Titill: | Social justice, access and quality of healthcare in an age of austerity: Users’ perspective from rural Iceland |
Höfundur: |
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Útgáfa: | 2017-01-01 |
Tungumál: | Enska |
Umfang: | 1347476 |
Háskóli/Stofnun: | Háskólinn á Akureyri University of Akureyri |
Svið: | Heilbrigðisvísindasvið (HA) School of Health Sciences (UA) Hug- og félagsvísindasvið (HA) School of Humanities and Social Sciences (UA) |
Deild: | Iðjuþjálfunarfræðideild (HA) Faculty Of Occupational Therapy (UA) Hjúkrunarfræðideild (HA) Faculty of Nursing (UA) Félagsvísinda- og lagadeild (HA) Faculty of Social Sciences and Law (UA) |
Birtist í: | International Journal of Circumpolar Health;76(1) |
ISSN: | 2242-3982 1239-9736 (eISSN) |
DOI: | 10.1080/22423982.2017.1347476 |
Efnisorð: | Health care services; Social justice; Rural communities; Heilbrigðisþjónusta; Réttlæti; Dreifbýli |
URI: | https://hdl.handle.net/20.500.11815/1067 |
Tilvitnun:Sonja S. Gustafsdottir, Kristjana Fenger, Sigridur Halldorsdottir & Thoroddur Bjarnason (2017) Social justice, access and quality of healthcare in an age of austerity: users’ perspective from rural Iceland, International Journal of Circumpolar Health, 76:1, 1347476, doi:10.1080/22423982.2017.1347476
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Útdráttur:Iceland is sparsely populated but social justice and equity has been emphasised within
healthcare. The aim of the study is to examine healthcare services in Fjallabyggð, in rural
northern Iceland, from users’ perspective and evaluate social justice, access and quality of
healthcare in an age of austerity. Mixed-method approach with transformative design was
used. First, data were collected with questionnaires (response rate of 53% [N=732] in 2009
and 30% [N=415] in 2012), and analysed statistically, followed by 10 interviews with
healthcare users (2009 and 2014). The results were integrated and interpreted within
Bronfenbrenner’s Ecological Model. There was significantly less satisfaction with accessibility
and variety of healthcare services in 2012 after services downsizing. Solid primary healthcare, good local elderly care, some freedom in healthcare choice and reliable emergency
services were considered fundamental for life in a rural area. Equal access to healthcare is
part of a fundamental human right. In times of economic downturn, people in rural areas,
who are already vulnerable, may become even more vulnerable and disadvantaged, seriously threatening social justice and equity. With severe cutbacks in vitally important
healthcare services people may eventually choose to self-migrate.
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Athugasemdir:Publisher's version (útgefin grein)
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Leyfi:This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted
use, distribution, and reproduction in any medium, provided the original work is properly cited.
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