Evidence map›Paper›PMID 32928175›Full record

ArticleBMC public health2020

Social diversity and access to healthcare in Europe: how does European Union's legislation prevent from discrimination in healthcare?

Marcin Orzechowski, Marianne Nowak, Katarzyna Bielińska, Anna Chowaniec, Robert Doričić, Mojca Ramšak, Paweł Łuków, Amir Muzur, Zvonka Zupanič-Slavec, Florian Steger

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Diversity Competency and Access to Healthcare in Hospitals in Croatia, Germany, Poland, and Slovenia.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marcin OrzechowskiInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, Parkstraße 11, 89073, Ulm, Germany. marcin.orzechowski@uni-ulm.de.ORCID http://orcid.org/0000-0003-4244-7989
Marianne NowakInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, Parkstraße 11, 89073, Ulm, Germany.ORCID http://orcid.org/0000-0001-5452-2814
Katarzyna BielińskaCenter for Bioethics and Biolaw, Faculty of Philosophy, University of Warsaw, Warsaw, Poland.ORCID http://orcid.org/0000-0002-3555-3276
Anna ChowaniecCenter for Bioethics and Biolaw, Faculty of Philosophy, University of Warsaw, Warsaw, Poland.ORCID http://orcid.org/0000-0002-7182-2963
Robert DoričićDepartment of Social Sciences and Medical Humanities, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Mojca RamšakInstitute for History of Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Paweł ŁukówCenter for Bioethics and Biolaw, Faculty of Philosophy, University of Warsaw, Warsaw, Poland.ORCID http://orcid.org/0000-0002-6873-6853
Amir MuzurDepartment of Social Sciences and Medical Humanities, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Zvonka Zupanič-SlavecInstitute for History of Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Florian StegerInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, Parkstraße 11, 89073, Ulm, Germany.ORCID http://orcid.org/0000-0001-8108-1591

Funding

Humanities in the European Research Area Hera.2.029
6 · The paper itself

Abstract

backgroundSocial diversity can affect healthcare outcomes in situations when access to healthcare is limited for specific groups. Although the principle of equality is one of the central topics on the agenda of the European Union (EU), its scope in the field of healthcare, however, is relatively unexplored. The aim of this study is to identify and systematically analyze primary and secondary legislation of the EU Institutions that concern the issue of access to healthcare for various minority groups. In our research, we have concentrated on three features of diversity: a) gender identity and sexual orientation, b) race and ethnicity, and c) religion or belief. METHOD AND MATERIALS: For the purpose of this analysis, we conducted a search of database Eur-Lex, the official website of European Union law and other public documents of the European Union, based on specific keywords accompanied by review of secondary literature. Relevant documents were examined with regard to the research topic. Our search covered documents that were in force between 13 December 2007 and 31 July 2019.

resultsGenerally, the EU legal system prohibits discrimination on grounds of religion or belief, racial or ethnic origin, sex, and sexual orientation. However, with regard to the issue of non-discrimination in access to healthcare EU secondary law provides protection against discrimination only on the grounds of racial or ethnic origin and sex. The issue of discrimination in healthcare on the grounds of religion or belief, gender identity and sexual orientation is not specifically addressed under EU secondary law. DISCUSSION: The absence of regulations regarding non-discrimination in the EU secondary law in the area of healthcare may result from the division of competences between the European Union and the Member States. Reluctance of the Member States to adopt comprehensive antidiscrimination regulations leads to a situation, in which protection in access to healthcare primarily depends on national regulations.

conclusionsOur study shows that EU antidiscriminatory law with regard to access to healthcare is fragmentary. Prohibition of discrimination of the level of European binding law does not fully encompass all aspects of social diversity.

Indexed as

Delivery of Health CareGender IdentityEuropeEuropean UnionFemaleHealth FacilitiesHumansMaleEthnicityEuropean UnionHealthcare inequalityMinority groupPublic nondiscriminatory policyReligious beliefSexual orientation

Identifiers

PMID32928175
PMCPMC7490891

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.