Percepción y experiencias en el acceso y el uso de los servicios sanitarios en población inmigrante

Abstract

There is a need to promote interventions to enhance health literacy among immigrants. These interventions should take into account diversity and length of residence, and should be based on an action-participation methodology.

Sub-Saharan African immigrant women's experiences of (lack of) access to appropriate healthcare in the public health system in the Basque Country, Spain

“…In addition to entitlement related obstacles, the language barrier that this study highlights has also been extensively described in the literature as one of the main challenges to an effective access to healthcare for immigrants [5, 6, 8, 39, 40, 43, 46]. In our setting, telephone based translation service is available in the health centres, even if the legal norms do not specifically state the right of patients for being provided a translator.…”

“…Similarly to our results, previous studies have shown that the lack of entitlement to the right to healthcare is an important barrier for immigrants to access healthcare [2, 8]. The complexity of administrative procedures, such as obtaining the healthcare card in the Spanish NHS and the demand for services payment, are also considered in the literature as difficult to understand and to follow for immigrants [6, 40], preventing them to access healthcare [5, 6, 8, 39, 43]. Contrary to immigrants' reported experiences, healthcare workers and managers in other Spanish regions have not perceived immigrants to have any difficulty or barrier in the process of getting the healthcare card [44, 45].…”

“…While almost all the participants expressed having been treated respectfully, at the same time, 60% also perceived discrimination towards immigrants and almost 70% answered that cultural differences negatively affected the quality of received attention [55]. Lack of trust on the health systems in the origin country contributes to having a good consideration of the health system at the host country despite of perceiving discrimination in attention [43, 44]. Likewise, reconstructing experiences of discrimination as random and not based on racism, as appeared in our results, can also be a copying strategy for “taking over” the consequences derived from those situations, such as accepting being oneself in a disadvantaged social position [56].…”

Enfermedades importadas en España: dificultades en la atención sanitaria

“…Percepción y experiencias en el acceso y el uso de los servicios sanitarios en la población inmigrante. Elsevier España.2015;29(4):244-251 (18) .…”

Atención inicial de migrantes en Chile: iniciativa en atención primaria de salud a un año de su implementación

“…Se ha descrito que la población migrante enfrenta importantes barreras de acceso a servicios de salud, las cuales operan en distintos niveles: estructural (barreras de tipo cultural y político), institucional (barreras de tipo organizacional y de prestación de servicios) y a nivel individual (características propias de la población migrante internacional y de los proveedores de servicios) (6, 7). La literatura internacional disponible reconoce que estas barreras influyen de forma negativa en los resultados de salud de la población migrante y, además, genera diferencias injustas y evitables entre la población migrante internacional y la población local a lo largo del tiempo (8).…”