Background:
Accessing health care services system is a fundamental right for all people worldwide. The WHO has defined the obstruction of the availability, access, and delivery of therapeutic and/or preventive health services as a form of health attack. The Palestinian Authority faces significant challenges to ensure the sustainability of the delivery of its health services systems. The blockade of the Gaza Strip and the presence of Israeli settlements in oPt (occupied Palestinian territories) and the Separation Wall around Jerusalem all these obstacles affect the patient’s right to access health care services. Palestinian Patients need permit applications from Israeli authorities that require usually 7–10 days depending on the case condition and the appointment from the target hospital in which the permit may be approved or denied or delayed. It has become a complex process due to the need to cross barriers or border crossings and restrictions on the movement of Palestinian patients and ambulances imposed by the Israeli government. Therefore, barriers policy to accessing health care services are a serious and permanent condition that can lead to a very stressful atmosphere and result in developing mental problems. This paper aims to provide an overview of the literature and established studies on mental health consequences related to access limitations policy to health care services system in Palestine.
Methods
PubMed and Google Scholar were used to search for materials for the literature review study. The Data in this literature review was collected by searching in electronic databases such as PubMed and Google Scholar. The keywords used in the searching process are Mental Health AND consequences AND limited access OR Access Limitations AND health care services OR health care AND barrier AND Gaza strip OR West Bank AND Palestine. Full-text articles critically appraised were included while the duplicated papers were extracted. The papers in this review follow the IMRAD style (Introduction, method, results, and discussion section).
Results
More than 25 related materials founded including review studies, 3 WHO reports, and 2 Palestinian government statistical reports.
Conclusion
Evidences from this review show that there is a necessity to maintain justice and equality among the Palestinian population and their right to freedom. Limited access to health-care services for Palestinian patients living in Gaza Strip, West Bank ,and East Jerusalem affect negatively the patient’s quality of life and mental health mainly due to the Israeli Separation Wall besides road closures.