Analytic framework and approach

Data from both the documentary analysis and key informant interviews were coded using a primarily deductive approach in order to capture how the different aspects of governance defined in the TAPIC framework were implicated in the data. The research team created a predefined analytical matrix corresponding to the TAPIC framework [5, 18], encompassing Transparency, Accountability, Participation, Integrity and Capacity as analytic categories (see Table 2). This framework facilitated a structured and focused analysis, allowing for the categorisation of data into these five dimensions of governance. Coding was performed iteratively, with initial codes refined and sub-codes developed as patterns were identified, in keeping with thematic analysis methodology [46]. While taking a primarily deductive approach, the research team also used inductive coding, facilitating the identification of additional concepts and phenomena in the data that transcended the predefined analytic categories. Microsoft Excel was utilised to support the coding process, ensure methodological rigour, and enhance the reliability of the findings.

How the TAPIC Framework was Operationalised for Analysis

Table content adapted from Greer et al., 2016; 2019.

The triangulation of document analysis and key informant interviews, coupled with the systematic application of the TAPIC framework, yielded rich findings as to the governance dynamics at play in the reform of Ireland’s health system. These findings, detailed in the following section, provide empirically grounded insights for health system policy-makers, professionals, and leaders.