Recherche Melting Point : Étude qualitative sur l’accès et le recours aux soins de première ligne par les personnes vulnérables en Région de Bruxelles-Capitale
INTRODUCTION Belgium has a high-quality health and social protection system. Nonetheless, rejection and difficulties to access health care are common for vulnerable populations. METHOD The research presented here explores the barriers of access and use of first line health care through a qualitative approach. Semi-structured interviews were conducted with 25 patients and 80 healthcare professionals from a wide variety of sectors. The interviews were analyzed through a thematic content analysis. The focus is on vulnerable populations in Cureghem (Brussels) with multiple social issues. RESULTS This research identifies several issues that affect access to health care: inability to use anynational language, poverty, multiculturality, bad living conditions, lack of health knowledge and skills... The relationship between patient and caregiver has a central role to play in overcoming the obstacles to access health care. Furthermore, patients regard the human element of the relationship as highly important, as they are a source of help and support, particularly considering mental health affecting their condition. DISCUSSION This presentation will focus on the human element in health care. This aspect appears particularly important as it is often invisible in quantitative studies about health inequalities. This research also presents the specificity of being based on the patient’s views and experiences before the professional ones. CONCLUSION The human relationship between the patient and the caregiver is essential in primary health care, particularly to overcome care access and to address the multiple aspects of vulnerability. But it is often missing in research about health inequalities.
Creten, A., Thunus, S., & Donnen, A. (2021). Recherche Melting Point : Étude qualitative sur l’accès et le recours aux soins de première ligne par les personnes vulnérables en Région de Bruxelles-Capitale. Conférence pour la première ligne. https://hdl.handle.net/2078.5/108634