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Dr. Stephen Thomas

Associate Professor (School Office - Medicine)

Steve is the Director of the Centre for Health Policy and Management, Associate Professor and a co-Director of the HRB-funded national SPHERE Programme in Population and Health and Health Services Research. Prior to moving to Ireland he was the Director of the Health Economics Unit at the University of Cape Town. Steve did his undergraduate degree in Politics, Philosophy and Economics and his Masters degree in Development Economics at Oxford University, before completing his PhD at the University of Cape Town. He has a wealth of international experience in policy oriented research in government and academia. His research interests include health systems evaluation, health financing and health policy analysis, and workforce planning and motivation. Currently, he is leading research into: (1)The viability of Universal Health Insurance in the Irish context; (2) The resilience of the Irish health system in the current economic crisis and compared to other countries in crisis (Portugal, Greece and Spain); (3) Human resources motivation and international migration (4) Workforce planning for the universalisation of care. Steve is also a dynamic and popular teacher. He coordinates the Health Economics and the Health Policy and Systems teaching on the HRB PhD Programme in Health Services Research. In addition, he teaches health economics and policy analysis on TCD's Masters in Global Health and Masters in Health Services Management
  Economics of health service provision   Government Studies   Health Care Economics   Health management   Health status and inequalities   Health Systems Integration   Identification and quantification of health care needs   Political Economics/Economy   Primary care   Public Planning/Policy   Public, private mix network
 Mapping the Pathway to Universal Health Care in Ireland
 Structured Population and Health Research Programme (SPHERE)
 Appropriate Care in the Appropriate Setting: The Impact of the Health Service Executive Transformation Programme on Utilisation, Patient Experience, Safety and Outcome in Urgent and Emergency Care
 Development of a model to forecast the demand for and supply of GP and practice nurse services
 Public Subsidization of Non-State Health Facilities to Expand Access and Risk- Protection in Malawi

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Details Date
Editorial Board Member: BIOMED Central - Globalisation and Health Oct 06 - Dec 08
Regular reviewer for Health Policy and Planning
Reviewer for BIOMED Central - Health Services Research
Reviewer for Social Science and Medicine
Honorary Editorial Board Member for Applied Health Economics and Health Policy 2004-2007
Details Date From Date To
Member of the International Health Economics Association 1998
"I am kind of in stalemate". The experience of non-EU migrant doctors in Ireland in, editor(s)James Buchan, Matthias Wismar, Irene A Glinos, Jeni Bremner , Health Professional Mobility in a Changing Europe, Copenhagen, World Health Organization, 2014, pp233 - 250, [Niamh Humphries, Posy Bidwell, Ella Tyrrell, Ruairi Brugha, Steve Thomas and Charles Normand], Book Chapter, PUBLISHED
Anne Nolan, Sarah Barry, Sara Burke, Steve Thomas, The impact of the financial crisis on the health system and health in Ireland, 2014, Case Study, PUBLISHED  URL
Teljeur C, Tyrrell E, Kelly A, O'Dowd T, Thomas S., Getting a handle on the general practice workforce in Ireland, Irish Journal of Medical Science, 183, (2), 2014, p207 - 213, Journal Article, PUBLISHED  DOI
Steve Thomas, Sara Burke, Sarah Barry, The Irish health-care system and austerity: sharing the pain, The Lancet, 383, (9928), 2014, p1545 - 1546, Journal Article, PUBLISHED  DOI
Burke S, Thomas S, Barry S, Keegan C, Indicators of health system coverage and activity in Ireland during the economic crisis 2008-2014 - From 'more with less' to 'less with less'., Health policy (Amsterdam, Netherlands), 117, (3), 2014, p275-8 , Journal Article, PUBLISHED  TARA - Full Text
Which is the right model of Universal Health Insurance for Ireland? in, editor(s)Tom O'Connor , Integrated Care for Ireland in an International Context. Challenges for Policy, Institutions and Specific Service User Needs, Cork, Oak Tree Press, 2013, [Steve Thomas, Catherine Darker], Book Chapter, PUBLISHED
The economic crisis and the irish Health system:Assessing resilience in, editor(s)Hou, Xiaohui, Edit V. Velényi, Abdo S. Yazbeck, Roberto F.Iunes, and Owen Smith , Learning from Economic Downturns: How to Better Assess, Track, and Mitigate the Impact on the Health Sector. Directions in Development., Washington DC, World Bank, 2013, [Sara Burke, Sarah Barry, and Stephen Thomas], Book Chapter, PUBLISHED
Steve Thomas, Conor Keegan , Sarah Barry , Richard Layte, Matt Jowett and Charles Normand, A framework for assessing health system resilience in an economic crisis: Ireland as a test case, BMC Health Services Research, 13, (450), 2013, p1-8 , Journal Article, PUBLISHED  TARA - Full Text  DOI
Posy Bidwell, Niamh Humphries, Patrick Dicker, Steve Thomas, Charles Normand, Ruairi Brugha, The national and international implications of a decade of doctor migration in the irish context, Health Policy, 110, (1), 2013, p29 - 38, Journal Article, PUBLISHED
Conor Keegan, Steve Thomas, Charles Normand, Conceição Portela, Measuring recession severity and its impact on healthcare expenditure, International Journal of Health Care Finance and Economics, 13, (2), 2013, p139 - 155, Journal Article, PUBLISHED  DOI  URL

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Prof.. Richard Layte, Prof. Miriam Wiley, Dr Jacqueline O'Reilly, Dr Aoife Brick Dr Kathleen Bennett, Ms Maev-Ann Wren, Dr Steve Thomas , Projecting the Impact of Demographic Change on the Demand for and Delivery of Health Care in Ireland, Dublin, ESRI, 2008, Book, PUBLISHED
Stephen Thomas, Charles Normand, Samantha Smith, Tom O'Dowd, A new deal for primary care for the Irish people, Health Manager, (August/September), 2008, p17 - 18, Journal Article, PUBLISHED
Stephen Thomas, Charles Normand, Samantha Smith, Social Health Insurance: Further Options for Ireland, Trinity College Dublin, Adelaide Hospital Society, 2008, Report, PUBLISHED
Steve Thomas, International collaboration to stop pandemics, Irish Medical Times, 23, (44), 2006, Journal Article, PUBLISHED
Stephen Thomas, Social Health Insurance Scoping Study: An Interim Report, Trinity College Dublin, May, 2006, Report, PUBLISHED
Stephen Thomas, Charles Normand and Samantha Smith, Social Health Insurance: Options for Ireland, Dublin, The Adelaide Hospital Society, November 23rd, 2006, Report, PUBLISHED
Gavin Mooney, Stephen Thomas and Michael Thiede, MESH and the Financing of PHC in South Africa, Health Economics Unit, University of Cape Town, 2004, Notes: [Health Economics Unit, University of Cape Town and Social and Public Health Research Group, Curtin University.], Book, PUBLISHED
Stephen Thomas and Okore Okorafor, Progress toward equity in the Financing of PHC services in South Africa, Third International Conference of the International Society for Equity in Health (ISEqH), Durban, 2004, Conference Paper, PRESENTED
Stephen Thomas, Sandi Mbatsha, Debbie Muirhead and Okore Okorafor, Primary Health Care Financing and Need across Health Districts in South Africa, Health Economics Unit, University of Cape Town, 2003, Notes: [Health Economics Unit, University of Cape Town and Centre for Health Policy, University of Witwatersrand. Cape Town 2003.], Book, PUBLISHED
Stephen Thomas, James Killingsworth, Institutional Aspects of Health Reforms and Implications for Informal Fee Practices in China and Bangladesh, 4th international Health Economics Association (iHEA) World Congress: Global Health Economics - Bridging Research and Reforms, San Francisco, 2003, Conference Paper, PRESENTED


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Health Financing and Social Health Insurance; Health Policy Analysis; Human Resource Motivation and Workforce Planning Health System Evaluation