Page 101 - S. Ličen, I. Karnjuš, & M. Prosen (Eds.). (2019). Women, migrations and health: Ensuring transcultural healthcare. Koper, University of Primorska Press.
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Migrants’ Experiences in the Healthcare System
sive overview of barriers at various stages of the patient journey. Meta-
ethnography was chosen to synthesize the studies; this enables the inter-
pretation of the findings from the individual studies into a larger, whole pic-
ture that provides deeper understanding of an issue (Noblit & Hare, 1988).
The population included in this review were adult migrant patients, but not
specific maternity care.
The Review Process
Any peer-reviewed, qualitative research study in English, exploring migrant
patients’ experiences of healthcare published between January 2000–June
2016 was considered. The search in 7 databases initially delivered 264 studies,
which were further assessed according to the inclusion criteria and for their
study quality. 27 studies were included in the meta ethnographic analysis.
Hundred sixteen first and second order constructs were identified across
the studies, which were condensed and interpreted into 15 third order con-
structs. These third order constructs were contextualised into the following
dimensions: (1) personal factors; (2) healthcare system; (3) access to health-
care; (4) the encounter; and (5) healthcare experience (Luiking et al., 2018).
Findings
The third order constructs, dimensions are described below. In italics are quo-
tations from the studies in the review to illustrate the dimensions.
Personal Factors
This dimension comprises a number of constructs that define a migrant pa-
tient’s personality and inform about their health-seeking behaviours, such as
a person’s enculturation or society of origin with its religious or value system,
but also life experiences. In some cases, exceptionally traumatic experiences
such as becoming a refugee because of war and being forced to migrate are
powerful: ‘I did not want to live because of what is gone. I was eating, sleep-
ing only [. . .] I tried to forget it but I can’t. My history, my life is stamped into
my heart.’ (Fang, Sixsmith, Lawthom, Mountian, & Shahrin, 2015)
In effect these personal factors determine a person’s overall life context
(Biswas, Kristiansen, Krasnik, & Norredam, 2011; Krupic, Sadic, & Fatahi, 2016;
Seffo, Krupic, Grbic, & Fatahi, 2014).
Healthcare System
The healthcare system and legal framework of the host country determines
the care provision available for natives as well as for migrant patients. De-
99
sive overview of barriers at various stages of the patient journey. Meta-
ethnography was chosen to synthesize the studies; this enables the inter-
pretation of the findings from the individual studies into a larger, whole pic-
ture that provides deeper understanding of an issue (Noblit & Hare, 1988).
The population included in this review were adult migrant patients, but not
specific maternity care.
The Review Process
Any peer-reviewed, qualitative research study in English, exploring migrant
patients’ experiences of healthcare published between January 2000–June
2016 was considered. The search in 7 databases initially delivered 264 studies,
which were further assessed according to the inclusion criteria and for their
study quality. 27 studies were included in the meta ethnographic analysis.
Hundred sixteen first and second order constructs were identified across
the studies, which were condensed and interpreted into 15 third order con-
structs. These third order constructs were contextualised into the following
dimensions: (1) personal factors; (2) healthcare system; (3) access to health-
care; (4) the encounter; and (5) healthcare experience (Luiking et al., 2018).
Findings
The third order constructs, dimensions are described below. In italics are quo-
tations from the studies in the review to illustrate the dimensions.
Personal Factors
This dimension comprises a number of constructs that define a migrant pa-
tient’s personality and inform about their health-seeking behaviours, such as
a person’s enculturation or society of origin with its religious or value system,
but also life experiences. In some cases, exceptionally traumatic experiences
such as becoming a refugee because of war and being forced to migrate are
powerful: ‘I did not want to live because of what is gone. I was eating, sleep-
ing only [. . .] I tried to forget it but I can’t. My history, my life is stamped into
my heart.’ (Fang, Sixsmith, Lawthom, Mountian, & Shahrin, 2015)
In effect these personal factors determine a person’s overall life context
(Biswas, Kristiansen, Krasnik, & Norredam, 2011; Krupic, Sadic, & Fatahi, 2016;
Seffo, Krupic, Grbic, & Fatahi, 2014).
Healthcare System
The healthcare system and legal framework of the host country determines
the care provision available for natives as well as for migrant patients. De-
99
