title: [Expectations and user experiences of older Roma women with health services in primary care].
abstract: OBJECTIVE
  To know the expectations and user experiences of older Roma women with health services in primary care (PC).
  
  
  METHODS
  Phenomenological qualitative study. Using focus groups (4-9 women/group) and semistructured interviews. Audio recorded from March to November 2011.
  
  
  METHODS
  Performed in Úbeda and Linares (Spain).
  
  
  METHODS
  Roma women over 50years. A purposive sample stratified by age and area of residence was carried out. Woman were recruited through community leaders.
  
  
  METHODS
  Process of qualitative content analysis: coding, triangulation, obtain and verify results. Supported whit the software Nvivo 8.
  
  
  RESULTS
  Three focus groups and four interviews were conducted, including 23 women. The expectations for the PC are focus exclusively on their physician, being invisible other professionals. They look for a relationship with their physician based on trust. In their user experience with the PC coexist three types of user: who goes to their appointments, demands attention only in acute disease and does not attend appointments and reviews. There are socio-cultural factors related to accessibility.
  
  
  CONCLUSIONS
  Older Roma women set their expectations and experiences with health service in PC around the binomial disease/physician. Expect attention based on trust and a high instrumentalization. A speech with signs of change directed towards a more active and demanding participation in PC services is observed.
authors.affiliation: Facultad de Enfermería, Universidad de Murcia, Murcia, España. Electronic address: ajramos@um.es.
authors.forename: Antonio Jesús
authors.initials: AJ
authors.lastname: Ramos-Morcillo
authors.affiliation: Facultad de Enfermería, Universidad de Murcia, Murcia, España.
authors.forename: María
authors.initials: M
authors.lastname: Ruzafa-Martínez
authors.affiliation: Hospital de Alta Resolución Sierra de Segura, Agencia Sanitaria Alto Guadalquivir, Puente de Génave, Jaén, España.
authors.forename: Serafín
authors.initials: S
authors.lastname: Fernández-Salazar
authors.affiliation: Facultad de Ciencias de la Salud, Universidad de Jaén, Jaén, España.
authors.forename: Rafael
authors.initials: R
authors.lastname: Del-Pino-Casado
mesh_terms: D000368:Aged; D005260:Female; D006296:Health Services; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011320:Primary Health Care; D006178:Romani People; D013030:Spain
keywords: Anciano; Atención primaria; Elderly; Estudio cualitativo; Ethnic group; Etnia; Gitanos; Gypsies; Mujer; Primary care; Qualitative study; Women