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Article

Perceived discrimination among Maghrebi users of health services in Tarragona (Spain)

Publicated to:International Journal For Equity In Health. 14 (1): 144- - 2015-12-03 14(1), DOI: 10.1186/s12939-015-0275-7

Authors: Rubio-Rico, Lourdes; Roca-Biosca, Alba; de Molina-Fernandez, Inmaculada

Affiliations

Univ Rovira & Virgili, Dept Nursing, Tarragona 43002, Spain - Author
Univ Rovira & Virgili, Tarragona 43002, Spain - Author
Univ Rovira & Virgili, UNESCO Chair Intercultural Dialogue Mediterranean, Tarragona 43002, Spain - Author
Universitat Rovira i Virgili - Author

Abstract

© 2015 Rubio-Rico et al. Background: Discrimination in health services for reasons of nationality or ethnicity is not a rare occurrence. This work aims to qualitatively analyse the perceived discrimination among Maghrebi community in Tarragona (Spain) with regard to the healthcare services they receive. Methods: A qualitative study was carried by means of 12 semi-structured interviews and 10 focus groups with Maghrebi adults living in Tarragona. The scope of the study was public health services in the area. A content analysis was performed using open coding. Results: Our results show that perceived discrimination is greater than actual discrimination because the deficiencies of the healthcare system are often interpreted as unfairness. However, our subjects also recounted incidents of clear discrimination against Maghrebi users of the healthcare system. The tendency to feel discriminated against is the culmination of an interaction between the group's low self-esteem and locals' often negative sentiments towards the group. Conclusions: We suggest addressing the shortcomings of the healthcare system in order to reduce this level of perceived discrimination and thus improve patient satisfaction. To improve this group's self-esteem and change how they are perceived, public policies should be put into effect which promote social inclusion and the respect for Maghrebis' rights as people, with actions taken on both fronts: in the host society and within the Maghrebi community itself. Furthermore, an active role for the patient with regard to his or her rights should be encouraged in order to minimize abuse from professionals and to facilitate institutional control of individual actions.

Keywords

CareDelivery of health careDiscriminationDiscrimination, psychologicalExperiencesFemaleFocus groupsHealth servicesHealthcare disparitiesHumansMaleMigrationMuslim peoplePatient satisfactionPerceptionQualitative researchRacismSpain

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal International Journal For Equity In Health due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2015, it was in position 24/153, thus managing to position itself as a Q1 (Primer Cuartil), in the category Public, Environmental & Occupational Health.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-06-23:

  • Google Scholar: 2
  • WoS: 1
  • Scopus: 1
  • Europe PMC: 1
  • OpenCitations: 1

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-06-23:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 38.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 38 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 1.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
  • Assignment of a Handle/URN as an identifier within the deposit in the Institutional Repository: http://hdl.handle.net/20.500.11797/imarina6388441

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Rubio Rico, Maria Lourdes) and Last Author (De Molina Fernandez, Maria Inmaculada).

the author responsible for correspondence tasks has been Rubio Rico, Maria Lourdes.