Communication with Health Care Services-Experiences of Kurdish Refugees in Scandinavian Countries

Abstract

Background: According to recent statistics, the number of people who had fled their own home by 2015 was 59.5 million. In this context, the number of people who need a third person as a language link in communication with health care services has increased dramatically. This issue has led to a major challenge to healthcare providers to fulfill immigrants' needs in communication with health care services in resettlement countries. Aim: To study Kurdish refugees' experiences concerning communication with health care services in resettlement countries. Methods: Focus group interviews carried out with five groups of Kurdish refugees (N=21). The group interviews were transcribed, interpreted, analyzed and the text was categorized according to the content analysis method. Results: A number of difficulties regarding communication with health care services with the use of an interpreter, as well as with immigrants' independent communication, were highlighted by the present study. Participants' dissatisfaction with interpreters, and their competence in communication through an interpreter were reasons why some of them avoided using an interpreter although their language knowledge was limited. The other group finally had to use interpreters following their exaggeration of their language ability, meanwhile the third group waited until their language skills were good enough for independent communication. Conclusion: A number of difficulties concerning the Kurdish refugees' communication with health care services in Scandinavian countries were revealed by the present study. Interpreters' linguistic incompetence, their relatives' impartially and lack of language knowledge in communication through interpreters were problems mentioned by participants. Dissatisfaction with professional interpreters' competence, exaggeration of their own language ability by some of the participants and sufficient language knowledge were motives for Kurdish refugees' tendency to make independent communication with health care services.