The international population's (mis)knowledge of the Brazilian health system: the experiences of professionals and migrants

Authors

DOI:

https://doi.org/10.36517/2175-6783.20252694260

Keywords:

Transients and Migrants; Health Personnel; Health Systems; Knowledge.

Abstract

Objective: to find out about the experiences of health professionals and international migrants regarding this population's (lack of) knowledge about the Brazilian health system. Methods: a qualitative study was carried out in the emergency department of a university hospital. Nine health professionals and six migrants were interviewed. Symbolic Interactionism and Reflective Thematic Analysis were adopted as the theoretical and methodological frameworks, respectively. Results: two themes emerged: situations that contribute to lack of knowledge about the health system and the consequences of lack of knowledge about the health system. Conclusion: migrants' lack of knowledge about the Brazilian health system stems from language barriers and social and bureaucratic vulnerabilities, hindering access and continuity of care. Health professionals point to the need for more significant preparation to deal with situations, while migrants report difficulties in understanding the health system and using services. Contributions to practice: the findings are relevant for managers and professionals to think about strategies and protocols that encourage international migrants to enter health facilities and simultaneously consider their training process on how the system works.

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References

Barreto MS, Wolf I, Souza NC, Buzzerio LF, Vieira VCL, Figueiredo-Barbieri MC, et al. Experiences of providers and immigrants/refugees with health care: a meta-synthesis of the Latin American context. Can J Nurs Res. 2024;56(2):151-63. doi: https://doi.org/10.1177/08445621231215845

International Organization for Migration. World migration report [Internt]. 2024 [cited Oct 7, 2024]. Available from: https://brazil.iom.int/sites/g/files/tmzbdl1496/files/documents/2024-05/world-migration-report-2024.pdf

Losco LN, Gemma SFB. Primary Health Care for Bolivian immigrants in Brazil. Interface (Botucatu). 2021;25:e200477. doi: https://doi.org/10.1590/interface.200477

Seibel V. Determinants of migrants’ knowledge about their healthcare rights. Health Sociol Rev. 2019;28(2):140-61. doi: https://doi.org/10.1080/14461242.2019.1581988

Baeninger R, Belmonte DN, Magalhães FD, Domeniconi J. Cenário das migrações internacionais no Brasil: Antes e depois do início da pandemia de covid-19. Rev Jurídica Trab Desenvol Hum. 2021;4(1):1-35. doi: https://doi.org/10.33239/rjtdh.v4.89

Ministério da Justiça (BR). Lei nº 13.445, de 24 de maio de 2017. Institui a Lei de Migração [Internet]. 2017 [cited Oct 28, 2024]. Available from: http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2017/lei/L13445.htm

Oliveira JSA, Silva MM, Mendes M, Pires DEP. Refugees and access to employment in Brazil: implications for health and sociability. Rev Esc Enferm USP. 2023;57(spe):e20230029. doi: https://doi.org/10.1590/1980-220X-REEUSP-2023-0029en

Fauk NK, Ziersch A, Gesesew H, Ward P, Green E, Oudih E, et al. Migrants and service providers’ perspectives of barriers to accessing mental health services in South Australia: A case of African migrants with a refugee background in South Australia. Int J Environ Res Public Health. 2021;18(17):8906. doi: https://doi.org/10.3390/ijerph18178906

Blumer H. Symbolic interactionism. Los Angeles: Berkeley Public School; 1969.

Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Health. 2019; 11(4):589-97. doi: https://doi.org/10.1080/2159676X.2019.1628806

Saunders B, Sim J, Kingstone T, BakerS, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52:1893-7. doi: https://doi.org/10.1007/s11135-017-0574-8

Moraes MCL, Araújo LCN, Camargo CL. Black immigrants in São Paulo-Brazil: sociodemographic profile, reason for coming, embracement, and health. Rev Esc Enferm USP. 2023;57(spe):e20220448. doi: https://doi.org/10.1590/1980-220X-REEUSP-2022-0448en

Pérez-Urdiales I. Undocumented immigrants’ and immigrant women’s access to healthcare services in the Basque Country (Spain). Global Health Action. 2021;14(1):1896659. doi: https://doi.org/10.1080/16549716.2021.1896659

Aragão HT, Menezes AN, Oliveira ML, Santana JT, Madi RR, Melo CM. Demands and use of health services among immigrants from a metropolitan region in northeastern Brazil. Esc Anna Nery. 2023;27:e20220068. doi: https://dx.doi.org/10.1590/2177-9465-EAN-2022-0068pt

Liu L, Gjebrea O, Ali FM, Atun R. Determinants of healthcare utilisation by migrant workers in the State of Qatar. Health Policy. 2020;124(8):873-80. doi: https://dx.doi.org/10.1016/j.healthpol.2020.04.011

Kotian SD, Sumit K, Zubair SM. Self-medication among Udupi migrant workers. Int J Curr Res. 2020;14(14):27-32. doi: https://dx.doi.org/10.31782/IJCRR.2022.141406

Barbosa LA, Sales AFG, Cavalcante Neto AS, Oliveira MAC. Venezuelan migrants and the right to health: perceptions of nursing technicians at a general hospital. Physis. 2024;34:e34036. doi: https://doi.org/10.1590/S0103-7331202434036pt

Delamuta KG, Mendonça FF, Domingos CM, Carvalho MN. Experiências de atendimento à saúde de imigrantes bengaleses entre trabalhadores da atenção primária à saúde no Paraná, Brasil. Cad Saúde Pública. 2020;36(8):e00087019. doi: https://doi.org/10.1590/0102-311X00087019

Alves JFS, Martins MAC, Borges FT, Silveira C, Muraro AP. Use of health services by Haitian immigrants in Cuiabá-Mato Grosso, Brazil. Ciênc Saúde Coletiva. 2019;24:4677-86. doi: https://doi.org/10.1590/1413-812320182412.32242017

Arya AN, Hyman I, Holland T, Beukeboom C, Tong CE, Talavlikar R, et al. Medical interpreting services for refugees in Canada: current state of practice and considerations in promoting this essential human right for all. Int J Environ Res Public Health. 2024;21(5):588. doi: https://doi.org/10.3390/ijerph21050588

Forray AI, Oltean O, Hanft-Robert S, Madzamba R, Liem A, Schouten B, et al. Uncovering multi-level mental healthcare barriers for migrants: a qualitative analysis across China, Germany, Netherlands, Romania, and South Africa. BMC Public Health. 2024;24(1):1593. doi: https://doi.org/10.1186/s12889-024-19046-z

Ecker S, Weigl M, Gaiswinkler S. Good health information for people with a migration background. Eur J Public Health. 2022;32(3):1-2. https://doi.org/10.1093/eurpub/ckac131.503

Damasceno RF, Mendonça FF, Domingos CM, Carvalho MN. Healthcare experiences of primary care workers with Bengalese immigrants in Paraná State, Brazil. Cad Saúde Pública. 2020;36(8):e00087019. doi: https://dx.doi.org/10.1590/0102-311X00087019

Martin D, Silveira C, Ferraz L, Matsue RY. Migration and refuge: necessary topics for nursing teaching in COVID-19 times. Rev Bras Enferm. 2022;75(Suppl 2):e20210872. doi: https://doi.org/10.1590/0034-7167-2021-0872pt

Ratuchnei-Dal Pizzol ES, Barreto MS, Figueiredo MCAB, Gurrutxaga MIU, Padilla FMG, Santos ML, et al. Perspective of immigrants on personal and family integration in Brazilian society. Texto Contexto Enferm. 2023;32:e20220226. doi: https://doi.org/10.1590/1980-265X-TCE-2022-0226en

Aung T, Shirayama Y, Moolphate S, Lorga T, Yuasa M, Aung M. Acculturation and its effects on health risk behaviors among Myanmar migrant workers: a cross-sectional survey in Chiang Mai, Northern Thailand. Int J Environ Res Public Health. 2020;17(14):1-12. doi: https://doi.org/10.3390/ijerph17145108

Mladovsky P, Rechel B, Ingleby D, McKee M. Políticas públicas e acesso à saúde de migrantes e Refugiados durante a pandemia da covid-19: perspectiva global comparada. REMHU. 2024;32:e321966. doi: https://dx.doi.org/10.1590/1980-85852503880003220

Published

2025-03-11

How to Cite

Buzzerio, L. F., Soldera, A. G. dos S., Cruz, A. D. Q. da, Luz, M. S. da, Sanguino, G. Z., Marcon, S. S., & Barreto, M. da S. (2025). The international population’s (mis)knowledge of the Brazilian health system: the experiences of professionals and migrants. Rev Rene, 26, e94260. https://doi.org/10.36517/2175-6783.20252694260

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Section

Research Article

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