Alison McFadden|Lindsay Siebelt|Anna Gavine|Karl Atkin|Kerry Bell|Nicola Innes|Helen Jones|Cath Jackson|Haggi Haggi|Steve MacGillivray
Gypsy, Roma and Traveller access to and engagement with health services: a systematic review
University of Dundee|University of Dundee|University of Dundee|University of York|University of York|Dundee Dental Hospital|University of Dundee|University of York|University of Dundee|University of Dundee
gypsy roma traveller people represent disadvantaged minority groups europe poorest health outcomes systematic review addressed question gypsy roma traveller people access healthcare best ways enhance engagement health servicessearches conducted 21 electronic databases complemented focussed google search studies included sufficient focus gypsy roma traveller populations reported data pertinent healthcare service use engagement published english 2000 2015 study findings analyzed thematically narrative synthesis reportedninetynine studies 32 countries included covering range health services nearly onehalf presented findings related primary healthcare services reported barriers health service usage related organisation health systems discrimination culture language health literacy serviceuser attributes economic barriers promising engagement strategies included specialist roles outreach services dedicated services raising health awareness handheld records training staff collaborative workingthis review provides evidence gypsy roma traveller populations across europe struggle exercise right healthcare account multiple barriers related determinants disadvantage low literacy levels experiences discrimination promising strategies overcome barriers reported evidence weak therefore rigorous evaluations interventions improve access engagement health services gypsy roma traveller people needed