Accessing Health Care. Responding to Diversity. Healy J, Mckee M (eds). Oxford: Oxford University Press, 2004. pp. 256, AUS$ 140.00 (HB). ISBN: 0198516185.

Abstract

Historically services for different groups have developed and emerged shaped by different social contexts, leading to mainstream or separate approaches. However, in all countries marginalized groups and communities exist, and the increase in migration and refugees (70% of population group in Europe has been due to migration in recent years) means diversity is increasing in what were previously more homogeneous populations. However, regardless of the context, three common themes emerge. First, it is essential to collect relevant data to monitor access, uptake and health of different populations, despite the sensitivity of such data, particularly with respect to ethnicity. Second, access to effective health care is not just a matter of human rights, but also produces demonstrable improvements in population health due to the reduction of mortality from preventable conditions. Third, participation and empowerment of communities is an important aspect of improving access to health care to diverse groups.