All Ireland Traveller Health Study Our Geels - Department of Health ...

All Ireland Traveller Health Study
infrastructural delivery, including mobile populations and distance from care, are all important. Krieger
(2003) emphasises the need to distinguish factors associated with race and culture from those of
economic disadvantage, to ensure an adequate understanding of policy and practice. Services must
find a fine line between ensuring all are treated equitably and fairly on the one hand and imposing on
the other hand a ‘one size fits all’ model that consciously or unconsciously has the effect of hindering
participation or adequate care for a vulnerable individual (National Economic and Social Forum, 1996;
Quirke, 2001). This literature clearly has resonances for the assessment of health services from a Traveller
perspective using increasingly well recognised quality assessment procedures of norms of care such
as those of the Picker Institute in the United Kingdom, employed in 2007 in the first general consumer
satisfaction survey undertaken by the Republic of Ireland’s HSE (Boilson et al., 2007).
28