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Dr. Sara Burke

Associate Professor (Public Health & Primary Care)
      
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Dr. Sara Burke

Associate Professor (Public Health & Primary Care)

 


Prof Sara Burke is an Associate Professor and the Director of the Centre for Health Policy and Management, which is part of the Discipline of Public Health and Primary Care in the School of Medicine, Trinity College Dublin. She is also a co-Director of the national SPHeRE PhD programme http://www.sphereprogramme.ie. She is the Principal Investigator of a research project entitled 'Health system foundations for Sláintecare implementation in 2020 and beyond - co-producing a Sláintecare Living Implementation Framework with Evaluation: Learning from the Irish health system's response to COVID-19'. This is a HRB Applied Partnership Award which runs until 2024 thanks to successfully getting a HEA COVID-extension fund in 2021. This APA project started with its focus on the implementation of the regions but changed direction in 2020 in order to harness learnings from the COVID-19 health system response to inform the implementation. Prof Burke leads the team reporting on Ireland for the European Observatory Health Systems COVID-19 response monitor) (https://www.covid19healthsystem.org/mainpage.aspx. Previously, she coordinated 'Mapping the pathways to universal healthcare'. In the first five months of 2017, Sara and a team from the Centre, led by Prof Steve Thomas worked with the Oireachtas Committee on the Future of Healthcare, who had a remit to develop a ten-year plan for healthcare reform in Ireland http://www.oireachtas.ie/parliament/oireachtasbusiness/committees_list/future-of-healthcare/ Prior to the Pathways research project Sara was a post-doc researcher on the Resilience of the Irish health system during the economic crisis. Sara is the lead on the health policy module on the SPHERE programme / and the Centre's MSc in Health Policy and Management https://www.tcd.ie/courses/postgraduate/courses/health-policy-and-management-msc/ and teaches health policy to 4th year medical students and for the Global Brain Health Institute fellows. Sara has worked for more than 25 years as a researcher in and of health systems and policy. Her book entitled Irish Apartheid, Healthcare Inequality in Ireland was published in 2009. She writes on occasionally for the national newspapers and for seven years from 2008 to 2015 had a weekly health slot on RTE Radio 1's Drivetime programme.
  Health Care Policy   Health Care Reform   Health Planning/Policy   Health policy   Health policy analysis   Health system reform   Healthcare Policy Implications   POLICY ANALYSIS   Public Policy   Public Policy Systems Analysis   RESEARCH POLICY IMPLICATIONS
Project Title
 Health system foundations for Sláintecare implementation in 2020 and beyond - co-producing a Sláintecare Living Implementation Framework with Evaluation: Learning from the Irish health system's response to COVID-19
From
01-09-2019
To
30-05-2022
Summary
All over the world, health systems are responding to the major shock of the COVID-19 pandemic. The virus is causing urgent and fast-paced change in the delivery of health and social care as well as highlighting pre-existing deficiencies and inequalities in the health system and broader society. In Ireland, COVID-19 is occurring during the second full year of Sláintecare's implementation - Ireland's 10-year plan for health reform to deliver universal access to timely, integrated care. This research will coproduce a Living Implementation Framework with Evaluation (LIFE) linking evidence, policy and practice that feeds into real-world Sláintecare implementation. In partnership with senior leadership in the Sláintecare Programme Implementation Office, the Department of Health and the HSE, the researchers will scope, document, measure and analyse the Sláintecare relevant COVID-19 responses using qualitative and quantitative methods. The LIFE will initially take the form of a live spreadsheet which contains the COVID-19 responses most relevant to Sláintecare. For each response, 3-4 indicators will be collected which enables monitoring overtime. The spreadsheet will be accompanied by a series of rapid reviews, narrative descriptions of multiple case studies, research papers, stakeholder engagement and formative feedback. These collectively make up the 'LIFE', informing dialogue with the project partners, which is happening in real time (living), influencing health policy and system decision-making and implementation as the project progresses. The LIFE will inform health system reform in Ireland in the months and years after the emergence of COVID-19 as well as contributing to international health systems and policy research.
Funding Agency
Health Research Board
Programme
Applied Partnership Award
Project Type
Health system implementation research
Person Months
30
Project Title
 COMmunity PArticipation to set direction on design and implementation of financial incentives in Stop Smoking services
From
January 2024
To
December 2025
Summary
Funding Agency
HRB
Programme
APA
Project Type
APA
Project Title
 Structured PhD Programme in Population Health and Health Services Research
From
April 2018
To
April 2029
Summary
I an a Co-Director of SPHeRE - Ireland"s national research training programme for population health, policy and health services research (PHPHSR) and is funded by the Health Research Board in Ireland. SPHeRE means `Structured Population health, Policy and Health-services Research Education". The SPHeRE concept captures our approach to the inter-relationship of research, translation and practice. Our aim is to improve the health and wellbeing of groups or populations through high-quality research, and stakeholder engagement, addressing current and emerging issues in population health, health policy and health systems. Our vision is to embed a culture of research in population health, health policy and health systems, grounded in principles of scientific inquiry and inclusion. The programme The programme is `structured" because we want all our scholars to receive the same training, regardless of their previous experience. This is because improvements in population health and health service delivery can"t be achieved without co-operation across disciplines. SPHeRE connects scholars from diverse backgrounds and gives them a common language to work together. We aim to develop the research leaders of tomorrow: a cadre of networked academics with a common training but diverse skills. We match excellent scholars with the best supervisors to carry out research of strategic importance to the Irish population. To do this we have developed a wide network of academics from disciplines such as biostatistics, economics, nursing, psychology, medicine, occupational therapy, sociology, speech and language therapy, management, geography and physiotherapy. Our scholars bring a diverse range of life experiences to each class and many have worked as clinicians, managers or policymakers in the Irish health system. Their research is conducted to the highest standards and has been widely published in prestigious international journals. Every year we showcase their research at our annual Network Conference and work to connect their findings with policymakers.
Funding Agency
HRB
Programme
PhD programme
Project Title
 INCLUDE: Integrating National Repositories for the Cooperation Linkage and Understanding of a Data Driven approach to the needs of Excluded people
From
September 2021
To
January 2025
Summary
INCLUDE: Integrating National Repositories for the Cooperation Linkage and Understanding of a Data Driven approach to the needs of Excluded people
Funding Agency
HRB
Programme
SDP
Project Type
Secondary Data Analysis Project
Project Title
 VISTA: VISion To Action for promoting mental health and recovery. An Implementation Science approach to "Sharing the Vision" - Ireland's national mental health policy
From
December 2023
To
November 2028
Summary
VISTA: VISion To Action for promoting mental health and recovery. An Implementation Science approach to "Sharing the Vision" - Ireland's national mental health policy
Funding Agency
HRB
Programme
APRO
Project Type
APRO

Page 1 of 2
Details Date
Publication of an opinion piece for the Irish Times entitled 'Whatever happened to Sláintecare?' in the aftermath of the publication of a report into negligent care provided by the South Kerry Child and Adolescent Mental Health Team. https://www.irishtimes.com/opinion/whatever-happened-to-sl%C3%A1intecare-1.4792060 03/02/2022
I acted as special rapporteur at the health session of the Irish Government's 2021 National Economic Dialogue, this session was co-chaired with the health minister Stephen Donnelly and I. More https://www.gov.ie/en/publication/f49b5-national-economic-dialogue-2021/?referrer=http://www.gov.ie/ned/ 23-06-2021
Opinion published in Irish Times https://www.irishtimes.com/opinion/sl%C3%A1intecare-resignations-leaves-hse-to-drive-healthcare-reform-1.4680106 22-092021
Publication of an opinion article in the Irish Times entitled Election 2020: How are parties going to implement Sláintecare? https://www.irishtimes.com/opinion/election-2020-how-are-parties-going-to-implement-sl%C3%A1intecare-1.4160580 04-02-2020
In 2016/17, I coordinated the research team (with prof Steve Thomas as PI) which won a tender to provide technical support to the Oireachtas Committee on the Future of Healthcare. This work resulted in the publication of the 2017 Sláintecare Report https://www.oireachtas.ie/en/committees/32/future-of-healthcare/ 30-05-2017
Parker Sarah, Siersbaek Rikke, Mac Conghail Luisn, Burke Sara, Public Health Responses to Homelessness During COVID-19 in Ireland: Implications for Health Reform, International Journal for Equity in Health, 22, (1), 2023, p36-52-, Journal Article, PUBLISHED  DOI  URL
Rina Maoz Breuer, Ruth Waitzberg, Adin Breuer, Peter Cram, Lucie Bryndova, Gemma A Williams, Kaija Kasekamp, Ilmo Keskimaki, Liina-Kaisa Tynkkynen, Verena van Ginneken, Eszter Kovács, Sara Burke, Domhnall McGlacken-Byrne, Carol Norton, Barbara Whiston, Daiga Behmane, Ieva Grike, Ronald Batenburg, Tit Albreht, Rade Pribakovic, Enrique Bernal-Delgado, Francisco Estupiñan-Romero, Ester Angulo-Pueyo, Adam J Rose, Work like a Doc: A comparison of regulations on residents' working hours in 14 high-income countries, Health Policy, 130, 2023, p104753 , Journal Article, PUBLISHED  TARA - Full Text  DOI
Siersbaek Rikke, Ford John, Ní­ Cheallaigh Cliona, Thomas Steve, Burke Sara, How do health system factors (funding and performance) impact on access to healthcare for populations experiencing homelessness: a realist evaluation, International Journal for Equity in Health, 22, (1), 2023, p218-, Journal Article, PUBLISHED  DOI  URL
Parker, Sarah and Mac Conghail, Luisne and Siersbaek, Rikke and Burke, Sara, How to not revert to type: Complexity-informed learnings from the pandemic response for health system reform and universal access to integrated care, Frontiers in Public Health, 11, 2023, Journal Article, PUBLISHED  DOI
Ellen Cosgrave, Aishling Sheridan, Edward Murphy, Martina Blake, Rikke Siersbaek, Sarah Parker, Sara Burke, Frank Doyle, Paul Kavanagh, Public attitudes to implementing financial incentives in stopsmoking services in Ireland, Tobacco Prevention & Cessation, 9, (9), 2023, Journal Article, PUBLISHED  TARA - Full Text  DOI
Siersbaek, R and O'Donnell, C and Parker, S and Ford, J and Burke, S and Ní Cheallaigh, C, Social exclusion and its impact on health over the life course: A realist review protocol [version 1; peer review: 2 approved with reservations], HRB Open Research, 6, (34), 2023, Journal Article, PUBLISHED  DOI
Thomas, S, O'Donoghue, C, McCarthy, N, Almirall-Sanchez, A, Burke, S, Keegan, C, Dempsey, G, Barry, S, Fleming, P, The PRESTO report. Sustainability and Resilience in the Irish Health System, Trinity College Dublin/London School of Economics/Partnership for Health System Sustainability & re, March 2023, 2023, Report, PUBLISHED  TARA - Full Text  URL
Fleming Padraic, Thomas Steve, Williams Des, Kennedy Jack, Burke Sara, Implications for health system reform, workforce recovery and rebuilding in the context of the Great Recession and COVID-19: a case study of workforce trends in Ireland 2008â€"2021, Human Resources for Health, 20, (1), 2022, p48-, Journal Article, PUBLISHED  DOI  URL
McAuliffe U., Whelton H., Harding M., Burke S., 'Toothless - the absence of political priority for oral health: a case study of Ireland 1994"2021, BMC Oral Health, 22, (1), 2022, Journal Article, PUBLISHED  TARA - Full Text  DOI
Padraic Fleming, Louise Caffrey, Sara Van Belle, Sarah Barry, Sara Burke, Jacki Conway, Rikke Siersbaek, David Mockler, Stephen Thomas, How International Health System Austerity Responses to the 2008 Financial Crisis Impacted Health System and Workforce Resilience " A Realist Review, International Journal of Health Policy and Management, 12, 2022, Journal Article, PUBLISHED  URL
  

Page 1 of 5
Sara Burke, The Irish health system - what sort of system do we have and why - tracing Irish health policy developments , RCSI HSE Executive Skills Development Programme plenary , RCSI, 22/1/2020, 2020, RCSI , Notes: [https://www.rcsi.com/leadership/executive-development/clinical-directors-programme], Invited Talk, PUBLISHED
Sara Burke, Universal Health care in Ireland in the context of the proposal of Universal Basic Services , A Just Transition, How do we tackle heat, greed and need? , Maynooth University , 28022020, 2020, Department of Sociology, Maynooth , Notes: [https://www.maynoothuniversity.ie/news-events/just-transition-how-do-we-tackle-heat-need-and-greed Michael D Higgins attended this event ], Invited Talk, PUBLISHED
Sara Burke, Irish Apartheid. Healthcare inequality in Ireland, 1st, Dublin, Ireland, New Island, 2009, Book, PUBLISHED