U.S. Civil Rights Policy and Access to Health Care by Minority Americans: Implications for a Changing Health Care System

2000 ◽  
Vol 57 (4 suppl) ◽  
pp. 236-259 ◽  
Author(s):  
S. Rosenbaum ◽  
A. Markus ◽  
J. Darnell
2019 ◽  
Vol 2 ◽  
pp. 6-12
Author(s):  
M. Korkmaz ◽  
IA. Avci

<b>Purpose:</b> Migration is a complex situational transition that rarely occurs in isolations. Use of the transitions framework allows for recognition of the complex, longitudinal, and iterative components and processes of migration. Refugees experience a long and anduous transition. Refugees may experience significant changes in health status. The study purpose to investigate the change in health perception of refugee women within the framework of transition theory. <br><b>Materials and methods:</b> This study is a qualitative study. Data were collected with a semi-structured interview form at in-depth interviews. Obtained data were analyzed with inductive content analysis. Analysis of interview data provided by thirty Syrian refugee women. <br><b>Results:</b> The refugee women’s changing in health perception were found to comprise the following themes "pre-migration access to health care system and medical practise", " experiences of immigration process", "access to health care system in Turkey and medical practice,” and “change in health perception" and subthemes. <br><b>Conclusions:</b> Health perception for Syrian refugees women is status of well-being or not. Health status of refugees women got worse during immigration process and postmigration process. Because of refugee women in the face of some problems such as language barriers, lack of socio-economic situation, inadequacy of access to health care system all of these cause to be negatively change in health perceptions.


2017 ◽  
Vol 12 (11) ◽  
pp. S1993
Author(s):  
M.T. Ruiz Tsukazan ◽  
A. Vigo ◽  
L. Lago ◽  
G. Lenz ◽  
V. Duval Da Silva ◽  
...  

Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet

The United States is unique among developed countries in not providing health insurance to all of its citizens. But newcomers, both legal and undocumented, are far more likely to be uninsured than natives. This chapter reviews US law, including the Affordable Care Act, regarding immigrants’ access to health insurance, exposing the conflicting and inconsistent policies towards including immigrants within the nation’s health care system. These policies not only reduce immigrants’ access to health care, they add significant complexity to the US health care system, and create a range of health and economic costs to immigrants and natives alike. The chapter focuses in particular on the practice of medical repatriation, whereby hospitals send seriously ill immigrants to their countries of origin, explaining how the conflicting edicts of US health law encourage the practice by requiring hospitals to treat all emergency patients regardless of citizenship or insurance status, while denying many immigrants public benefits for nonemergency care.


Author(s):  
Solina Richter ◽  
Helen Vallianatos ◽  
Jacqueline Green ◽  
Chioma Obuekwe

More people are migrating than ever before. There are an estimated 1 billion migrants globally—of whom, 258 million are international migrants and 763 million are internal migrants. Almost half of these migrants are women, and most are of reproductive age. Female migration has increased. The socioeconomic contexts of women migrants need investigation to better understand how migration intersects with accessing health care. We employed a focused ethnography design. We recruited 29 women from three African countries: Ghana, Nigeria, and South Africa. We used purposive and convenient sampling techniques and collected data using face-to-face interviews. Interviews were audio-recorded and transcribed verbatim. Data were analyzed with the support of ATLAS.ti 8 Windows (ATLAS.ti Scientific Software Development GmbH), a computer-based qualitative software for data management. We interviewed 10 women from both South Africa and Ghana and nine women from Nigeria. Their ages ranged between 24 and 64 years. The four themes that developed included social connectedness to navigate access to care, the influence of place of origin on access to care, experiences of financial accessibility, and historical and cultural orientation to accessing health care. It was clear that theses factors affected economic migrant women’s access to health care after migration. Canada has a universal health care system but multiple research studies have documented that migrants have significant barriers to accessing health care. Most migrants indeed arrive in Canada from a health care system that is very different than their country of origin. Access to health care is one of the most important social determinants of health.


2020 ◽  
Vol 16 (3) ◽  
pp. 249-262
Author(s):  
Adam Capon ◽  
Lien McGowan ◽  
Julia Bowman

Purpose Patient-centred care is a key approach used in Australia for the delivery of quality health care, and understanding experiences and perceptions is a key part to this. This paper aims to explore prisoners’ experiences and perceptions of health-care service provision in New South Wales, Australia. Design/methodology/approach In February and March 2017, 24 focus groups, consisting of 128 participants, were undertaken using semi-structured interviews that explored experiences of health care in prison. Findings A conceptualisation of the prisoners’ health-care experience around the core category of access to health care emerged from the data. Enablers or barriers to this access were driven by three categories: a prison construct – how the prisoners “see” the prison system influencing access to health care; a health-care system construct – how the prisoners “see” the prison health-care system and the pathways to navigate it; and personal factors. Communication was the category with the greatest number of relational connections. Research limitations/implications This study takes a pragmatic approach to the analysis of data, the findings forming the basis for a future quantitative study. The findings identify communication as a key issue for access to health care. Originality/value This study provides first-hand accounts of enablers and barriers to accessing health-care services in the prison environment. To the best of the authors’ knowledge, this study is the first of its kind to identify access to health care as a core category and is of value to health workers and researchers that work with the prison population.


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