Evidence map›Paper›PMID 35073881›Full record

ArticleBMC health services research2022

Equal access to healthcare in national legislations: how do Croatia, Germany, Poland, and Slovenia counteract discrimination in healthcare?

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

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Katarzyna BielińskaCenter for Bioethics and Biolaw, Faculty of Philosophy, University of Warsaw, Warsaw, Poland. katarzyna.bielinska@uw.edu.pl.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.ORCID http://orcid.org/0000-0002-4948-956X
Marianne NowakInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, Ulm, Germany.ORCID http://orcid.org/0000-0001-5452-2814
Marcin OrzechowskiInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, Ulm, Germany.ORCID http://orcid.org/0000-0003-4244-7989
Mojca RamšakInstitute of History of Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID http://orcid.org/0000-0003-1934-5466
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.ORCID http://orcid.org/0000-0002-9770-6733
Zvonka Zupanič-SlavecInstitute of History of Medicine, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID http://orcid.org/0000-0002-2599-4836
Florian StegerInstitute of the History, Philosophy and Ethics of Medicine, Ulm University, Ulm, Germany.ORCID http://orcid.org/0000-0001-8108-1591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of the study was a comparative analysis of legislative measures against discrimination in healthcare on the grounds of a) race and ethnicity, b) religion and belief, and c) gender identity and sexual orientation in Croatia, Germany, Poland and Slovenia.

methodsWe conducted a search for documents in national legal databases and reviewed legal commentaries, scientific literature and official reports of equality bodies. We integrated a comparative method with text analysis and the critical interpretive approach. The documents were examined in their original languages: Croatian, German, Polish, and Slovenian.

resultsAll examined states prohibit discrimination and guarantee the right to healthcare on the constitutional level. However, there are significant differences among them on the statutory level, regarding both anti-discriminatory legal measures and other legislation affecting access to healthcare for groups of diverse race or ethnicity, religion or belief, sexual orientation or gender identity. Croatia and Slovenia show the most comprehensive legislation concerning non-discrimination in healthcare in comparison to Germany and even more Poland. Except for Slovenia, explicit provisions protecting equal access for members of the abovementioned groups are insufficiently represented in healthcare legislation.

conclusionsThe study identified legislative barriers to access to healthcare for persons of diverse race or ethnicity, religion or belief, sexual orientation or gender identity in Croatia, Germany, Poland and Slovenia. The discrepancies in the level of implementation of anti-discriminatory measures among these states show that there is a need for comprehensive EU-wide regulations, which would implement the principle of equal treatment in the specific context of healthcare. General anti-discrimination regulations should be strengthened by inclusion of anti-discrimination provisions directly into national legislation relating specifically to the area of healthcare.

Indexed as

Delivery of Health CareGender IdentityCroatiaFemaleGermanyHumansMalePolandSloveniaCroatiaDiscriminationEthicsGermanyHealthcare accessNational legislationPolandSlovenia

Identifiers

PMID35073881
PMCPMC8787875

What OpenQuestion holds

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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.