ArticleInternational journal of circumpolar health2017
Social justice, access and quality of healthcare in an age of austerity: users' perspective from rural Iceland.
Article in International journal of circumpolar health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Implications for health system reform, workforce recovery and rebuilding in the context of the Great Recession and COVID-19: a case study of workforce trends in Ireland 2008-2021.Human resources for health · 2022Article
- Making Europe health literate: including older adults in sparsely populated Arctic areas.BMC public health · 2022Article
- Brain age predicts long-term recovery in post-stroke aphasia.Brain communications · 2022Article
- Rural patients' experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study.International journal of circumpolar health · 2021Article
- Transport geography in Iceland.Journal of transport geography · 2020Article
- Access to Primary Health Care by older adults from rural areas in Southern Brazil.Revista de saude publica · 2020Article
- Self-rated health and socio-economic status among older adults in Northern Iceland.International journal of circumpolar health · 2019Article
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Abstract
Iceland is sparsely populated but social justice and equity has been emphasised within healthcare. The aim of the study is to examine healthcare services in Fjallabyggð, in rural northern Iceland, from users' perspective and evaluate social justice, access and quality of healthcare in an age of austerity. Mixed-method approach with transformative design was used. First, data were collected with questionnaires (response rate of 53% [N=732] in 2009 and 30% [N=415] in 2012), and analysed statistically, followed by 10 interviews with healthcare users (2009 and 2014). The results were integrated and interpreted within Bronfenbrenner's Ecological Model. There was significantly less satisfaction with accessibility and variety of healthcare services in 2012 after services downsizing. Solid primary healthcare, good local elderly care, some freedom in healthcare choice and reliable emergency services were considered fundamental for life in a rural area. Equal access to healthcare is part of a fundamental human right. In times of economic downturn, people in rural areas, who are already vulnerable, may become even more vulnerable and disadvantaged, seriously threatening social justice and equity. With severe cutbacks in vitally important healthcare services people may eventually choose to self-migrate.
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