Summary - Migrants
An estimated 2 million non-western and 1.5 million Western migrants live in the Netherlands. Some of them are illiterate, especially from the first and second generation of non-Western migrants. The stress of living in a foreign country affects health, as does a low socio-economic status and the poor command of the Dutch language. Low-skilled migrants often have limited knowledge of the human body, health, disease and health care in the Netherlands. The views on this are often different in the country of origin than in the Netherlands. Migrants have more health problems than natives. Health problems such as hypertension and diabetes are more common among certain groups of migrants. For asylum seekers and refugees, the situation during the asylum procedure is stressful. General practitioner care for asylum seekers is regulated nationally via the Asylum Seekers Health Center. An assistant adjusts her communication if the patient has trouble with the Dutch language. She is aware of politeness rules, taking into account any unfamiliarity with the organization of the care and functions of care providers. The assistant is alert to the stresses many migrants suffer and specific health problems. She asks for opinions about health and illness if that is important for the care she gives.