Ukrainian families’ transnational living and perception of Germany’s health care system in times of war

Abstract

Abstract Purpose During the Ukrainian war beginning in 2022, about 3.7 million children became refugees. When referring to pediatric wards in Germany, significant levels of frustration in their parents’ communication with health staff are noticed. This study aimed to analyze expectations and perceptions of the vulnerable Ukrainian families with underlying problem areas in their health care provision. Methods Embedded in a qualitative, participatory approach, eight narrative interviews and one focus group were performed in the Children’s and Adolescents’ University Hospital of Leipzig. The interviews were thematically analyzed by applying the perspective of qualitative research used in medical anthropology. Results We identified Ukrainian medical culture with a rather authoritarian communication and stricter medical treatment of infectious diseases influencing parents’ expectations. Prompt and quick appointments in Ukraine due to an income based on the number of patients treated oppose barriers and long waiting times when accessing pediatric care in Germany. Families return to Ukraine for medical appointments. Conclusions Discrepancies concerning the self-treatment of infections and unintended discrimination emphasize the necessity for health staff’s intercultural training. The high-quality care of chronically ill children in Germany is a relevant pull factor. However, the treatment of future refugee populations may benefit from a de-economization and digitalization.