Gaceta Sanitaria
2018

The perspective of migrants on access to health care in the context of austerity policies in Andalusia (Spain) [La perspectiva de personas migrantes sobre el acceso a la atención sanitaria en el contexto de políticas de austeridad en Andalucía] (Article in Press) (Open Access)

Ruiz-Azarola A.* , Escudero Carretero M. , López-Fernández L.A. , Gil García E. , March Cerdà J.C. , López Jaramillo D.
  • a Escuela Andaluza de Salud Pública, Granada, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
  • b Escuela Andaluza de Salud Pública, Granada, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain, Instituto de Investigación Biosanitaria de Granada, Granada, Spain
  • c Escuela Andaluza de Salud Pública, Granada, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain
  • d Departamento de Enfermería, Universidad de Sevilla, Sevilla, Spain
  • e Escuela Andaluza de Salud Pública, Granada, Spain, CIBER de Epidemiología y Salud Pública (CIBERESP), Spain, Instituto de Investigación Biosanitaria de Granada, Granada, Spain
  • f Consultoría Independiente en Investigación Social, Barcelona, Spain

Abstract

Objective: To conduct an assessment of migrant people regarding their access to the health system following entry into force of Royal Decree-Law 16/2012 along with the impact of economic cuts on such access. Method: Qualitative phenomenological study with semi-structured interviews, conducted in Andalusia (Spain), in two phases (2009-2010 and 2012-2013), with 36 participants. The sample was segmented by length of stay, nationality and area of residence. The nationalities of origin are Bolivia, Morocco and Romania. Results: Elements facilitating access in both periods: regular administrative situation, possession of Individual Health Card, knowledge of the language, social networks and information. The results show differences in access to health care for migrants before and after the enforcement of the RDL 16/2012, within austerity policies. In the second period, access barriers such as waiting times or incompatibility of schedules are aggravated and the socio-economic and administrative conditions of participants worsen. Conclusions: The design of policies, economic and regulatory health care, should take into account barriers and facilitators of access as fundamental main points of health protection for migrants and, therefore, for the general population. © 2018 SESPAS

Author Keywords

qualitative research Health services accessibility Emigration and immigration Patient participation economic recession

Index Keywords

Romania population Economic Recession human social network length of stay language qualitative research male semi structured interview Spain phenomenology female clinical article Article prophylaxis adult human experiment migration patient participation Bolivia Morocco
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058207555&doi=10.1016%2fj.gaceta.2018.09.006&partnerID=40&md5=08c88f7a8e3519b22f1a5c2943fdb9e6
DOI: 10.1016/j.gaceta.2018.09.006
ISSN: 02139111
Original Language: English; Spanish