Health investment review exposes mounting problems

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Irish healthcare capital spend between 1970 and 1966 two-thirds that of other EU countries

The Irish health system has some of the longest waiting lists, lowest hospital bed capacity and highest bed occupancy among western European countries, according to new research.lays bare the long-term challenges facing the healthcare system. And it comes as the service struggles to cope with a fourth wave of infections in the 20-month coronavirus pandemic.

The Republic has some of the longest waiting times in the EU15 for various procedures. It had 622,963 people waiting for outpatient procedures last January, when in-patient and day case waiting-list numbers were 81,456. “While healthcare capital investment makes up approximately 10 per cent of the overall health budget, its impact on the capacity to deliver care in a region or service area is far greater,” stated the report.A separate report on strategic considerations on the future of investment in healthcare found a possible lack of regional diversity in investment, with Dublin accounting for 47 per cent followed by Galway with the next greatest share at 7 per cent, Cork with 6.5 per cent, Limerick with 5.

It concluded that more than €4 billion, or 42 per cent of the planned investment, is at the “appraisal” stage where uncertainty is greatest “due to the absence of a detailed brief and market engagement. Therefore, the uncertainty around this €4 billion estimate is large and presents risks in the form of noise” – unwanted variability in professional judgments – “underestimation bias [and] optimism bias.”, the report notes.

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