Perceptions of the Family Receiving Social Benefits Regarding Access to Healthcare
We start from the premises that the public health insurance system reform in Romania fall in the liberal trend of reducing the state’s direct role in delivering and providing health care services, increasing decision autonomy and responsibility of the ins
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Abstract We start from the premises that the public health insurance system reform in Romania fall in the liberal trend of reducing the state’s direct role in delivering and providing health care services, increasing decision autonomy and responsibility of the insured person. The present undertake aims to understand the universe of non-contributory social benefits based on financial means testing beneficiaries and the subjective meanings in regard to social care services access determinants. Synthesizing the analysis of social benefits based on financial means testing beneficiaries’ perceptions, we observe that their way of relating to the health care system depends to a large extent on the lack of incomes. The interpretation of health care access perception of this category of users comes as a discontent and criticism to the system and to the social actors’ transfers (informal payments, physician- patient relation, lack of information). Keywords Healthcare access Means testing
Health determinants Family Social benefits
1 Introduction The perceptions and social representations of determinants in access to health care services reflects practices, experiences and lessons drawn from personal and professional situations, but also ways of relating to changes in the social protection and public health system. Arguments for their pinpointing lie in the necessity of A. Rebeleanu (&) Faculty of Sociology and Social Work, Babeş-Bolyai University, Cluj-Napoca, 21 December 1989 Blvd., no. 128-130, 400604 Cluj-Napoca, Romania e-mail: [email protected] D.-T. Soitu Department of Sociology and Social Work, Faculty of Philosophy and Social-Political Sciences, A.I. Cuza University, Carol I, no. 11, 700506 Iaşi, Romania e-mail: [email protected] © Springer International Publishing Switzerland 2017 A. Maturo et al. (eds.), Recent Trends in Social Systems: Quantitative Theories and Quantitative Models, Studies in Systems, Decision and Control 66, DOI 10.1007/978-3-319-40585-8_14
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synchronising interventions at the social policies and public health level with those at the citizens’ level. The present tendencies of Romanian neoliberal health care reform can generate changes in the interactions between the main actors involved. The role of individual has been reconsidered within the present health system. The beneficiary is, at the same time, service user, insured person and citizen. Some of the arguments we can invoke in favour of an explanatory study regarding perceptions and representations of health care services access difficulties are the necessity of knowing the socio-geographic particularities of health care services access, identifying associated purposes and motivations of beneficiaries’ resort to health care services, but also the possibility of explaining the investigated issue- what are factors and underlying mechanisms influencing access. National studies (Dragomirişteanu, Mihăescu-Pinţia, 2010, pp. 17–29) focus to a greater extent on evaluating the perception of profess
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