Learning to navigate the healthcare system in a new country: a qualitative study

OBJECTIVE Learning to navigate a healthcare system in a new country is a barrier to health care. Understanding more about the specific navigation challenges immigrants experience may be the first step towards improving health information and thus access to care. This study considers the challenges that Thai and Filipino immigrant women encounter when learning to navigate the Norwegian primary healthcare system and the strategies they use. DESIGN A qualitative interview study using thematic analysis. SETTING Norway. PARTICIPANTS Fifteen Thai and 15 Filipino immigrant women over the age of 18 who had been living in Norway at least one year. RESULTS The women took time to understand the role of the general practitioner and some were unaware of their right to an interpreter during consultations. In addition to reliance on family members and friends in their social networks, voluntary and cultural organisations provided valuable tips and advice on how to navigate the Norwegian health system. While some women actively engaged in learning more about the system, they noted a lack of information available in multiple languages. CONCLUSIONS Informal sources play an important role in learning about the health care system. Formal information should be available in different languages in order to better empower immigrant women.