DISCOURSES AND PRACTICES OF ACCEPTABILITY IN HEALTH CARE FROM THE PERSPECTIVE OF HEALTHCARE PERSONNEL AND MIGRANTS

Abstract

Objective: To understand, based on the discourses and practices of migrants and health officials, what
elements operate in the acceptability dimension of the right to health in the process of using the health system in the city of Antofagasta (Chile). Materials and Methods: Qualitative, phenomenological study with elements of grounded theory. The non-probabilistic, snowball sample in both groups consisted of 17 health
professionals and 8 international migrant users of the Chilean health system. The semi-structured in-person or online interviews lasting approximately 60 minutes, were conducted between October and November 2020. Saturation took into account information redundancy and variability. Thematic analysis was applied through repeated readings of the transcripts. Results: Subcategories of language, comprehension, and communication emerged from predetermined categories of language, culture, and ethics. Conclusions: Strategies such as language appropriateness, non-use of technical words, added to educational and origin characteristics of migrants allow for greater comprehension of the information. Cultural elements allow for greater understanding and adherence in migrants. Ethics in health practice encourages the establishment of close relationships and the visualization of the other as a human being with rights and dignity. This
approach fosters mutual respect during the care process.