Evidence map›Paper›PMID 40722153›Full record

ArticleInternational journal for equity in health2025

Barriers to healthcare for racialised populations in Europe: a scoping review of reviews.

Yolanda González-Rábago, Nerea Lanborena, Elena Rodríguez-Álvarez

Abstract readScoping Review
In one paragraph

Article in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

3 authors.

Yolanda González-RábagoDepartment of Sociology and Social Work, Faculty of Labour Relations and Social Work, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, Leioa (Biscay), 48940, Spain. yolanda.gonzalezr@ehu.eus.
Nerea LanborenaDepartment of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, Leioa (Biscay), 48940, Spain.
Elena Rodríguez-ÁlvarezDepartment of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, Leioa (Biscay), 48940, Spain.

Funding

The study is part of the research project "Racism in healthcare among racialized population in the Basque Country (RACISMHEALTHCARE)" funded by the University of the Basque Country (UPV/EHU), Spain, "Call for University-Business-Society Projects 2023". Reference: US23/16
6 · The paper itself

Abstract

backgroundRacism is a significant barrier to equitable healthcare, yet it remains under-researched in Europe. Barriers across various stages of the healthcare process limit the equitable realisation of the right to health for racialised populations. This review synthesises existing literature on the barriers to healthcare faced by racialised populations in Europe.

methodsWe conducted a scoping review of reviews to identify barriers to healthcare for racialised populations in Europe. We systematically searched across four databases (PubMed, Scopus, Web of Science, and PsycINFO) for review articles published from January 2010 to September 2024. We obtained data from 30 eligible reviews and classified them according to the dimensions of healthcare access.

resultsOur review identified multiple, interrelated barriers across the dimensions of availability, accessibility, acceptability, and quality. Key barriers include insufficient interpretation and intercultural mediation services, complex and restrictive administrative procedures, economic costs, and cultural insensitivity in clinical practices. Racialised individuals also reported experiencing interpersonal racism and stereotypes, which affected their healthcare experiences and outcomes. The review highlights a significant lack of cultural competence among healthcare professionals, as well as inadequate adaptation of services to meet the needs of diverse populations. Additionally, we identified legal and administrative barriers, particularly for undocumented migrants, as crucial obstacles.

conclusionsOur findings underscore the need for systemic changes to address the structural racism that limits equitable access to European healthcare systems. There is a critical need for racism-reflexive healthcare, with culturally competent healthcare services, improved training for healthcare professionals, and resources adapted to the needs of a diverse population. Additionally, research should focus on the experiences of racialised populations in under-researched settings, such as primary care, as well as on racialised populations beyond the most vulnerable. This review calls for health policies that ensure the effective exercise of the right to health for all individuals, regardless of their racial or ethnic background.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityRacismCultural CompetencyEuropeHumansReview Literature as TopicAccess to healthcareCultural competenceEuropeHealthcare barriersMigrant healthRacialised populationsStructural racism

Identifiers

PMID40722153
PMCPMC12306001

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.