Barriers to primary health care: perspectives of marginalized Roma women and healthcare professionals

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61989592%3A15260%2F25%3A73635228" target="_blank" >RIV/61989592:15260/25:73635228 - isvavai.cz</a>

Výsledek na webu

<a href="https://link.springer.com/article/10.1186/s12913-025-13482-2" target="_blank" >https://link.springer.com/article/10.1186/s12913-025-13482-2</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1186/s12913-025-13482-2" target="_blank" >10.1186/s12913-025-13482-2</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Barriers to primary health care: perspectives of marginalized Roma women and healthcare professionals

Popis výsledku v původním jazyce

Background Marginalized Roma communities (MRCs) in Slovakia experience longstanding exclusion from essential services, including healthcare. Roma women, in particular, face compounded vulnerabilities that contribute to unequal access and poorer health outcomes. Despite increasing attention to these issues, a deeper understanding of the lived experiences that shape healthcare access in MRCs remains necessary.&lt;br /&gt; Methods A qualitative study was conducted using semi-structured interviews with 13 Roma mothers living in MRCS and 13 professionals working in healthcare, public health, or policy, including six of Roma origin. Data were analyzed using consensual qualitative research and thematic analysis to identify significant access barriers.&lt;br /&gt; Results Roma women face multiple, often interconnected barriers to accessing healthcare, many of which are rooted in longstanding structural inequalities. These include distrust of the health system stemming from prior discrimination, difficulties in understanding health-related information and navigating the system, and financial hardship. On the side of healthcare providers, barriers involve shortages in the healthcare workforce, poor care coordination, and discriminatory attitudes.&lt;br /&gt; Conclusions Improving access to healthcare for Roma women requires a comprehensive, multi-level strategy. Efforts should focus on building trust, improving communication, addressing financial and systemic obstacles, and investing in culturally sensitive primary care. Health promotion assistants play a crucial role in bridging the gaps between communities and healthcare providers. Culturally sensitive healthcare interventions and inclusive policies are essential to reducing health disparities and promoting equitable access.

Název v anglickém jazyce

Barriers to primary health care: perspectives of marginalized Roma women and healthcare professionals

Popis výsledku anglicky

Background Marginalized Roma communities (MRCs) in Slovakia experience longstanding exclusion from essential services, including healthcare. Roma women, in particular, face compounded vulnerabilities that contribute to unequal access and poorer health outcomes. Despite increasing attention to these issues, a deeper understanding of the lived experiences that shape healthcare access in MRCs remains necessary.&lt;br /&gt; Methods A qualitative study was conducted using semi-structured interviews with 13 Roma mothers living in MRCS and 13 professionals working in healthcare, public health, or policy, including six of Roma origin. Data were analyzed using consensual qualitative research and thematic analysis to identify significant access barriers.&lt;br /&gt; Results Roma women face multiple, often interconnected barriers to accessing healthcare, many of which are rooted in longstanding structural inequalities. These include distrust of the health system stemming from prior discrimination, difficulties in understanding health-related information and navigating the system, and financial hardship. On the side of healthcare providers, barriers involve shortages in the healthcare workforce, poor care coordination, and discriminatory attitudes.&lt;br /&gt; Conclusions Improving access to healthcare for Roma women requires a comprehensive, multi-level strategy. Efforts should focus on building trust, improving communication, addressing financial and systemic obstacles, and investing in culturally sensitive primary care. Health promotion assistants play a crucial role in bridging the gaps between communities and healthcare providers. Culturally sensitive healthcare interventions and inclusive policies are essential to reducing health disparities and promoting equitable access.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30304 - Public and environmental health

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

BMC HEALTH SERVICES RESEARCH

ISSN

1472-6963

e-ISSN

—

Svazek periodika

25

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

12

Strana od-do

nestránkováno

Kód UT WoS článku

001586815800010

EID výsledku v databázi Scopus

2-s2.0-105017801515