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The Role of Perceived Unjust Treatment in Unmet Needs for Primary Care Among Finnish Roma Adults

Author

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  • Riikka Lämsä

    (Faculty of Medicine, University of Helsinki, 00014 Helsinki, Finland)

  • Anu E. Castaneda

    (Finnish Institute for Health and Welfare, 00271 Helsinki, Finland)

  • Anneli Weiste

    (Finnish Institute for Health and Welfare, 00271 Helsinki, Finland)

  • Marianne Laalo

    (Finnish Institute for Health and Welfare, 00271 Helsinki, Finland)

  • Päivikki Koponen

    (Finnish Institute for Health and Welfare, 00271 Helsinki, Finland)

  • Hannamaria Kuusio

    (Finnish Institute for Health and Welfare, 00271 Helsinki, Finland)

Abstract

The main goal in developing services is to guarantee equal access to healthcare services that are suited to the patients’ needs. Previous studies have shown that the Roma are more likely to experience unjust treatment in health services than the general population. This study examines the association between perceived unjust treatment in healthcare and self-assessed unmet need for primary care provided by general practitioners (GPs) and nurses among the Finnish Roma. The data from the Finnish Roma Wellbeing Study (Roosa), conducted in 2017–2018, were used. Snowball sampling was used in recruiting study participants ( n = 365, 61% women). Logistic regression was used to test the association between perceived unjust treatment and unmet need for primary care. Confounders used were gender, age, marital status, education, employment, and self-rated health. Those who had experienced unjust treatment in healthcare were more likely to report unmet need for care provided by GPs (odds ratios (OR) = 6.44; p < 0.001) and nurses (OR = 11.18; p < 0.001) than those who felt that they had been treated justly. This association remained after adjustments for the confounders. Bidirectional guidance between the Roma and service providers should be improved and the Roma communities involved in service development using participatory methods.

Suggested Citation

  • Riikka Lämsä & Anu E. Castaneda & Anneli Weiste & Marianne Laalo & Päivikki Koponen & Hannamaria Kuusio, 2020. "The Role of Perceived Unjust Treatment in Unmet Needs for Primary Care Among Finnish Roma Adults," IJERPH, MDPI, vol. 17(16), pages 1-15, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5825-:d:397722
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    References listed on IDEAS

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    Cited by:

    1. Marko Stenroos & Laura Musta & Natalia Skogberg, 2023. "Falling off the Radar? Reaching Out to the Finnish Roma Community during the COVID-19 Pandemic," Social Sciences, MDPI, vol. 12(3), pages 1-15, March.

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