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Exploring the Barriers: A Qualitative Study about the Experiences of Mid-SES Roma Navigating the Spanish Healthcare System

Author

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  • Emilia Aiello

    (Community of Researchers on Excellence for All (CREA), University of Barcelona, Avinguda Diagonal 690, 08034 Barcelona, Spain)

  • Ainhoa Flecha

    (Department of Sociology, Universitat Autònoma de Barcelona, Campus de la UAB, Edifici B, 08193 Bellaterra, Barcelona, Spain)

  • Olga Serradell

    (Department of Sociology, Universitat Autònoma de Barcelona, Campus de la UAB, Edifici B, 08193 Bellaterra, Barcelona, Spain)

Abstract

Whereas the topic of the ‘cultural sensitivity’ of healthcare systems has been addressed extensively in the US and the UK, literature on the subject in most European countries, specifically looking at the situation of Roma, is still scarce. Drawing on qualitative research conducted mainly in the city of Barcelona under the communicative approach with Roma subjects who have stable socioeconomic positions and higher cultural capitals (end-users, professionals of the healthcare system, and key informants of a regional policy oriented to the improvement of Roma living conditions), the present study aims to fill this gap. We explore the barriers that the Roma face in accessing the healthcare system, reflecting on how these barriers are accentuated by the existing anti-Roma prejudices and institutional arrangements that do not account for minority cultures. Our results point out a series of obstacles at two levels, in the interaction with healthcare professionals, and in relation to existing institutional arrangements, which prevent Roma families from having equal access to the healthcare system. Education stands up as a mechanism to contest anti-Roma sentiments among healthcare professionals.

Suggested Citation

  • Emilia Aiello & Ainhoa Flecha & Olga Serradell, 2018. "Exploring the Barriers: A Qualitative Study about the Experiences of Mid-SES Roma Navigating the Spanish Healthcare System," IJERPH, MDPI, vol. 15(2), pages 1-19, February.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:2:p:377-:d:132774
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    References listed on IDEAS

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    1. Pavol Jarcuska & Daniela Bobakova & Jan Uhrin & Ladislav Bobak & Ingrid Babinska & Peter Kolarcik & Zuzana Veselska & Andrea Madarasova Geckova, 2013. "Are barriers in accessing health services in the Roma population associated with worse health status among Roma?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(3), pages 427-434, June.
    2. Ramon Flecha & Marta Soler-Gallart & Teresa Sordé, 2015. "Europe must fund social sciences," Nature, Nature, vol. 528(7581), pages 193-193, December.
    3. Amanda Stafford & Lisa Wood, 2017. "Tackling Health Disparities for People Who Are Homeless? Start with Social Determinants," IJERPH, MDPI, vol. 14(12), pages 1-12, December.
    4. Vanessa Heaslip & Sarah Hean & Jonathan Parker, 2016. "Lived experience of vulnerability from a Gypsy Roma Traveller perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(13-14), pages 1987-1998, July.
    5. Government of India, 2017. "National Health Policy 2017," Working Papers id:11664, eSocialSciences.
    6. Maria Földes & Alina Covaci, 2012. "Research on Roma health and access to healthcare: state of the art and future challenges," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 37-39, February.
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    Cited by:

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    2. Antonio Jesús Ramos-Morcillo & César Leal-Costa & César Hueso-Montoro & Rafael del-Pino-Casado & María Ruzafa-Martínez, 2019. "Concept of Health and Sickness of the Spanish Gypsy Population: A Qualitative Approach," IJERPH, MDPI, vol. 16(22), pages 1-16, November.
    3. Daniela E. Miranda & Manuel Garcia-Ramirez & Fabricio E. Balcazar & Yolanda Suarez-Balcazar, 2019. "A Community-Based Participatory Action Research for Roma Health Justice in a Deprived District in Spain," IJERPH, MDPI, vol. 16(19), pages 1-22, October.
    4. Barbara Pavlikova & Lenka Freel & Jitse P. van Dijk, 2020. "To Comply or Not to Comply: Roma Approach to Health Laws," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    5. Ane López de Aguileta, 2024. "Contributions from Research with (and Not without) Roma Women to Social Work during the COVID-19 Pandemic," Sustainability, MDPI, vol. 16(2), pages 1-11, January.
    6. Cristina M. Pulido & Laura Ruiz-Eugenio & Gisela Redondo-Sama & Beatriz Villarejo-Carballido, 2020. "A New Application of Social Impact in Social Media for Overcoming Fake News in Health," IJERPH, MDPI, vol. 17(7), pages 1-15, April.

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