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- W4241786429 abstract "Abstract Background A Primary Care Model Programme was implemented in Hungary between 2013 and 2017 in order to increase access of disadvantaged population groups to primary care and to offer new preventive services for all clients. In a country with single-handed practices, four group practices or GP clusters were created in the Program. Six GPs comprised one cluster who together employed nonmedical health professionals and nonprofessional health mediators, the latter recruited from the serviced communities, many of them of Roma ethnicity. Health mediators were tasked by improving access of the local communities – including its vulnerable Roma members – to existing and new services. Methods As part of the program evaluation, structured interviews were conducted with all 40 health mediators employed at the time in the Program. Interviews were transcribed and content analysis was carried out. Results Three themes emerged from the transcripts. The first centered on the health mediators’ personal characteristics such as motivation to join the Program, the way their job increased their self-esteem, social status and health consciousness. Domains of the second theme of their work included importance of on-the-job training and of their insider knowledge of local communities, as well as their pride to have become members of the primary care team. The third theme covered overall functioning of the Program of which they had mostly positive opinions, notwithstanding some criticism regarding procurement. Conclusions Health mediators had earlier worked in various European countries specifically to improve access of Roma ethnic groups to health services but the Hungarian Model Programme was the first in which health mediators as non-professional workers became members of the primary care team. Their contribution and overwhelmingly positive experiences, along with their useful insights for improvement call for the establishment and funding of health mediator positions in primary care especially in areas with large numbers of disadvantaged Roma populations." @default.
- W4241786429 created "2022-05-12" @default.
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- W4241786429 date "2020-06-08" @default.
- W4241786429 modified "2023-09-27" @default.
- W4241786429 title "Facilitating equal access to primary care for all: work experiences of health mediators in a primary health care model program in Hungary" @default.
- W4241786429 doi "https://doi.org/10.21203/rs.3.rs-33335/v1" @default.
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