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      Attitudes to Ethical Approach to Migration

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      Clinical Social Work and Health Intervention

      Journal of Clinical Social Work and Health Intervention

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          Abstract

          Objective: The aim of our research was to explore attitudes of Slovak citizens toward migrants in correlation between age, income per year, education and residency on one site and attitudes to economic background, religion, culture, Health Care needs and apprehensions related to migrants on another site. This creates an ethical framework of attitudes towards migrants and migration.Design: Project study. The study was carried out under the KEGA project 007KU-4/2018 on Ethics in Public Health and Paramedics.Participants: 352 respondents (179 men and 173 women). In terms of age: the majority, 188 (53.4%) were of middle productive age; 104 were ˂26 year old; 60 were 55+. Regarding the education level: 110 respondents had graduated from a professional high school; 200 respondents had a University Education; 42 had a basic education. The high incidence of people with a University Education is influenced by requirements on the labor market in Slovakia. Regarding net income per year, 67.4% of respondents were at the ˂ 12,000 Euro per year level.Methods: A 27 items questionnaire MIETAT (Migration Ethics Attitudes) analyzed by descriptive characteristic for variables and subsequent testing of normality. Data were evaluated the correlation by using SPSS 22 Parametric Pearson Correlation Coefficient with a significance level of p <0.01 and p <0.05. High importance in evaluation is given to overall mean as well as means in individual domains.Results: We evaluated the intrinsic reliability of the questionnaire using the Cronbach Alpha and Coefficient for MIETAT - Migration Ethics Attitude is 0.950 in the whole set, which we interpret as a high degree of elemental credibility, respectively internal consistency of the questionnaire. Mean was 3.680; Range 1.955; Variance 0.342. Value of achieved overall mean score 3,680 which means that our respondents in the rating scale have confirmed the maintenance of ethical principles in approaching to migrants in general.Conclusion: The project study shows an important role in the ethical approach toward migrants and their needs. Every epoch of human history brings new challenges and urgently needs to respond in accordance with international rules and ethics. It‘s not easy, but we cannot avoid it. It may need a number of discussions, proposals, but the reality will require solutions based on a realistic assessment of the current situation. We are obliged to help and act in terms of fulfilling the mission we have in our life. Comprehensive altruistic education in ethical principles at schools can help fulfill this role.

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          Health disparities and health equity: the issue is justice.

          Eliminating health disparities is a Healthy People goal. Given the diverse and sometimes broad definitions of health disparities commonly used, a subcommittee convened by the Secretary's Advisory Committee for Healthy People 2020 proposed an operational definition for use in developing objectives and targets, determining resource allocation priorities, and assessing progress. Based on that subcommittee's work, we propose that health disparities are systematic, plausibly avoidable health differences adversely affecting socially disadvantaged groups; they may reflect social disadvantage, but causality need not be established. This definition, grounded in ethical and human rights principles, focuses on the subset of health differences reflecting social injustice, distinguishing health disparities from other health differences also warranting concerted attention, and from health differences in general. We explain the definition, its underlying concepts, the challenges it addresses, and the rationale for applying it to United States public health policy.
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            Health and legal literacy for migrants: twinned strands woven in the cloth of social justice and the human right to health care

            Background Based on an analysis of published literature, this paper provides an over-view of the challenges associated with delivering on the right to access quality health care for international migrants to industrialized countries, and asks which group of professionals is best equipped to provide services that increase health and legal literacy. Both rights and challenges are approached from a social justice perspective with the aim of identifying opportunities to promote greater health equity. That is, to go beyond the legal dictates enshrined in principles of equality, and target as an ethical imperative a situation where all migrants receive the particular assistance they need to overcome the barriers that inhibit their equitable access to health care. This assistance is especially important for migrant groups that are further disadvantaged by differing cultural constructions of gender. Viewing the topic from this perspective makes evident a gap in both research literature and policy. The review has found that while health literacy is debated and enshrined as a policy objective, and consideration is given to improving legal literacy as a means of challenging social injustice in developing nations, however, no discussion has been identified that considers assisting migrants to gain legal literacy as a step toward achieving not only health literacy and improved health outcomes, but critical participation as members of their adoptive society. Conclusion Increasing migrant health literacy, amalgamated with legal literacy, aids migrants to better access their human right to appropriate care, which in turn demonstrably assists in increasing social engagement, citizenship and productivity. However what is not evident in the literature, is which bureaucratic or societal group holds responsibility for assisting migrants to develop critical citizenship literacy skills. This paper proposes that a debate is required to determine both who is best placed to provide services that increase health and legal literacy, and how they should be resourced, trained and equipped.
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              Challenges in the provision of healthcare services for migrants a systematic review through providers’ lens

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                Author and article information

                Journal
                Clinical Social Work and Health Intervention
                cswhi
                Journal of Clinical Social Work and Health Intervention
                2222386X
                20769741
                July 30 2018
                July 28 2018
                July 30 2018
                July 28 2018
                : 9
                : 2
                : 58-69
                Article
                10.22359/cswhi_9_2_09
                © 2018

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                Psychology, Social & Behavioral Sciences

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