathways Links

Below is a selection of our work and related work for this project. Each of the links below represent work resulting directly from the Pathways project:


The Pathways Project team are currently working with the Oireachtas Committee on the Future of Healthcare feeding in key findings from the Pathways project. The Committee published an interim report in January 2017 which describes their goals and the work so far. The Committee will publish the final report on its work on 28 April 2017. 

Barry, S, Burke, S, Tyrrell, E, Thomas, S. (2017) ‘Is someone going to saw off the plank behind me?’ – Healthcare managers priorities, challenges and expectations for service delivery and transformation during economic crisis
This article provides insights into the priorities, challenges and expectations for Irish healthcare managers. This research, which was carried out as part of our previous research project assessing the impact of the economic crisis on health system, provides valuable lessons for health system change required for the delivery of universal healthcare.


Dr Steve Thomas gave a presentation entitled Making Headway towards UHC to the Policy Forum for Ireland on 9 November. The transcript of the presentation (scroll down to page 40!) and the slides give an overview of our current progress on the Pathways project.


Dr Sara Burke, the coordinator of the Pathways project presented to the Oireachtas select committee on 5th October 2016 on the topic of inequality and access to healthcare in Ireland.


Year one report of Mapping the Pathways to Universal Healthcare

Burke, S, Normand, C, Barry, S, Thomas, S. (2015). From universal health insurance to universal healthcare? The shifting health policy landscape in Ireland since the economic crisis.
Members of our team wrote this article, published in Health Policy, charting the shift from the Irish governments stated policy, in 2011, of implementing universal health insurance in Ireland to a new focus on universal healthcare. Details on how exactly universalism will be achieved have yet to emerge.

Thomas, S. (2015). Building Resilience into the Irish health system.
In this presentation from February 2015, Dr Steve Thomas, provided a complete overview of the findings and impact of the Resilience project, which the Pathways project builds on. The presentation provides the background to our current work.

Barry, S, Burke, S, Boyce, M, Eustace-Cook, J, Normand, C and Thomas, S. (2015). Mapping the organisational challenges of implementing universal healthcare/coverage policies for health systems in countries with a GDP per capita greater than $22,000.
Dr Sarah Barry is the lead researcher of this systematic review of the international literature on the organisational challenges, barriers and opportunities of implementing universal healthcare.


Thomas, S, Burke, S, and Barry, S. (2014). The Irish health-care system and austerity: sharing the pain.
This quick read from The Lancet, gives a comprehensive image of the impact on the health service in Ireland of the financial crisis, and by extension the impact on the population

Burke, S, Thomas, S, Barry, S, Keegan, C. (2014). Indicators of health system coverage and activity in Ireland during the economic crisis 2008–2014 – From ‘more with less’ to ‘less with less’.
This article, from Health Policy, explores in depth the variety of ways the Irish healthcare system responded to increasing cuts from 2008-2014. At first, efficiencies meant that the system performed better and was able to treat more patients, with fewer resources. However, by 2012, once possible efficiencies had been made but resources continued to be cut, the result was a reduction in free and subsidised care, an increased transfer of spending from the State to individuals, and a reduction in health and social care staffing.