Accessing Health Care Responding to Diversity

by Healy, Judith; McKee, Martin

• ISBN13: 9780198516187
• ISBN10: 0198516185
• Format: Hardcover
• Copyright: 2004-02-19
• Publisher: Oxford University Press

Summary

Health care systems in developed countries must respond to increasingly diverse populations given greater population movements as a result of globalization. We all share a common humanity yet we each have different health care needs, depending on whether we are young or old, men or women,rich or poor, disabled or able-bodied, from different ethnic and indigenous groups, or citizens or asylum-seekers. Our membership of these societal groups shapes to some extent our health needs and our use of health services. But policy-makers and professionals often seem blind to this diversity.Some groups make special claims upon the state and have different expectations regarding health care. What are the barriers to people receiving equitable health care? Should mainstream services be made more responsive to the needs of different people, or is it necessary to set up alternative healthcare services? The chapters in this book discuss countries and population groups that illustrate different responses to claimant groups and different ways of delivering health services. For the first time this book brings draws together examples of how to deal with diversity from health systems across the industrialized world. It considers population groups within countries and takes a broad approach, studying inherent population diversity (age, sex), citizen issues (migrants,asylum seekers) and ethnic and indigenous groups (multiculturalism in the UK, Roma in Europe, New Zealand Maori, Australian Aborigines). It identifies barriers to accessing health care services by diverse populations and cultural groups within different countries and considers the advantages anddisadvantages of different delivery models for different population groups. This book provides an unparalleled breadth of perspectives from which to draw conclusions about how to meet the needs of societies characterised by diversity.

Table of Contents

Foreword	v
Solomon R Benatar
Preface	ix
List of Contributors	xiii
1 Different people, different services?	1	(18)
Judith Healy and Martin McKee
2 Sex and gender in health care and health policy	19	(14)
Dorothy Broom and Lesley Doyal
3 Services for older people	33	(22)
Christina R. Victor
4 Meeting the needs of people with disabilities	55	(16)
Ian Basnett
5 Health care for rich and poor alike	71	(18)
Margaret Whitehead and Barbara Hanratty
6 Access and equity in Australian rural health services	89	(20)
John S. Humphreys and Jane Dixon
7 Captive populations: prison health care	109	(18)
Andrew Coyle and Vivien Stern
8 New citizens: East Germans in a united Germany	127	(18)
Reinhard Busse and Ellen Nolte
9 Overseas citizens: citoyens de France	145	(14)
Virginie Halley des Fontaines
10 Migrants: universal health services in Sweden	159	(24)
Solvig Ekblad
11 Asylum seekers and refugees in the United Kingdom	183	(24)
Naaz Coker
12 Multicultural health care in Britain	207	(30)
Rory Williams and Seeromanie Harding
13 Roma health: problems and perception	237	(20)
Martin Kovats
14 'On our terms': the politics of Aboriginal health in Australia	257	(24)
Robert Griew, Beverly Sibthorpe, Ian Anderson, Sandra Eades and Ted Wilkes
15 Maori in Aotearoa/New Zealand	281	(22)
Sue Crengle, Peter Crampton and Alistair Woodward
16 The history and politics of health care for Native Americans	303	(22)
Stephen J. Kunitz
17 The value and challenges of separate services: First Nation in Canada	325	(26)
Josée G. Lavoie
18 Delivering health services in diverse societies	351	(20)
Judith Healy and Martin Mckee
Index	371