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Int. J. Environ. Res. Public Health 2016, 13(9), 924; doi:10.3390/ijerph13090924

Return Migrants’ Experience of Access to Care in Corrupt Healthcare Systems: The Bosnian Example

1
Danish Research Centre for Migration, Ethnicity and Health, Section for Health Services Research, Department of Public Health, University of Copenhagen, Copenhagen 1014, Denmark
2
Department of Anthropology, University of Copenhagen, Copenhagen 1353, Denmark
3
Section of Global Health, Department of Public Health, University of Copenhagen, Copenhagen 1014, Denmark
4
Section of Immigrant Medicine, Department of Infectious Diseases, University Hospital Hvidovre, Hvidovre 2650, Denmark
*
Author to whom correspondence should be addressed.
Academic Editors: Jimmy T. Efird and Pollie Bith-Melander
Received: 18 August 2016 / Revised: 8 September 2016 / Accepted: 13 September 2016 / Published: 19 September 2016
(This article belongs to the Special Issue Refugee Health)
View Full-Text   |   Download PDF [278 KB, uploaded 19 September 2016]

Abstract

Equal and universal access to healthcare services is a core priority for a just health system. A key societal determinant seen to create inequality in access to healthcare is corruption in the healthcare system. How return migrants’ access to healthcare is affected by corruption is largely unstudied, even though return migrants may be particularly vulnerable to problems related to corruption due to their period of absence from their country of origin. This article investigates how corruption in the healthcare sector affects access to healthcare for refugees who repatriated to Bosnia, a country with a high level of corruption, from Denmark, a country with a low level of corruption. The study is based on 18 semi-structured interviews with 33 refugees who returned after long-term residence in Denmark. We found that the returned refugees faced greater problems with corruption than was the case for those who had not left the country, as doctors considered them to be better endowed financially and therefore demanded larger bribes from them than they did from those who had remained in Bosnia. Moreover, during their stay abroad the returnees had lost the connections that could have helped them sidestep the corruption. Returned refugees are thus particularly vulnerable to the effects of corruption. View Full-Text
Keywords: corruption; return migration; access to healthcare; Bosnia and Herzegovina corruption; return migration; access to healthcare; Bosnia and Herzegovina
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Neerup Handlos, L.; Fog Olwig, K.; Bygbjerg, I.C.; Norredam, M. Return Migrants’ Experience of Access to Care in Corrupt Healthcare Systems: The Bosnian Example. Int. J. Environ. Res. Public Health 2016, 13, 924.

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