{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-0RQ5ZHMR/709d72db-84d7-4fac-9b7d-ae85a4a2cc35/PDF","dcterms:extent":"262 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-0RQ5ZHMR/91337342-809e-4d34-9f66-75955cb5ce5d/TEXT","dcterms:extent":"49 KB"}],"edm:TimeSpan":{"@rdf:about":"2002-2026","edm:begin":{"@xml:lang":"en","#text":"2002"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:DOC-0RQ5ZHMR","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-py0w57lr"},{"@xml:lang":"sl","#text":"Zdravstveno varstvo"}],"dcterms:issued":"2026","dc:creator":["Burazeri, Genc","Czabanowska, Katarzyna","Gjyzari, Albana","Naum, Alvi","Qirjako, Gentiana","Toçi, Ervin"],"dc:format":[{"@xml:lang":"sl","#text":"številka:1"},{"@xml:lang":"sl","#text":"letnik:65"},{"@xml:lang":"sl","#text":"str. 5-15"}],"dc:identifier":["ISSN:0351-0026","DOI:10.2478/sjph-2026-0002","COBISSID_HOST:271055363","URN:URN:NBN:SI:doc-0RQ5ZHMR"],"dc:language":"en","dc:publisher":{"@xml:lang":"sl","#text":"Nacionalni inštitut za javno zdravje"},"dc:subject":[{"@xml:lang":"en","#text":"access to health services"},{"@xml:lang":"en","#text":"Albania"},{"@xml:lang":"sl","#text":"Albanija"},{"@xml:lang":"en","#text":"barriers"},{"@xml:lang":"sl","#text":"dostop do zdravstvenih storitev"},{"@xml:lang":"en","#text":"ethnic differences"},{"@xml:lang":"sl","#text":"etične razlike"},{"@xml:lang":"sl","#text":"manjšine Romov in Egipčanov"},{"@xml:lang":"sl","#text":"ovire"},{"@xml:lang":"sl","#text":"primarne zdravstvene storitve"},{"@xml:lang":"en","#text":"primary health care"},{"@xml:lang":"en","#text":"Roma and Egyptian minorities"}],"dcterms:temporal":{"@rdf:resource":"2002-2026"},"dc:title":{"@xml:lang":"sl","#text":"Comparison of the number and reasons for self-perceived barriers to accessing primary health care services between Roma and ethnic Albanians| Primerjava števila in razlogov za samopercipirane ovire pri dostopu do primarnih zdravstvenih storitev med Romi in etničnimi Albanci|"},"dc:description":[{"@xml:lang":"sl","#text":"Introduction To compare the number and reasons for self-perceived barriers to accessing primary health care (PHC) services between Roma/Egyptian and ethnic Albanians. Methods 533 adults (mean age: 45±18 years; ?60% women) reporting barriers to accessing PHC services were recruited consecutively during a nationwide survey in October 2024 across all four regions of Albania, using probability-proportional-to-size sampling. A semi-structured questionnaire was administered by trained interviewers inquiring about the number and reasons for self-perceived barriers to accessing PHC services, health characteristics, and sociodemographic factors. General linear models and binary logistic regression were employed to assess the association between perceived barriers and ethnic groups. Results 444 (?83%) participants were ethnic Albanians, whereas the remaining 89 (?17%) individuals belonged to other ethnic groups, including Roma (n = 57), Egyptians (n = 30), and Gorani or Macedonians (n = 2). Overall, cost and waiting time were the most common barriers. Roma/Egyptian minorities faced more cultural and language issues, whereas Albanians reported higher distrust and service-related expectations. The crude mean number of barriers to accessing PHC services was higher among Roma/Egyptian minorities than among Albanians (1.8 vs. 1.6, respectively; P = 0.04). The multivariable-adjusted odds of reporting ? 2 barriers to accessing PHC services were 93% higher among Roma/Egyptian minorities than in Albanians (P = 0.03). Conclusions Roma/Egyptian minorities experience more barriers in accessing PHC services than ethnic Albanians. However, the cost of services constitutes the main barrier across both groups. Conversely, communication-related barriers affect mainly Roma/Egyptian minorities, whereas Albanians perceive more systemic barriers. In Albania, there is a need for targeted, equity-focused interventions"},{"@xml:lang":"sl","#text":"Uvod Primerjava števila in razlogov za samopercipirane ovire pri dostopu do primarnih zdravstvenih storitev (PZS) med Romi/ Egipčani in etničnimi Albanci. Metode V okviru nacionalne raziskave smo oktobra 2024 zaporedno rekrutirali 533 odraslih (povprečna starost: 45 ± 18 let; ? 60 % žensk), ki so poročali o ovirah pri dostopu do PZS, v vseh štirih regijah Albanije z uporabo vzorčenja sorazmernega verjetnostnega vzorca glede na velikost. Izurjeni anketarji so izvedli polstrukturirani vprašalnik o številu in razlogih za samopercipirane ovire pri dostopu do PZS, zdravstvenih značilnostih in sociodemografskih dejavnikih. Za oceno povezave med zaznanimi ovirami in etničnimi skupinami smo uporabili splošne linearne modele in binarno logistično regresijo. Rezultati Večina, ali 444 (? 83 %), udeležencev je bilo etničnih Albancev, preostalih 89 (? 17%) pa je pripadalo drugim etničnim skupinam, vključno z Romi (n = 57), Egipčani (n = 30) ter Gorani ali Makedonci (n = 2). Skupno so bile najpogostejše ovire stroški in čas čakanja. Manjšine Romov/Egipčanov so se soočale z več kulturnimi in jezikovnimi težavami, medtem ko so Albanci poročali o večjem nezaupanju in pričakovanjih v zvezi s storitvami. Groba povprečna številka ovir pri dostopu do PZS je bila višja pri manjšinah Romov/Egipčanov v primerjavi z Albanci (1,8 proti 1,6; P = 0,04). Večvariabilno prilagojene verjetnosti za poročanje o ? 2 ovirah pri dostopu do PZS so bile med Romi/Egipčani za 93 % višje kot med Albanci (P = 0,03). Zaključki Manjšine Romov/Egipčanov se pri dostopu do PZS soočajo z več ovirami kot etnični Albanci. Vendar stroški storitev predstavljajo glavno oviro v obeh skupinah. Nasprotno pa ovire v povezavi s komunikacijo prizadenejo predvsem Rome/ Egipčane, medtem ko Albanci zaznavajo več sistemskih ovir. V Albaniji so potrebne ciljno usmerjene intervencije, osredotočene na enakopravnost"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:DOC-0RQ5ZHMR","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:DOC-0RQ5ZHMR"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:DOC-0RQ5ZHMR/709d72db-84d7-4fac-9b7d-ae85a4a2cc35/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc-nd/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Nacionalni inštitut za javno zdravje"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:DOC-0RQ5ZHMR/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:DOC-0RQ5ZHMR"}}}}