Perceived discrimination among Maghrebi users of health services in Tarragona (Spain)
Identifieur interne : 000207 ( Ncbi/Merge ); précédent : 000206; suivant : 000208Perceived discrimination among Maghrebi users of health services in Tarragona (Spain)
Auteurs : Lourdes Rubio-Rico [Espagne] ; Alba Roca-Biosca [Espagne] ; Inmaculada De Molina-Fernández [Espagne]Source :
- International Journal for Equity in Health [ 1475-9276 ] ; 2015.
Abstract
Discrimination in health services for reasons of nationality or ethnicity is not a rare occurrence. This work aims to qualitatively analyse the perceived discrimination among Maghrebi community in Tarragona (Spain) with regard to the healthcare services they receive.
A qualitative study was carried by means of 12 semi-structured interviews and 10 focus groups with Maghrebi adults living in Tarragona. The scope of the study was public health services in the area. A content analysis was performed using open coding.
Our results show that perceived discrimination is greater than actual discrimination because the deficiencies of the healthcare system are often interpreted as unfairness. However, our subjects also recounted incidents of clear discrimination against Maghrebi users of the healthcare system. The tendency to feel discriminated against is the culmination of an interaction between the group's low self-esteem and locals' often negative sentiments towards the group.
We suggest addressing the shortcomings of the healthcare system in order to reduce this level of perceived discrimination and thus improve patient satisfaction. To improve this group's self-esteem and change how they are perceived, public policies should be put into effect which promote social inclusion and the respect for Maghrebis' rights as people, with actions taken on both fronts: in the host society and within the Maghrebi community itself. Furthermore, an active role for the patient with regard to his or her rights should be encouraged in order to minimize abuse from professionals and to facilitate institutional control of individual actions.
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DOI: 10.1186/s12939-015-0275-7
PubMed: 26630972
PubMed Central: 4668748
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Dialogue in the Mediterranean, Rovira i Virgili University, Tarragona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>UNESCO Chair of Intercultural Dialogue in the Mediterranean, Rovira i Virgili University, Tarragona</wicri:regionArea><wicri:noRegion>Tarragona</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff3">Universitat Rovira i Virgili, Avda Catalunya, 35, 43002 Tarragona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Universitat Rovira i Virgili, Avda Catalunya, 35, 43002 Tarragona</wicri:regionArea><placeName><region nuts="2" type="communauté">Catalogne</region></placeName></affiliation></author><author><name sortKey="Roca Biosca, Alba" sort="Roca Biosca, Alba" uniqKey="Roca Biosca A" first="Alba" last="Roca-Biosca">Alba Roca-Biosca</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Nursing, Rovira i Virgili University, Tarragona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Nursing, Rovira i Virgili University, Tarragona</wicri:regionArea><wicri:noRegion>Tarragona</wicri:noRegion></affiliation></author><author><name sortKey="De Molina Fernandez, Inmaculada" sort="De Molina Fernandez, Inmaculada" uniqKey="De Molina Fernandez I" first="Inmaculada" last="De Molina-Fernández">Inmaculada De Molina-Fernández</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Nursing, Rovira i Virgili University, Tarragona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Nursing, Rovira i Virgili University, Tarragona</wicri:regionArea><wicri:noRegion>Tarragona</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal for Equity in Health</title><idno type="eISSN">1475-9276</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Discrimination in health services for reasons of nationality or ethnicity is not a rare occurrence. This work aims to qualitatively analyse the perceived discrimination among Maghrebi community in Tarragona (Spain) with regard to the healthcare services they receive.</p></sec><sec><title>Methods</title><p>A qualitative study was carried by means of 12 semi-structured interviews and 10 focus groups with Maghrebi adults living in Tarragona. The scope of the study was public health services in the area. A content analysis was performed using open coding.</p></sec><sec><title>Results</title><p>Our results show that perceived discrimination is greater than actual discrimination because the deficiencies of the healthcare system are often interpreted as unfairness. However, our subjects also recounted incidents of clear discrimination against Maghrebi users of the healthcare system. The tendency to feel discriminated against is the culmination of an interaction between the group's low self-esteem and locals' often negative sentiments towards the group.</p></sec><sec><title>Conclusions</title><p>We suggest addressing the shortcomings of the healthcare system in order to reduce this level of perceived discrimination and thus improve patient satisfaction. To improve this group's self-esteem and change how they are perceived, public policies should be put into effect which promote social inclusion and the respect for Maghrebis' rights as people, with actions taken on both fronts: in the host society and within the Maghrebi community itself. Furthermore, an active role for the patient with regard to his or her rights should be encouraged in order to minimize abuse from professionals and to facilitate institutional control of individual actions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Achotegui, J" uniqKey="Achotegui J">J Achotegui</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Rubio Rico, L" uniqKey="Rubio Rico L">L Rubio-Rico</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Navas, M" uniqKey="Navas M">M Navas</name></author><author><name sortKey="Cuadrado, I" uniqKey="Cuadrado I">I Cuadrado</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bermann, S" uniqKey="Bermann S">S Bermann</name></author><author><name sortKey="Lurbe, K" uniqKey="Lurbe K">K Lurbe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Borrell I Thi, C" uniqKey="Borrell I Thi C">C Borrell i Thió</name></author><author><name sortKey="Benach, J" uniqKey="Benach J">J Benach</name></author><author><name sortKey="Bofill, Fj" uniqKey="Bofill F">FJ Bofill</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Piette, Jd" uniqKey="Piette J">JD Piette</name></author><author><name sortKey="Bibbins Domingo, K" uniqKey="Bibbins Domingo K">K Bibbins-Domingo</name></author><author><name sortKey="Schillinger, D" uniqKey="Schillinger D">D Schillinger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Anderson, J" uniqKey="Anderson J">J Anderson</name></author><author><name sortKey="Perry, J" uniqKey="Perry J">J Perry</name></author><author><name sortKey="Blue, C" uniqKey="Blue C">C Blue</name></author><author><name sortKey="Browne, A" uniqKey="Browne A">A Browne</name></author><author><name sortKey="Henderson, A" uniqKey="Henderson A">A Henderson</name></author><author><name sortKey="Khan, Kb" uniqKey="Khan K">KB Khan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Carri N Bola Os, Mi" uniqKey="Carri N Bola Os M">MI Carrión Bolaños</name></author><author><name sortKey="Blanco Rodriguez, Jm" uniqKey="Blanco Rodriguez J">JM Blanco Rodríguez</name></author><author><name sortKey="Salinero Aceituno, M" uniqKey="Salinero Aceituno M">M Salinero-Aceituno</name></author><author><name sortKey="Rodriguez Jimenez, Ma" uniqKey="Rodriguez Jimenez M">MA Rodríguez Jiménez</name></author><author><name sortKey="Calvo Martin, C" uniqKey="Calvo Martin C">C Calvo Martín</name></author><author><name sortKey="Valenzuela Lvarez, D" uniqKey="Valenzuela Lvarez D">D Valenzuela-Álvarez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Caminal, J" uniqKey="Caminal J">J Caminal</name></author><author><name sortKey="Sanchez, E" uniqKey="Sanchez E">E Sánchez</name></author><author><name sortKey="Schiaffino, A" uniqKey="Schiaffino A">A Schiaffino</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mira, Sj" uniqKey="Mira S">SJ Mira</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bandura, A" uniqKey="Bandura A">A Bandura</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rodney, P" uniqKey="Rodney P">P Rodney</name></author><author><name sortKey="Kadyschuk, S" uniqKey="Kadyschuk S">S Kadyschuk</name></author><author><name sortKey="Liaschenko, J" uniqKey="Liaschenko J">J Liaschenko</name></author><author><name sortKey="Brown, H" uniqKey="Brown H">H Brown</name></author><author><name sortKey="Musto, L" uniqKey="Musto L">L Musto</name></author><author><name sortKey="Snyder, N" uniqKey="Snyder N">N Snyder</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bandura, A" uniqKey="Bandura A">A Bandura</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Equity Health</journal-id><journal-id journal-id-type="iso-abbrev">Int J Equity Health</journal-id><journal-title-group><journal-title>International Journal for Equity in Health</journal-title></journal-title-group><issn pub-type="epub">1475-9276</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26630972</article-id><article-id pub-id-type="pmc">4668748</article-id><article-id pub-id-type="publisher-id">275</article-id><article-id pub-id-type="doi">10.1186/s12939-015-0275-7</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Perceived discrimination among Maghrebi users of health services in Tarragona (Spain)</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-3862-0462</contrib-id><name><surname>Rubio-Rico</surname><given-names>Lourdes</given-names></name><address><email>lourdes.rubio@urv.cat</email></address><xref ref-type="aff" rid="Aff1"></xref><xref ref-type="aff" rid="Aff2"></xref><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Roca-Biosca</surname><given-names>Alba</given-names></name><address><email>alba.roca@urv.cat</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>de Molina-Fernández</surname><given-names>Inmaculada</given-names></name><address><email>inmaculada.demolina@urv.cat</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1"><label></label>Department of Nursing, Rovira i Virgili University, Tarragona, Spain</aff><aff id="Aff2"><label></label>UNESCO Chair of Intercultural Dialogue in the Mediterranean, Rovira i Virgili University, Tarragona, Spain</aff><aff id="Aff3"><label></label>Universitat Rovira i Virgili, Avda Catalunya, 35, 43002 Tarragona, Spain</aff></contrib-group><pub-date pub-type="epub"><day>3</day><month>12</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>3</day><month>12</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>14</volume><elocation-id>144</elocation-id><history><date date-type="received"><day>2</day><month>6</month><year>2015</year></date><date date-type="accepted"><day>17</day><month>11</month><year>2015</year></date></history><permissions><copyright-statement>© Rubio-Rico et al. 2015</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Discrimination in health services for reasons of nationality or ethnicity is not a rare occurrence. This work aims to qualitatively analyse the perceived discrimination among Maghrebi community in Tarragona (Spain) with regard to the healthcare services they receive.</p></sec><sec><title>Methods</title><p>A qualitative study was carried by means of 12 semi-structured interviews and 10 focus groups with Maghrebi adults living in Tarragona. The scope of the study was public health services in the area. A content analysis was performed using open coding.</p></sec><sec><title>Results</title><p>Our results show that perceived discrimination is greater than actual discrimination because the deficiencies of the healthcare system are often interpreted as unfairness. However, our subjects also recounted incidents of clear discrimination against Maghrebi users of the healthcare system. The tendency to feel discriminated against is the culmination of an interaction between the group's low self-esteem and locals' often negative sentiments towards the group.</p></sec><sec><title>Conclusions</title><p>We suggest addressing the shortcomings of the healthcare system in order to reduce this level of perceived discrimination and thus improve patient satisfaction. To improve this group's self-esteem and change how they are perceived, public policies should be put into effect which promote social inclusion and the respect for Maghrebis' rights as people, with actions taken on both fronts: in the host society and within the Maghrebi community itself. Furthermore, an active role for the patient with regard to his or her rights should be encouraged in order to minimize abuse from professionals and to facilitate institutional control of individual actions.</p></sec></abstract><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Espagne</li></country><region><li>Catalogne</li></region></list><tree><country name="Espagne"><noRegion><name sortKey="Rubio Rico, Lourdes" sort="Rubio Rico, Lourdes" uniqKey="Rubio Rico L" first="Lourdes" last="Rubio-Rico">Lourdes Rubio-Rico</name></noRegion><name sortKey="De Molina Fernandez, Inmaculada" sort="De Molina Fernandez, Inmaculada" uniqKey="De Molina Fernandez I" first="Inmaculada" last="De Molina-Fernández">Inmaculada De Molina-Fernández</name><name sortKey="Roca Biosca, Alba" sort="Roca Biosca, Alba" uniqKey="Roca Biosca A" first="Alba" last="Roca-Biosca">Alba Roca-Biosca</name><name sortKey="Rubio Rico, Lourdes" sort="Rubio Rico, Lourdes" uniqKey="Rubio Rico L" first="Lourdes" last="Rubio-Rico">Lourdes Rubio-Rico</name><name sortKey="Rubio Rico, Lourdes" sort="Rubio Rico, Lourdes" uniqKey="Rubio Rico L" first="Lourdes" last="Rubio-Rico">Lourdes Rubio-Rico</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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