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Barrières d'accès aux systèmes de santé et exclusion

English title Barriers to health systems and exclusion - a comparative study on the developed strategies to remove health care barriers and combat social deprivation in European urban context
Applicant Cattacin Sandro
Number 69170
Funding scheme NRP 51 Social Integration and Social Exclusion
Research institution Département de Sociologie Faculté des Sciences de la Société Université de Genève
Institution of higher education University of Geneva - GE
Main discipline Sociology
Start/End 01.03.2004 - 31.12.2006
Approved amount 207'324.00
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All Disciplines (2)

Political science

Lay Summary (English)

Lay summary
Barriers to health systems

This project explores the different responses that have been developed to reduce barriers to the access of health care system. These barriers represent an important factor for exclusion, especially in urban regions and constitute one of the main focal points of current health policies.

Over the last decade, issues linked to pauperization and exclusion have gained in importance in the field of health policies. Segregation and exclusion related to inequalities in health and the „health gap“ have become a central phenomenon linked to socio-economic status, employment, gender, etc. Barriers to health systems are also related to general conceptions that underlie the health systems. These systems have developed locally differentiated strategies through regional or urban health planning initiatives that crystallise some characteristics of the change of modern welfare states.

Aim and method
The aim of this research project is to investigate and illustrate - based on the standpoint that social deprivation is a dynamic process - the strategies that have been adopted and implemented in different European contexts to bridge the health gap, what specific actions have been set up and by means of what actors they have been advocated. Another aim of this research is to set off a learning process and to enrich the current debate on social exclusion and health in Switzerland. This project is based on the comparative method and six cases will be compared and typologized. Documentary research and semi-structured interviews will be the main tool to collect information.

The significance of this study is theoretical as well as practical: Firstly, the comparative approach aims to reveal country/urban public health responses to specific problems and to give a catalogue of possible interventions in relation to the national framework and health insurance patterns. Secondly, the developed strategies can be put in perspective with Swiss urban public health responses to show what issues are critical and what measures could be implemented. Thirdly, case studies will explore adequation with perceived needs, as well as the social acceptance of measures. These aspects are then placed in the current debate of the elaboration of future public health strategies and measures in Switzerland. The research findings can also be used as a guide to policy makers.

Direct link to Lay Summary Last update: 21.02.2013

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