期刊论文详细信息
BMC International Health and Human Rights
Access to primary healthcare services for the Roma population in Serbia: a secondary data analysis
Research Article
Orvill Adams1  Leanne Idzerda2  Ted Schrecker2  Peter Tugwell3  Jonathan Patrick4 
[1] Director of Orvill Adams & Associates Incorporated, Health Systems Policy and Workforce Planning, Ottawa, Ontario, Canada;Institute of Population Health, University of Ottawa, Ottawa, Canada;Institute of Population Health, University of Ottawa, Ottawa, Canada;Department of Medicine, University of Ottawa, Ottawa, Canada;Telfer School of Management, University of Ottawa, Ottawa, Canada;
关键词: Population Group;    Policy Recommendation;    Acute Respiratory Infection;    Primary Care Centre;    Actual Utilization;   
DOI  :  10.1186/1472-698X-11-10
 received in 2011-02-07, accepted in 2011-08-18,  发布年份 2011
来源: Springer
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【 摘 要 】

BackgroundSerbia has proclaimed access to healthcare as a human right. In a context wherein the Roma population are disadvantaged, the aim of this study was to assess whether the Roma population are able to effectively access primary care services, and if not, what barriers prevent them from doing so. The history of the Roma in Serbia is described in detail so as to provide a context for their current vulnerable position.MethodsDisaggregated data were analyzed from three population groups in Serbia; the general population, the Roma population, and the poorest quintile of the general population not including the Roma. The effective coverage framework, which incorporates availability, affordability, accessibility, acceptability, and effectiveness of health services, was used to structure the secondary data analysis. Acute respiratory infection (ARI) in children less than five years of age was used as an example as this is the leading cause of death in children under 5 years old in Serbia.ResultsRoma children were significantly more likely to experience an ARI than either the general population or the poorest quintile of the general population, not including the Roma. All three population groups were equally likely to not receive the correct treatment regime of antibiotics. An analysis of the factors that affect quality of access to health services reveal that personal documentation is a statistically significant problem; availability of health services is not an issue that disproportionately affects the Roma; however the geographical accessibility and affordability are substantive issues that disproportionately affect the Roma population. Affordability of services affected the Roma and the poorest quintile and affordability of medications significantly affected all three population groups. With regards to acceptability, mothers from all three population groups are equally likely to recognize the importance of seeking treatment.ConclusionsThe Roma should be assisted in applying for personal documentation, the geographical accessibility of clinics needs to be addressed, and the costs of healthcare visits and medications should be reviewed. Areas for improvement specific to ARI are the costs of antibiotics and the diagnostic accuracy of providers. A range of policy recommendations are outlined.

【 授权许可】

CC BY   
© Idzerda et al; licensee BioMed Central Ltd. 2011

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