Chapitre 4. Access to health care and social protection

Author(s):  
Philippe Martin
2021 ◽  
pp. 25-35
Author(s):  
Roberto De Vogli ◽  
Rossella De Falco

The aim of this review is to examine the effects of the Covid-19 pandemic on health inequalities and discuss effective public policies in containing them. The Covid-19 pandemic has generated not only an unprecedented health crisis, but also a severe economic recession and rapid increase in unemployment and economic difficulties. The poorer socioeconomic classes have been most affected by SARS-CoV-2 infections and deaths due to inequalities in working, housing and area of residence conditions, psychosocial factors, as well as unequal access to health care. However, the effects of the pandemic on health inequalities can be tackled by effective policies of Covid-19 containment based on testing, tracing and isolate timely and stronger social protection measures on behalf of the most disadvantaged populations.


Author(s):  
Bettina Kahil-Wolff Hummer

AbstractFrom a Swiss perspective, migration and transnational social protection is a subject of great importance because more than 30% of all the people working in Switzerland are migrants. This chapter shows that the Swiss social security provides protection for nationals and non-nationals, by granting access to health care and compensating the loss of income due to old age, disability, accidents, unemployment and other social risks. In some areas, the Swiss law contains rules that require domicile in Switzerland or Swiss citizenship, but for a majority of migrants, international agreements as well as EU Regulation n° 883/2004 waive such rules.


2011 ◽  
Vol 18 (1) ◽  
pp. 27-35 ◽  
Author(s):  
Bénédicte Bévière ◽  
Anne-Marie Duguet

AbstractHealth care is a fundamental human right in Europe, and all Member States recognise everyone’s right to the access to preventive healthcare and to receive medical care in the event of sickness or pregnancy. Nevertheless, this right is focused on citizens and the application to migrants, particularly undocumented migrants, varies widely in the EU. The French legislation is organized with a humanitarian approach. In this article, the authors present the French system of social protection, the “Couverture médicale universelle” or CMU, which provides the same protection to asylum seekers and documented immigrants as to nationals, and the “Aide médicale d’état” or AME, that is open to every person who does not fulfil the legal conditions to obtain the CMU, such as illegal immigrants. Created in 1995, recently access to the AME has been restricted. A claim of discrimination has been rejected by the Conseil d’Etat and 215 000 persons received the AME in 2009. The expenses incurred by the AME increased by 17% in 2010, and there is a debate in Parliament to limit care and to ask the recipient for a financial contribution.


Author(s):  
Jackqueline Kiptui ◽  
Peter Mwaura ◽  
David Gichuhi

The objective of the study is to analyse the influence of social protection on access to health care among elderly persons in informal settlements Nakuru Town, Kenya. The study was based on the Disengagement theory and utilized a descriptive research design to target individuals of 70 years and above, within the informal settlements in Nakuru Town, Kenya. Cluster and simple random sampling techniques were used to select 399 respondents from a target population of 248,785 elderly persons. Data was collected from the sample using a semi-structured questionnaire and analysed using descriptive statistics, cross-tabulation with chi-square, and the thematic content analysis method. Quantitative analysis was aided by Statistical Package for Social Sciences (SPSS) version 27 software. Results showed that the majority of the respondents (70.3%) had low access to health care services. Access to health care services is influenced by social protection programmes specifically cash transfers, government interventions in health care, and retirement benefits. Based on these findings, the study recommends that policymakers should create awareness regarding the existence of government interventions such as health insurance subsidy programme (HISP) and the importance of enrolling to retirement benefit schemes and saving for old age.


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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