J Korean Acad Community Health Nurs.  2022 Dec;33(4):385-395. 10.12799/jkachn.2022.33.4.385.

Public Health Center Service Experiences and Needs among Immigrant Women in South Korea

• Chae D
• Kim H
• Seo M
• Asami K
• Doorenbos A

• KMID: 2537751
• DOI: http://doi.org/10.12799/jkachn.2022.33.4.385

Abstract

Purpose
To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose.
Methods
This qualitative study included 15 marriage-based immigrant women. Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis.
Results
Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language.
Conclusion
Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.

Keyword

Culturally competent care; Health services accessibility; Immigrants; Public health; Qualitative research