Ainhoa Ruiz-Azarola1, María Escudero Carretero2, Luis Andrés López-Fernández3, Eugenia Gil García4, Joan Carles March Cerdà2, Daniel López Jaramillo5. 1. Escuela Andaluza de Salud Pública, Granada, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España. Electronic address: ainhoa.ruiz.easp@juntadeandalucia.es. 2. Escuela Andaluza de Salud Pública, Granada, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Instituto de Investigación Biosanitaria de Granada, Granada, España. 3. Escuela Andaluza de Salud Pública, Granada, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España. 4. Departamento de Enfermería, Universidad de Sevilla, Sevilla, España. 5. Consultoría Independiente en Investigación Social, Barcelona, España.
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.
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.
Keywords:
Accesibilidad a los servicios de salud; Economic recession; Emigración e inmigración; Emigration and immigration; Health services accessibility; Investigación cualitativa; Participación de pacientes; Patient participation; Qualitative research; Recesión económica
Authors: Francesc Ramos-Roure; Maria Feijoo-Cid; Josep Maria Manresa-Dominguez; Jordi Segura-Bernal; Rosa García-Sierra; Maria Isabel Fernández-Cano; Pere Toran-Monserrat Journal: Int J Environ Res Public Health Date: 2021-03-11 Impact factor: 3.390