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Health Services, Health Inequalities & Health and Social Gain Programme

This research programme, supported by the Health Research Board, is being carried out by a team of economists and sociologists at the Economic and Social Research Institute, the Institute for the Study of Social Change at University College Dublin, and the University of Ulster. It brings the perspectives of health economics and sociology to bear on the provision and use of health services and on health inequalities in Ireland, to identify key causal mechanisms and priority areas for effective intervention.

Key research areas in the programme include

  • Patterns of General Practitioner visiting and prescribing
  • Access, incentives and efficiency in acute hospital care
  • The role of private health insurance
  • Health care use versus need, across the income distribution and by region
  • Health inequalities
  • Disability and its impact on labour force participation, living standards, and exclusion.


Working Papers

Click on title to download pdf file


Pdf 1. A cross-sectional analysis of the utilisation of GP services in Ireland: 1987-2001
Size: 146.5K bytes

Pdf 2. Equity in utilisation of health care in Ireland
Size: 369.6K bytes

Pdf 3. Tobacco taxes and starting and quitting smoking: does the effect differ by education?
Size: 155.6K bytes

Pdf 4. Disability and labour market participation
Size: 104.3K bytes

Pdf 5. Allocating funding across Health Boards: is equity easy?
Size: 87.8K bytes

Pdf 6. The impact of the extension of the General Medical Services scheme to cover all persons aged 70 years and over: a case study
Size: 641.3K bytes

Pdf 7. The income sensitivity of GP utilization: a conceptual and empirical exploration using the Northern Ireland Household Panel Survey
Size: 122.2K bytes

Pdf 8. Comparing the impact of early and later life exposure to disadvantage on self-assessed health in Ireland
Size: 121.3K bytes

Pdf 9. GP Reimbursement and visiting behaviour in Ireland
Size: 223.5K bytes

Pdf 10. Health Insurance in Ireland
Size: 79.9K bytes

Pdf 11. Disability and Labour Force Participation in Ireland
Size: 197.1K bytes

Pdf 12. Explaining Social Class Differentials in Smoking
Size: 196.0K bytes

Pdf 13. A panel data analysis of the utilisation of GP services
Size: 128.4K bytes

Pdf 14. Irelands Health Care System
Size: 137.9K bytes

Pdf 15. The Utilisation of GP services in England
Size: 237.6K bytes

Pdf 16. The English Patient: Variations on a Regional Theme
Size: 123.4K bytes

Pdf 17. A Dynamic Model of Demand for Private Health Insurance in Ireland
Size: 254.5K bytes

Pdf 18. Technical Efficiency of Hospitals in Ireland
Size: 165.1K bytes

Pdf 19. Equity in the Utilization of Hospital In-patient Services in Ireland
Size: 372.3K bytes

Pdf 20. A Comparison of GP Visiting in Northern Ireland and the Republic of Ireland
Size: 199.8K bytes

Pdf 21. Total Factor Productivity Growth in Hospitals in Ireland
Size: 198.5K bytes

Pdf 22. Sample Selection in Two-part Models Revisited
Size: 780.4K bytes

Pdf 23. Analysis of the Impact of Age and Proximity of Death on Healthcare Costs in Ireland
Size: 330.0K bytes

Pdf 24. Evaluating the Impact of Eligibility of Free Care on the Use of GP Services in Ireland
Size: 273.9K bytes

Pdf 25. Emergency Department Utilisation in Four Irish Teaching Hospitals
Size: 363.0K bytes

Pdf 26. Charactistics of Emergency Department Attendances in Four Irish Teaching Hospitals
Size: 325.3K bytes


The research team is being led by Brian Nolan, and includes Richard Layte and Anne Nolan at the ESRI, Joe Durkan, Colm Harmon, David Madden and Rosalia Vasquez-Alvarez at UCD, and Ciaran O’Neill at the University of Ulster.

The Health Research Board is providing core funding for the programme for five years, and complementary projects are being carried out for the Departments of Social and Family Affairs and Justice, Equality and Law Reform, the Equality Authority and the National Disability Authority.