Evidence map›Paper›PMID 33579295›Full record

ArticleInternational journal for equity in health2021

How to improve access to health care for Roma living in social exclusion: a concept mapping study.

Ivana Svobodova, Daniela Filakovska Bobakova, Lucia Bosakova, Zuzana Dankulincova Veselska

Open access · goldAbstract read
In one paragraph

Article in International journal for equity in health, 2021. 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
2.0field-weighted citation impact, top 13% of its field
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, 11 citations in OpenAlex.

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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

4 authors at 2 institutions in 2 countries.

Ivana SvobodovaPalacky University in Olomouc, Olomouc University Social Health Institute, Olomouc, Czech Republic. ivana.svobodova@oushi.upol.cz.ORCID 0000-0002-8782-0030
Daniela Filakovska BobakovaPalacky University in Olomouc, Olomouc University Social Health Institute, Olomouc, Czech Republic.
Lucia BosakovaPalacky University in Olomouc, Olomouc University Social Health Institute, Olomouc, Czech Republic.
Zuzana Dankulincova VeselskaDepartment of Health Psychology and Research Methodology, University of Pavol Jozef Safarik in Kosice, Faculty of Medicine, Kosice, Slovak Republic.
University of Pavol Jozef Šafárik · SKPalacký University Olomouc · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHalf of the people living in social exclusion in the Czech Republic are of Roma origin. The worse health of Roma could be partly explained by numerous barriers to accessing health care. Therefore, our study aimed to explore the perceptions of various stakeholders and experts who may have an impact on the inclusion of Roma and/or their access to health care on how to improve health care access for Roma living in social exclusion in the Czech Republic.

methodsWe conducted a concept mapping study and obtained data from 32 participants from health and social services, policymakers and others who were involved in different study phases (brainstorming, sorting, rating, interpretation).

resultsOut of 64 proposed measures sorted into six distinct clusters, 20 were rated as the most urgent and the most feasible and should be implemented with a priority to improve access to health care for Roma living in social exclusion. The proposed measures covered various topics, such as education and awareness of the target group as well as education and supervision of helping professionals, strengthening capacities and streamlining the health care system, health promotion and associated services and increasing the local and financial accessibility of health care. Overall, measures concerning the education and supervision of helping professionals were rated as both the most urgent and the most feasible. Individual priority measures targeted, for example, the health needs assessment of Roma living in social exclusion to set up interventions or to include topics such as participation, empowerment, cultural competence and communication training in the curricula of health care and helping professionals in postgraduate and continuing studies.

conclusionsStakeholders proposed a set of relevant and acceptable measures that may help improve access to health care for Roma living in social exclusion. The way they rated the proposed measures reflects both the current unfavourable mainstream and public discourse concerning Roma living in social exclusion and the most acute policy issues identified by several European and national bodies.

Indexed as

Culturally Competent CareDelivery of Health CareHealth Services AccessibilityRomani PeopleAdolescentAdultAgedAged, 80 and overChinaConcept FormationCultural CompetencyFemaleHealthcare DisparitiesHealth FacilitiesHealth PolicyHumansConcept mappingCzech RepublicEthnicityHealth care accessInterventionsPoliciesRomaVulnerable population

Identifiers

PMID33579295
PMCPMC7881662
OpenAlexW3126518973

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.