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Experiences of the Swedish healthcare system: An interview study with refugees in need of long-term health care
Östergötlands Läns Landsting, Centre for Teaching and Research in Disaster Medicine and Traumatology.
Östergötlands Läns Landsting, Heart and Medicine Centre, Department of Dermatology and Venerology in Östergötland. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland. Linköping University, Department of Clinical and Experimental Medicine, Dermatology and Venerology. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0001-8336-9767
Östergötlands Läns Landsting, Centre for Teaching and Research in Disaster Medicine and Traumatology.
Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in the West of Östergötland, Unit of Research and Development in Local Health Care, County of Östergötland. Linköping University, Department of Medical and Health Sciences, Nursing Science.
2011 (English)In: SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, ISSN 1403-4948, Vol. 39, no 3, 319-325 p.Article in journal (Refereed) Published
Abstract [en]

Background: Refugees needing long-term health care must adapt to new healthcare systems. The aim of this study was to examine the viewpoints of nine refugees in a county in Sweden, with a known chronic disease or functional impairment requiring long-term medical care, on their contacts with care providers regarding treatment and personal needs. Methods: Semi-structured interviews with nine individuals and/or their next of kin. Inductive content analysis was used to identify experiences. Results: "Care organisations/resources" and "professional competence" were the categories extracted. Participants felt cared for due to accessibility to and regular appointments with the same care provider. Visiting different clinics contributed to a negative experience and lack of trust. The staffs interest in participants lives and health contributed to a sense of professionalism. Most participants said the problems experienced were not related to their backgrounds as refugees. Many patients did not fully understand which clinic they were attending or the purpose of the care that the specific clinic provided. Some lacked knowledge of their disease. Conclusions: Health care was perceived as equal to other Swedish citizens and problems experienced were not explained by refugee backgrounds. Lack of information from care providers and being sent to various levels of care created feelings of a lack of overall medical responsibility.

Place, publisher, year, edition, pages
Sage , 2011. Vol. 39, no 3, 319-325 p.
Keyword [en]
Attitudes, content analysis, cross-cultural comparison, cultural diversity, health knowledge, physician-patient relations, practice
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-68012DOI: 10.1177/1403494811399655ISI: 000289617600013OAI: oai:DiVA.org:liu-68012DiVA: diva2:415299
Available from: 2011-05-06 Created: 2011-05-06 Last updated: 2015-09-22

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Falk, LarsWilhelmsson, Susan

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Centre for Teaching and Research in Disaster Medicine and TraumatologyDepartment of Dermatology and Venerology in ÖstergötlandUnit of Research and Development in Local Health Care, County of ÖstergötlandDermatology and VenerologyFaculty of Health SciencesNursing Science
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