In spite of the growing awareness and literature on health inequalities, the people encountered in MdM and partner organisations often fall through official surveys and are currently not captured by health information systems. This is why each year, the MdM International Network Observatory on access to healthcare publishes a report on the social determinants of health and health status of the patients met by MdM teams.
2019 Observatory Report – Left Behind: The State of Universal Healthcare Coverage in Europe
The MdM 2019 Observatory report analyses the state of Universal Healthcare Coverage (UHC) in Europe and highlights those who are left behind in European health systems. Based on data and testimonies collected from 29,359 rightsholders seen at MdM programmes in seven European countries (Belgium, France, Germany, Luxembourg, Sweden, Switzerland, and United Kingdom), the report highlights current gaps and formulates recommendations in order to bring European health systems in line with UN and WHO standards, including for vulnerable and marginalised individuals.
Executive Summary (in English; in French)
2019 Observatory report – Left Behind: The State of Universal Healthcare Coverage in Europe Burns, R., Aldridge, R. W., Graversen, P., Miller, A. K., Bader, C., Offe, J. & Fille, F. (2019). Stockholm.
2019 Legal Report on access to health care in Belgium, Germany, Sweden and the United Kingdom
This report outlines the legal circumstances regarding access to healthcare for people facing vulnerabilites in four European countries (Belgium, Germany, Sweden and the United Kingdom).
Legal report on access to healthcare in four European countries (ENG)
2017 Observatory report – Falling through the cracks: the failure of universal coverage in Europe
Gathering and presenting data collected by NGOs from 14 European countries, through more than 46.000 medical and social consultations, the Observatory report reveals unacceptable gaps in Europe’s healthcare coverage. The report was launched at the European Parliament on 8 November 2017.
Executive Summary (in English; in French; in Spanish)
2017 Observatory report – Falling through the cracks: the failure of universal coverage in Europe Robert W Aldridge, Anna Miller, Bethany Jakubowski, et al.
Rapport de l’observatoire 2017 – Les Laissés pour compte: l’échec de la couverture santé universelle en Europe Robert W Aldridge, Anna Miller, Bethany Jakubowski, et al.
Informe del Observatorio de 2017 – Personas excluidas: El fracaso de la cobertura sanitaria universal en Europa Robert W Aldridge, Anna Miller, Bethany Jakubowski, et al.
2017 Legal report on access to healthcare in 16 European countries
This legal report intends to collect and gather legal and field information about access to healthcare for people facing vulnerabilities in 16 European countries[1]
Legal report on access to healthcare in 16 European countries
[1]Belgium (BE), France (FR), Germany (DE), Greece (EL), Ireland (IE), Italy (IT), Luxemburg (LU), The Netherlands (NL), Norway (NO), Romania (Ro), Slovenia (SI), Spain (ES), Sweden (SE), Switzerland (CH), Turkey (TR), United kingdom (UK)
2016 – European Observatory report and Legal report
The Observatory report is a report on social and medical data gathered during the year 2015 in 11 European countries and Turkey. It was published in November 2016.
Executive Summary (in English and Spanish) of the 2016 European Observatory report.
Simonnot N, Rodriguez A, Nuernberg M, Fille F, Aranda-Fernández P.E and Chauvin P.
The Legal report on access to healthcare in 17 countries[2] was written using both legal expertise and feedback from the field. The public healthcare system of each country is described as it is foreseen by the national laws. The legal data is then completed by a description of the reality of access to healthcare. The report focuses on several categories of people as specific provisions apply to them, generally restricting their access to the public healthcare system.
Legal report on access to healthcare in 17 countries
[2] Belgium (BE), Canada (CA), France (FR), Germany (DE), Greece (EL), Ireland (IE), Italy (IT), Luxembourg (LU), The Netherlands (NL), Norway (NO), Romania (Ro), Slovenia (SI), Spain (ES), Sweden (SE), Switzerland (CH), Turkey (TR), United kingdom (UK)
2015
Access to healthcare for people facing multiple health vulnerabilities. Obstacles in access to care for children and pregnant women in Europe (May 2015)
L’accès aux soins des personnes confrontées à de multiples facteurs de vulnérabilité. Obstacles à l’accès aux soins des enfants et des femmes enceintes en Europe (Mai 2015).
El acceso a la atención sanitaria de las personas confrontadas con multiples vulnerabilidades de salud. Las barreras al acceso a la atención sanitaria de las mujeres embarazadas y los / las menores en Europa (Mayo de 2015).
The infographic summary can be downloaded here.
The complete report that presents the results of all the analyses, and that also includes Montreal (Canada), is available here:
Chauvin P, Simonnot N, Vanbiervliet F, Vicart M, Vuillermoz C. Access to healthcare for people facing multiple vulnerabilities in health in 26 cities across 11 countries. Report on the social and medical data gathered in 2014 in nine European countries, Turkey and Canada. Paris: Doctors of the World – Médecins du monde international network, May 2015.
The most important barrier to healthcare faced in the surveyed countries is restrictive national laws. This is why MdM also published a legal report on access to healthcare in 12 countries (Belgium, Canada, France, Germany, Greece, Luxembourg, Netherlands, Spain, Sweden, Switzerland, Turkey and the United Kingdom). We hope it will be a useful tool for healthcare professionals, researchers, NGOs, policy makers and other stakeholders to better understand the legal and administrative barriers that stop people from taking care of their health.
2014
Access to healthcare for the most vulnerable in a Europe in social crisis. Focus on pregnant women an children (May 2014)
L’accès aux soins des plus précaires dans une Europe en crise sociale. Le cas des femmes enceintes et des enfants (Mai 2014)
El acceso a la sanidad de las personas en situación de mayor precariedad en una Europa en crisis social. El caso de las mujeres embarazadas y los/las menores (Mayo de 2014)
Rapport complet. L’accès aux soins des personnes confrontées à de multiples facteurs de vulnérabilité dans 27 villes de 10 pays. Rapport sur les données sociales et médicales recueillies en 2013 dans huit pays européens, en Turquie et au Canada.
Full report. Access to healthcare for people facing multiple vulnerability factors in 27 cities across 10 countries. Report on the social and medical data gathered in 2013 in eight European countries, Turkey and Canada.
2013
Access to healthcare in Europe in times of crisis and rising xenophobia (April 2013)
Full epidemiological report. Access to healthcare of excluded people in 14 cities of 7 European countries (April 2013)
Access to healthcare for vulnerable populations. UPDATE OF LEGISLATION in 10 European countries (April 2013)
L’accès aux soins en Europe en temps de crise et de montée de la xénophobie (Avril 2013)
2012
Access to health care for vulnerable groups in the European Union in 2012. An overview of the condition of persons excluded from healthcare systems in the EU.
Accès aux soins des populations les plus vulnérables dans l’Union Européenne en 2012. Un aperçu de la situation des personnes exclues des systèmes de soins dans l’UE.
Full report on access to healthcare for vulnerable groups in the European Union (October 2012).
Report on 2011 data from five health centres in Europe: Amsterdam, Brussels, London, Munich, and Nice and from mobile units in Patras and Igoumenitsa (Greece)
2009 and 2010
Access to healthcare for undocumented migrants in 11 European countries (2009).
El acceso a la sanidad de las personas sin permiso de residencia en once países europeos (2009)
L’accès aux soins des personnes sans autorisation de séjour dans 11 pays européens (2009)
Report in Greek (2009)
L’accesso alle cure delle persone senza permesso di soggiorno in 11 paesi europei (2009)
De toegang tot gezondheidszorg van personen zonder verblijfsvergunning in 11 Europese landen (2009)
O acesso aos cuidados de saúde das pessoas sem autorização de residência em 11 países da Europa (2009)
European Network to reduce vulnerabilities in health 