Technical Report - Donegal Traveller's Project

All Ireland Traveller Health Studyinfrastructural 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 ofeconomic disadvantage, to ensure an adequate understanding of policy and practice. Services mustfind a fine line between ensuring all are treated equitably and fairly on the one hand and imposing onthe other hand a ‘one size fits all’ model that consciously or unconsciously has the effect of hinderingparticipation 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 Travellerperspective using increasingly well recognised quality assessment procedures of norms of care suchas those of the Picker Institute in the United Kingdom, employed in 2007 in the first general consumersatisfaction survey undertaken by the Republic of Ireland’s HSE (Boilson et al., 2007).28