scholarly journals Co‐producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) health‐care inequalities via rapid reviews of grey literature in 27 EU Member States

2019 ◽  
Vol 22 (4) ◽  
pp. 688-700 ◽  
Author(s):  
Nigel Sherriff ◽  
Laetitia Zeeman ◽  
Nick McGlynn ◽  
Nuno Pinto ◽  
Katrin Hugendubel ◽  
...  
2016 ◽  
Vol 7 (2) ◽  
pp. 187 ◽  
Author(s):  
Dorota Kawiorska

This  paper  addresses  issues  related to health care in the context of the debate about the typology of welfare state regimes and comparative studies conducted in reference to the debate. Particular attention has been paid to the phenomenon of decommodification as one of the key dimensions that define welfare regimes identified in the literature associated with this debate. The study presents a health decommodification index, on the basis of which an attempt has been made to assess the decommodification potential of health care, taking into account the situation in the 28 EU Member States in 2012. The identification of a widely understood accessibility of publicly funded health care as a basic measure for assessing the decommodifying features of health programs is an important result of the empirical analysis. The study has also confirmed the views expressed in the literature about the existence of practical obstacles standing in the way of developing a universal typology of welfare states.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Jelenc ◽  
T Albreht

Abstract Background Cancer management represents one of the most complex disease management segments in health care. Quality National Cancer Control Programmes (NCCPs) play the key role in cancer management in responding to population needs by preventing, detecting and treating cancer only through adequate planning. An effective NCCP represents benefits for patients, citizens, health care providers, health systems and governments. Europe is still characterised by inequalities in cancer control both between and within countries. In response to this challenge, a generic list of evidence-based tools for efficient stewardship and measure of effects of the cancer control will be prepared. Methods A survey on the current state of NCCPs in EU Member States, EEA countries and EU candidate countries and on the presence of some key elements, which NCCPs should include, was conducted in 2018 in the frame of the Joint Action (JA) Innovative Partnership for Action Against Cancer (iPAAC). The completed surveys were analysed; the answers were compared with the report prepared on the basis of the survey carried out in 2011 in the frame of JA EPAAC. Results In total, 33 out of 34 EU Member States, some EEA countries and EU candidate countries completed the survey, the response rate was 97%. Thirty-one out of 33 countries reported that they have a NCCP or another relevant cancer document. Belgium does not have a NCCP, Croatia and Serbia prepared draft versions. The inclusion of patient pathways, quality indicators as well as PROMS in NCCPs is not satisfactory. Only 10 countries included PROMS in their NCCP. Conclusions On the basis of the preliminary results of the survey we conluded that the situation regarding NCCPs in Europe improved in comparison with the situation in 2011. EU countries have mostly adopted a NCCP, plan or strategy as a single or several documents. We aim at developing practical instructions for the successful governance and steering of cancer care in all EU Member States. Key messages The development of NCCPs represents added value for cancer patients in all EU Member States. The inclusion of patient pathways, quality indicators as well as patient reported outcome measures (PROMS) in NCCPs/cancer documents is not satisfactory.


Author(s):  
Jean-Michel Lafleur ◽  
Daniela Vintila

Abstract Despite the growing literature on sending states’ engagement with their populations abroad, little is known so far about their role in helping the diaspora deal with social risks. As argued in this chapter, this is mainly because past studies on sending states’ policies and institutions for the diaspora have failed to systematically focus on social protection, while also ignoring that regional integration dynamics often constrain domestic responses to the welfare needs of nationals residing abroad. This volume aims to fill this research gap by comparatively examining the type of diaspora infrastructure through which EU Member States address the vulnerabilities faced by populations abroad in five core areas of social protection: health care, pensions, family, unemployment, and economic hardship. Drawing on data from two original surveys with national experts, we operationalize the concepts of descriptive infrastructure for non-residents (i.e. the presence of diaspora-related institutions) and substantive infrastructure (i.e. policies that provide and facilitate access to welfare for nationals abroad) in order to propose a new typology of states’ engagement with their diaspora in the area of social protection.


2021 ◽  
Vol 8 (2) ◽  
pp. 128-144
Author(s):  
Mariya G. Bistrina ◽  
Thomas Thomov

While news of successful vaccine trials is encouraging, the prospect of long-term restrictions underscores the magnitude of a number of problems and challenges faced by all EU member states during the first wave of coronavirus infection. European leaders have come together in a series of measures and policies to support the European economy and society at the time of the declaration of the emergency. This situation underlines the particular importance of respecting the social rights of citizens. Social rights offer protection in many of the areas that most define our daily lives, including legally binding standards in education, employment and health care. This gives EU citizens the right to education, fair working conditions and access to preventive health care. The article traces the practice of how European countries apply the lessons learned from the first wave in order to minimize the negative impact on human rights. Several European governments have decided to expand income support schemes. To date, the authorities have expanded access to testing for COVID-19 in nursing homes, migration camps and other institutions. The authors highlight how the pandemic has affected fundamental rights, especially the social rights of society as a whole. The article describes some of the measures that EU member states have taken to protect the most vulnerable segment of society as Europe faces the second wave of the coronavirus pandemic.


Author(s):  
Ursula Trummer

Undocumented Migrants, an estimated 1% of the total population living in the EU, are widely excluded from welfare schemes and social policy considerations. They live under the radar of household statistics and epidemiology. Their health is at high risk and access to health care in most EU member states is restricted to emergency care. This restriction is discussed as being in conflict with the fundamental human right to health which has been ratified by all EU member states. Conflicting regulations on supranational and national level create a paradox situation for service providers. They have to manage this paradox. Evidence indicates that service providers develop an “art of interpretation” to interpret existing regulations in favour of their humanitarian goal to help people who are in need, no matter what the legal status may be.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Zeeman ◽  
N Sherriff

Abstract Background A recent EU funded pilot project to reduce the health inequalities of lesbian, gay, bisexual, trans and intersex (LGBTI) people has drawn attention to the barriers faced by LGBTI people when they access healthcare. Methods A component of a larger Health4LGBTI study will be presented where rapid-reviews were undertaken in 27 EU Member States focusing on the barriers experienced by LGBI people and how they can be reduced. Results LGBTI people may experience discrimination in healthcare settings based on their gender identity and gender expression, sexual orientation or sex characteristics where heterosexuality, binary gender and assumed male/female sex characteristics were upheld as the norm. Encouraging promising practices in various health settings were evident where the barriers faced by LGBTI people were addressed. The session will present measures required to reduce the barriers faced by LGBTI people via appropriate training of health professionals combined with the efforts of researchers, policy makers and LGBTI people as targeted action across all health systems. Conclusions Although encouraging promising practices were evident, much remains to be done, to ensure healthcare becomes equally accessible to all.


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