scholarly journals Legal and practical aspects of access to health care for persons with hearing loss in selected European countries

Ekonomia ◽  
2019 ◽  
Vol 24 (3) ◽  
pp. 79-95
Author(s):  
Karolina Kulińska

Legal and practical aspects of access to health care for persons with hearing loss in selected European countriesThe article presents the outcomes of legal research combined with quantitative and qualitative re­search review concerning access to health care for people with hearing loss in selected European countries: United Kingdom, Federal Republic of Germany and Republic of Poland. The main ob­jective was to verify if and how this issue, especially communication and access to information, is solved in different legal systems. Secondly, by comparing the established legal framework in each country with available data on actual quality of healthcare provision, it was assessed whether any regularities between the chosen models of regulating rights of people with hearing loss and real-life adjustments for those patients can be detected. The objective scope of the research includes any type of hearing loss which affects spoken language communication, that is not only d/Deaf but also deafblind and hard of hearing persons, if only their primary and/or preferred way of communication is the not-spoken one. The main findings of the performed analysis are that key sources of barriers in access to healthcare are the lack of awareness on the side of both patients regarding their rights and healthcare providers specificity of hearing impairments and the fact that enhancements in the professional status of sign language interpreters and other communication assistants are needed.

ASHA Leader ◽  
2019 ◽  
Vol 24 (3) ◽  
pp. 56-63
Author(s):  
Michael McKee ◽  
Michelle Stransky

1997 ◽  
Vol 4 (3) ◽  
pp. 253-265 ◽  
Author(s):  

AbstractThe political asylum system in Western Europe is under strain. High numbers of people are applying for political asylum as the only possibility of living legally in Western countries, while governments are trying to prevent access to their territories and to discourage applicants. It is very difficult to foresee an equitable and timely solution of the root causes of many displacements, either extreme poverty or human rights abuse. In the meanwhile, many of those who are genuinely persecuted are rejected before their cases can even be considered.The entitlements to health care of different categories of refugees and asylum seekers have been reviewed. While convention refugees and de facto refugees have the same right to health care than the citizens of the country of asylum, asylum seekers and persons who are offered temporary protection tend to have restricted access to health care, although there is a great variability across countries. The available reports on the health status of asylum seekers in Western European countries document a quite difficult psychological and social adjustment. It is unclear whether this situation, which is caused by the stress of leaving their own country and family, by uncertainty over the future, and by possible exposure to violence is intensified by restriction to work, unsuitable organization of day to day life in asylum centers, and limited access to health care. A major effort is urgently needed to evaluate the health needs of asylum seekers, and to improve standards of reception and care in European countries.


Author(s):  
Pauline A. Mashima

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.


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