How to improve access to health care for Roma living in social exclusion: a concept mapping study

Autor: Lucia Bosakova, Daniela Bobakova, Ivana Svobodova, Zuzana Dankulincova Veselska
Rok vydání: 2020
Předmět:
Male
Roma
Concept Formation
Health Services Accessibility
0302 clinical medicine
Health care
Ethnicity
030212 general & internal medicine
Sociology
Cultural Competency
Empowerment
Policies
Interventions
media_common
Social policy
Czech Republic
Aged
80 and over
lcsh:Public aspects of medicine
Health Policy
Health services research
Public relations
Middle Aged
Culturally Competent Care
Social Isolation
Female
Concept mapping
0305 other medical science
Adult
medicine.medical_specialty
China
Adolescent
media_common.quotation_subject
Social Inclusion
Vulnerable Populations
03 medical and health sciences
Young Adult
medicine
Humans
Healthcare Disparities
Health policy
Aged
Spatial Analysis
030505 public health
business.industry
Public health
Research
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
Health promotion
Vulnerable population
Health care access
Social exclusion
Health Facilities
business
Delivery of Health Care
Zdroj: International Journal for Equity in Health
International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-14 (2021)
ISSN: 1475-9276
Popis: Background Half of the people living in social exclusion in the Czech Republic are of Roma origin. The worse health of Roma could be partly explained by numerous barriers to accessing health care. Therefore, our study aimed to explore the perceptions of various stakeholders and experts who may have an impact on the inclusion of Roma and/or their access to health care on how to improve health care access for Roma living in social exclusion in the Czech Republic. Methods We conducted a concept mapping study and obtained data from 32 participants from health and social services, policymakers and others who were involved in different study phases (brainstorming, sorting, rating, interpretation). Results Out of 64 proposed measures sorted into six distinct clusters, 20 were rated as the most urgent and the most feasible and should be implemented with a priority to improve access to health care for Roma living in social exclusion. The proposed measures covered various topics, such as education and awareness of the target group as well as education and supervision of helping professionals, strengthening capacities and streamlining the health care system, health promotion and associated services and increasing the local and financial accessibility of health care. Overall, measures concerning the education and supervision of helping professionals were rated as both the most urgent and the most feasible. Individual priority measures targeted, for example, the health needs assessment of Roma living in social exclusion to set up interventions or to include topics such as participation, empowerment, cultural competence and communication training in the curricula of health care and helping professionals in postgraduate and continuing studies. Conclusions Stakeholders proposed a set of relevant and acceptable measures that may help improve access to health care for Roma living in social exclusion. The way they rated the proposed measures reflects both the current unfavourable mainstream and public discourse concerning Roma living in social exclusion and the most acute policy issues identified by several European and national bodies.
Databáze: OpenAIRE
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