Exploring healthcare challenges for Latin American migrant women in Madrid through the lens of dignified treatment

This qualitative study utilized the Dignified Treatment framework to identify the main problems related to the treatment received by Spanish-speaking Latina migrants who use health services in the Community of Madrid. We conducted 16 semi-structured interviews with Spanish-speaking women of Latin American origin based on the dimensions of Dignified Treatment (choice of care provider, access to support networks, basic amenities, prompt attention, autonomy, clarity of communication, confidentiality, dignity, and trust). Our analysis was interpretative-phenomenological to explore migrant women's experiences with health services. The study was conducted in Madrid, Spain, between April and November 2023, and recruited women aged 25-72 years from various Latin American countries, reflecting diversity in occupations, lengths of residence in Spain, and migration reasons. The study identified several access issues, including difficulty in obtaining a health card, long wait times for medical appointments, and short consultations. Communication problems were also prevalent, stemming from a lack of empathy, more understandable language, and warmth. Some participants reported instances of verbal abuse, disrespectful treatment, underestimation, or additional challenges due to their migratory status. Overcoming these barriers is essential for dignified, equitable healthcare regardless of origin. Intercultural approaches and changes are required to reduce institutional discrimination.