The project addresses the issue of social inequalities by focusing on those related to health and access to healthcare of newly arrived immigrants and the social and spatial dynamics entering in the continuum of care. Therefore, it echoes national and international agenda while emanating from a collaborative and multidisciplinary research led for several years by the participants of the programme. It articulates reflections on the newly arrived immigrants’ experiences and healthcare trajectories, with analysis of professional practices.
The project will be developed in different local scenes (and multi-scale networks in which they are included) in France, in the cities of Nantes, Poitiers, Rennes and Strasbourg and the corresponding administrative regions. It will focus on social and spatial health inequalities as they arise for individuals (and their families), and as they are supported by the medical and social sectors.
The project, organised into three research work packages (WP), proposes to produce a series of case studies focused on the possibilities of accessing healthcare and circulating in the healthcare system, and on adaptations and innovations occurring in the medical and social sector. The first WP will address the trajectories of care from the perspective of newly arrived immigrants and their experiences during episodes of illness, housing conditions and changes in the family unit. This will be complemented by a second WP that will analyse the contexts of exercise for professionals and/or associations that work with this population. A third WP will shed light on the dynamics of structures and teams who lead innovative actions in the field of health and healthcare.
The research methodology is qualitative. It consists in a collection of fieldwork data. We will conduct formal interviews with patients and professionals following grids elaborated and shared by the whole team (WP1 and 2), or will prefer informal interviews in some specific cases (WP1-task 2). We will use observation grids in the living areas and healthcare places (WP1 and 2), and we will establish a census and a database for mapping the structures (WP3).
By a multilevel analysis (micro-local, local, regional) and investigating places (domestic spaces, health services), we seek to better understand the different mechanisms and factors that are at stake in the changes in accessing healthcare among newly arrived immigrants. Our privileged entries affect both the use of healthcare (including access to healthcare and healthcare pathways), resources mobilised by individuals for their health (economic, social, spatial resources), ruptures/continuities/renegotiations arising in the lives of people (age, changes in the family structure).
The scientific identity of the project is marked by a desire to involve healthcare professionals and to offer qualitative studies regarding newly arrived immigrants experiences. We will therefore discuss and criticise key concepts at the intersection of the fields of health and immigration within the French public health system.
Madame Anne-Cécile Hoyez (ESO)
The author of this summary is the project coordinator, who is responsible for the content of this summary. The ANR declines any responsibility as for its contents.
Help of the ANR 222,880 euros
Beginning and duration of the scientific project: September 2016 - 36 Months