37c6aaf71ab9c7199beb6a0ba1fbe600 pmc_29470450.pdf 46cd3cc3564f8ed7119d8a8605eb7ea6133c54a4 pmc_29470450.pdf 1764a743d663460258b35e1576993ee940e4941a0be4e41027d80cae34028915 pmc_29470450.pdf Title: Exploring the Barriers: A Qualitative Study about the Experiences of Mid-SES Roma Navigating the Spanish Healthcare System Subject: Whereas the topic of the ‘cultural sensitivity’ of healthcare systems has been addressed extensively in the US and the UK, literature on the subject in most European countries, specifically looking at the situation of Roma, is still scarce. Drawing on qualitative research conducted mainly in the city of Barcelona under the communicative approach with Roma subjects who have stable socioeconomic positions and higher cultural capitals (end-users, professionals of the healthcare system, and key informants of a regional policy oriented to the improvement of Roma living conditions), the present study aims to fill this gap. We explore the barriers that the Roma face in accessing the healthcare system, reflecting on how these barriers are accentuated by the existing anti-Roma prejudices and institutional arrangements that do not account for minority cultures. Our results point out a series of obstacles at two levels, in the interaction with healthcare professionals, and in relation to existing institutional arrangements, which prevent Roma families from having equal access to the healthcare system. Education stands up as a mechanism to contest anti-Roma sentiments among healthcare professionals. Keywords: Roma health; healthcare cultural sensitivity; healthcare barriers; Roma women; Roma values Author: Emilia Aiello, Ainhoa Flecha and Olga Serradell Creator: LaTeX with hyperref package Producer: pdfTeX-1.40.15 CreationDate: Fri Feb 23 06:48:03 2018 CET ModDate: Fri Feb 23 06:48:03 2018 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 19 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 376529 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- JHMRJT+URWPalladioL-Ital Type 1 Custom yes yes no 87 0 HCFUMA+URWPalladioL-Bold Type 1 Custom yes yes no 88 0 OXBKYU+TeXGyreAdventor-Bold Type 1 Custom yes yes no 89 0 FJBXRA+URWPalladioL-Roma Type 1 Custom yes yes no 90 0 BVIBIE+VnURWPalladioL Type 1 Custom yes yes no 91 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 95 0 LWQXII+TimesNewRomanPS-BoldItalicMT 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