1. SHA and Irish Health Policy: a policy researchers perspective
Charles Normand
Edward Kennedy Professor of Health Policy and Management
2016/11/10

2. Key Roles of SHA What is the same, what is different?
How do levels of expenditure relate to levels of service?
How do patterns of financing relate to levels of service?
How do levels of expenditure relate to health outcomes?
How do patterns of delivery relate to health outcomes?
What are the national and international trends?

3. What is the same, what is different?
Comparing health systems is always risky
Definitions in national data tend to differ from other countries
Standard definitions are not perfect but do allow like to be compared to like more reliably
SHA allows comparison of detail – for example not just how much is covered by public scheme but what is covered.

4. How do levels of expenditure relate to levels of service?
SHA brings together data on funding and data on provision
It helps to distinguish underfunding from poor performance
How does the pattern of funding related to provision and performance?

5. How do patterns of financing relate to levels of service?
To what extent are public and private financing substitutes?
How do public and private financing compare in terms of efficiency of production?
SHA has gathered some usefully additional data on private services

6. How do levels of expenditure relate to health outcomes?
Expenditure in each country can be compared to health outcomes
This allows some insight into the productivity (not just efficiency) of services

7. How do patterns of delivery relate to health outcomes?
Reforms frequently reorganize delivery structures and mechanisms
SHA comparisons allow us to assess if delivery structures really matter.

8. What are the national and international trends?
The availability in the future of annual SHA submissions allows trends and directions to be considered
Trends will be comparable between countries with different financing and delivery structures.

9. Thank You