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Int. J. Environ. Res. Public Health 2018, 15(2), 377; https://doi.org/10.3390/ijerph15020377

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

1
Community of Researchers on Excellence for All (CREA), University of Barcelona, Avinguda Diagonal 690, 08034 Barcelona, Spain
2
Department of Sociology, Universitat Autònoma de Barcelona, Campus de la UAB, Edifici B, 08193 Bellaterra, Barcelona, Spain
*
Author to whom correspondence should be addressed.
Received: 15 December 2017 / Revised: 2 February 2018 / Accepted: 7 February 2018 / Published: 22 February 2018
(This article belongs to the Special Issue Roma Health)
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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. View Full-Text
Keywords: Roma health; healthcare cultural sensitivity; healthcare barriers; Roma women; Roma values Roma health; healthcare cultural sensitivity; healthcare barriers; Roma women; Roma values
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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Aiello, E.; Flecha, A.; Serradell, O. Exploring the Barriers: A Qualitative Study about the Experiences of Mid-SES Roma Navigating the Spanish Healthcare System. Int. J. Environ. Res. Public Health 2018, 15, 377.

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