Examines the provision and use of general practitioner services and prescription medicines, the impact of health insurance on access to care, equity in the use of health services and the economics of helath-related behaviours.

Hearing Voices: The History of Psychiatry in Ireland is a monumental work by one of Ireland’s leading psychiatrists, encompassing every psychiatric development from the Middle Ages to the present day, and examining the far-reaching social and political effects of Ireland’s troubled relationship with mental illness. From the “Glen of Lunatics”, said to cure the mentally ill, to the overcrowded asylums of later centuries – with more beds for the mentally ill than any other country in the world – Ireland has a complex, unsettled history in the practice of psychiatry. Kelly’s definitive work examines Ireland’s unique relationship with conceptions of mental ill health throughout the centuries, delving into each medical breakthrough and every misuse of authority – both political and domestic – for those deemed to be mentally ill. Through fascinating archival records, Kelly writes a crisp and accessible history, evaluating everything from individual case histories to the seismic effects of the First World War, and exploring the attitudes that guided treatments, spanning Brehon Law to the emerging emphasis on human rights. Hearing Voices is a marvel that affords incredible insight into Ireland’s social and medical history while providing powerful observations on our current treatment of mental ill health in Ireland.

Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector