dc.creator | Escobar Ballesta, Marta | es |
dc.creator | García Ramírez, Manuel | es |
dc.creator | Freitas, Cláudia de | es |
dc.date.accessioned | 2024-02-08T12:58:50Z | |
dc.date.available | 2024-02-08T12:58:50Z | |
dc.date.issued | 2018 | |
dc.identifier.citation | Escobar Ballesta, M., García Ramírez, M. y Freitas, C.d. (2018). Taking stock of Roma health policies in Spain: Lessons for health governance. Health Policy, Volume 122 (4), 444-451. https://doi.org/10.1016/j.healthpol.2018.02.009. | |
dc.identifier.issn | 0168-8510 (impreso) | es |
dc.identifier.issn | 1872-6054 (electrónico) | es |
dc.identifier.uri | https://hdl.handle.net/11441/154939 | |
dc.description.abstract | Roma health inequities are a wicked problem. Despite concerted efforts to reduce them under the Decade of Roma Inclusion initiative, the health gap between Roma and non-Roma populations in Europe persists. To address this problem, the European Commission devised the National Roma Integration Strategies (NRIS). This paper provides a critical assessment of the implementation of the NRIS’ health strand (NRIS-H) in Spain and proposes an evaluation tool to monitor Roma health policies – the Roma Health Integration Policy Index (RHIPEX). It also makes recommendations to promote Roma health governance. To achieve these goals, four community forums, 33 stakeholder interviews and a scoping review were conducted.
Results show that the NRIS-H implementation is hindered by lack of political commitment and poor resource allocation. This has a negative impact on Roma’s entitlement to healthcare and on their participation in decision-making processes, jeopardising the elimination of the barriers that undermine their access to healthcare and potentially contributing to reproduce inequalities. These unintended effects point out the need to rethink Roma health governance by strengthening intersectional and intersectoral policies, enabling transformative Roma participation in policymaking and guaranteeing shared socio-political responsibility and accountability. | es |
dc.description.sponsorship | COST European Cooperation in the Field of Scientific and Technical Research Action IS1103 | es |
dc.description.sponsorship | Fundação para a Ciência e a Tecnologia SFRH/BPD/111344/2015 | es |
dc.description.sponsorship | Fondo Social Europeo SFRH/BPD/111344/2015 | es |
dc.description.sponsorship | POPH Programme SFRH/BPD/111344/2015 | es |
dc.description.sponsorship | Consumers, Health, Agriculture and Food Executive Agency | es |
dc.format | application/pdf | es |
dc.format.extent | 8 p. | es |
dc.language.iso | eng | es |
dc.publisher | Elsevier | es |
dc.relation.ispartof | Health Policy, Volume 122 (4), 444-451. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Roma | es |
dc.subject | Health policy | es |
dc.subject | Policy assessment | es |
dc.subject | Governance | es |
dc.subject | Migration and health | es |
dc.subject | Spain | es |
dc.subject | Wicked problem | es |
dc.title | Taking stock of Roma health policies in Spain: Lessons for health governance | es |
dc.type | info:eu-repo/semantics/article | es |
dc.type.version | info:eu-repo/semantics/acceptedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Psicología Social | es |
dc.relation.projectID | IS1103 | es |
dc.relation.projectID | SFRH/BPD/111344/2015 | es |
dc.relation.publisherversion | https://doi.org/10.1016/j.healthpol.2018.02.009 | es |
dc.identifier.doi | 10.1016/j.healthpol.2018.02.009 | es |
dc.journaltitle | Health Policy | es |
dc.publication.volumen | Volume 122 | es |
dc.publication.issue | 4 | es |
dc.publication.initialPage | 444 | es |
dc.publication.endPage | 451 | es |
dc.contributor.funder | COST European Cooperation in the Field of Scientific and Technical Research | es |
dc.contributor.funder | Fundação para a Ciência e a Tecnologia. Portugal | es |
dc.contributor.funder | Fondo Social Europeo (FSE) | es |
dc.contributor.funder | POPH Programme | es |
dc.contributor.funder | Consumers, Health, Agriculture and Food Executive Agency (CHAFEA) | es |