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Health Challenges for Irish Society Dr Eibhlín Connolly Deputy Chief Medical Officer Department of Health and Children IPHA Conference 12-11-09
Role of DoHC and CMO Office ,[object Object],[object Object],[object Object],[object Object]
Challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TOTAL PUBLIC HEALTH EXPENDITURE, 1999 TO 2008 Sources:  "Estimated Non-Capital Expenditure 1999-2004" www.dohc.ie. From 2005, Revised Estimates for Public Services and HSE Reports on Capital Programme
NUMBER OF PRESCRIPTION ITEMS DISPENSED UNDER PRIMARY CARE REIMBURSEMENT SERVICE, 1998 TO 2007 Source: General Medical Services (Payments) Board/ National Shared Services Primary Care Reimbursement Service
CONSULTANT AND NON-CONSULTANT HOSPITAL DOCTORS EMPLOYED WITHIN THE PUBLIC HEALTH SERVICES, 2000 TO 2009 Source: Personnel Census, Department of Health and Children
The economic context ,[object Object],[object Object],[object Object],[object Object],[object Object]
McCarthy report ,[object Object],[object Object],[object Object],[object Object],[object Object]
Demographic Projections ,[object Object],[object Object]
LIFE EXPECTANCY AT BIRTH FOR IRELAND AND EU, 1980 TO 2006 Expectancy in Years at Birth for Ireland and EU, 1980 to 2006 Source: European Health For All database, WHO Regional Office for Europe, Copenhagen, Denmark.
AGE-STANDARDISED DEATH RATES FOR SELECTED CAUSES, 1970 TO 2008 Source: Central Statistics Office and European Health For All database, WHO Regional Office for Europe, Copenhagen, Denmark.
IHD and stroke projections
Chronic disease trends ,[object Object],[object Object],[object Object]
Lifestyle Trends ,[object Object],[object Object],[object Object],[object Object],[object Object]
ALCOHOL AND CIGARETTE CONSUMPTION PER ANNUM, PER CAPITA OVER 15 YEARS OLD, 1986-2006 Source: Revenue Commissioners Statistical Report 2007, CSO (population data) Note:  (i) Alcohol is measured in terms of pure alcohol consumed, based on sales of beer, cider, wine and spirits. (ii) Smoking ban in workplaces was introduced in March 2004
 
Projected BMI distributions in 2010 and 2015, by gender 33.50% 37.00% 42.40% Normal (BMI <25) 34.60% 34.50% 32.90% Overweight (BMI 25-29) 31.90% 28.50% 24.80% Obese (BMI 30+) Females 23.60% 27.00% 33.50% Normal (BMI <25) 43.10% 44.20% 43.40% Overweight (BMI 25-29) 33.30% 28.80% 23.10% Obese (BMI 30+) Males 2015 2010 2005
Health Service Implications ,[object Object],[object Object],[object Object],[object Object]
 
Quality and Patient Safety ,[object Object],[object Object],[object Object],[object Object],[object Object]
Irish Context ,[object Object],[object Object],[object Object],[object Object]
Quality and patient Safety ,[object Object],[object Object],[object Object]
Commission implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New technologies ,[object Object],[object Object]
Technology challenges ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Global Trends ,[object Object],[object Object]
Future challenges ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object]

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The health challenges facing Irish society

  • 1. Health Challenges for Irish Society Dr Eibhlín Connolly Deputy Chief Medical Officer Department of Health and Children IPHA Conference 12-11-09
  • 2.
  • 3.
  • 4. TOTAL PUBLIC HEALTH EXPENDITURE, 1999 TO 2008 Sources: &quot;Estimated Non-Capital Expenditure 1999-2004&quot; www.dohc.ie. From 2005, Revised Estimates for Public Services and HSE Reports on Capital Programme
  • 5. NUMBER OF PRESCRIPTION ITEMS DISPENSED UNDER PRIMARY CARE REIMBURSEMENT SERVICE, 1998 TO 2007 Source: General Medical Services (Payments) Board/ National Shared Services Primary Care Reimbursement Service
  • 6. CONSULTANT AND NON-CONSULTANT HOSPITAL DOCTORS EMPLOYED WITHIN THE PUBLIC HEALTH SERVICES, 2000 TO 2009 Source: Personnel Census, Department of Health and Children
  • 7.
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  • 10. LIFE EXPECTANCY AT BIRTH FOR IRELAND AND EU, 1980 TO 2006 Expectancy in Years at Birth for Ireland and EU, 1980 to 2006 Source: European Health For All database, WHO Regional Office for Europe, Copenhagen, Denmark.
  • 11. AGE-STANDARDISED DEATH RATES FOR SELECTED CAUSES, 1970 TO 2008 Source: Central Statistics Office and European Health For All database, WHO Regional Office for Europe, Copenhagen, Denmark.
  • 12. IHD and stroke projections
  • 13.
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  • 15. ALCOHOL AND CIGARETTE CONSUMPTION PER ANNUM, PER CAPITA OVER 15 YEARS OLD, 1986-2006 Source: Revenue Commissioners Statistical Report 2007, CSO (population data) Note: (i) Alcohol is measured in terms of pure alcohol consumed, based on sales of beer, cider, wine and spirits. (ii) Smoking ban in workplaces was introduced in March 2004
  • 16.  
  • 17. Projected BMI distributions in 2010 and 2015, by gender 33.50% 37.00% 42.40% Normal (BMI <25) 34.60% 34.50% 32.90% Overweight (BMI 25-29) 31.90% 28.50% 24.80% Obese (BMI 30+) Females 23.60% 27.00% 33.50% Normal (BMI <25) 43.10% 44.20% 43.40% Overweight (BMI 25-29) 33.30% 28.80% 23.10% Obese (BMI 30+) Males 2015 2010 2005
  • 18.
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