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‘He Was the Most Important’: How General Practitioners Support Syrian Refugees in Navigating Norway as a Receiving Society Cover

‘He Was the Most Important’: How General Practitioners Support Syrian Refugees in Navigating Norway as a Receiving Society

Open Access
|Jan 2026

References

  1. Atak, H., and N. Taştan. 2012. ‘Agency in the emerging adulthood period: an introductory study in Turkey’, European Journal of Social Sciences, 32(1), pp. 97107. Available at: https://www.researchgate.net/profile/Hasan-Atak/publication/277021119_Atak_H_Tastan_N_2012_Agency_in_the_emerging_adulthood_period_An_introductory_study_in_Turkey_European_Journal_of_Social_Sciences_321_97-107/links/555f8dda08ae8c0cab30b3e9/Atak-H-Tastan-N-2012-Agency-in-the-emerging-adulthood-period-An-introductory-study-in-Turkey-European-Journal-of-Social-Sciences-321-97-107.pdf.
  2. Braun, V., Clarke, V., Hayfield, N., Davey, L. and Jenkinson, E. 2022. ‘Doing reflexive thematic analysis’, in S. Bager‑Charleson and A. McBeath (eds.). Supporting research in counselling and psychotherapy. Cham: Springer International Publishing, pp. 1938. 10.1007/978-3-031-13942-0_2.
  3. van Breda, A.D. and Theron, L.C. August 2018. ‘A critical review of South African child and youth resilience studies, 2009–2017’, Children and Youth Services Review, 91, pp. 237247. 10.1016/j.childyouth.2018.06.022.
  4. Bruhn, M., Rees, S., Mohsin, M., Silove, D. and Carlsson, J. 2018. ‘The range and impact of postmigration stressors during treatment of trauma‑affected refugees’, The Journal of Nervous and Mental Disease, 206(1), pp. 6168. 10.1097/NMD.0000000000000774.
  5. Cheng, I‑H., Drillich, A. and Schattner, P. 2015. ‘Refugee experiences of general practice in countries of resettlement: a literature review’, The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 65(632), pp. e171e176. 10.3399/bjgp15X683977.
  6. Cohidon, C., Wild, P. and Senn, N. July 2020. ‘Job stress among GPs: associations with practice organisation in 11 high‑income Countries’, The British Journal of General Practice, 70, pp. e657e667. 10.3399/bjgp20X710909.
  7. Dadras, O. and Diaz, E. ‘Perceived discrimination and its association with self‑rated health, chronic pain, mental health, and utilization of health services among Syrian refugees in Norway: a cross‑sectional study,’ Frontiers in Public Health, 12, pp. 1264230. 10.3389/fpubh.2024.1264230.
  8. De Maeseneer, J.M., De Prins, L., Gosset, C. and Heyerick, J. 2003. ‘Provider continuity in family medicine: does it make a difference for total health care costs?’, Annals of Family Medicine, 1(3), pp. 144148. 10.1370/afm.75.
  9. De Maeseneer, J., Willems, S., De Sutter, A., Van de Geuchte, I. and Billings, M. 2007. ‘Primary health care as a strategy for achieving equitable care: a literature review commissioned by the health systems knowledge network’, https://pure.itg.be/ws/files/2202299/2017phca0032.pdf.
  10. Dhillon, J.K. and Thomas, N. 2019. ‘Ethics of engagement and insider‑outsider perspectives: issues and dilemmas in cross‑cultural interpretation’, International Journal of Research & Method in Education, 42(4), pp. 442453. 10.1080/1743727x.2018.1533939.
  11. Díaz, E. and Hjörleifsson, S. 2011. ‘Immigrant general practitioners in Norway: a special resource? A qualitative study’, Scandinavian Journal of Public Health, 39(3239244. 10.1177/1403494810395818.
  12. Djuve, A.B., Kavli, H.C.., Sterri, E.B. and Bråten, B. 2017. digib.no. Fafo. https://digib.no/wp-content/uploads/2020/04/20639.pdf.
  13. Dowrick, C. 2016. ‘Suffering, meaning and hope: shifting the focus from depression in primary care’, in J.C. Wakefield and S. Demazeux (eds). Sadness or depression? History, philosophy and theory of the life sciences, vol. 15. Dordrecht: Springer, pp. 121136. 10.1007/978-94-017-7423-9_9.
  14. Dowrick, C. 2019. Person‑centred primary care: searching for the self. in C. Dowrick (ed.). Routledge advances in the medical humanities. 1st ed. London: Routledge. 10.4324/9781315277073.
  15. Eide, T.B., Straand, J., Björkelund, C., Kosunen, E., Thorgeirsson, O., Vedsted, P. and Rosvold, E.O. 2017. ‘Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study’, Scandinavian Journal of Primary Health Care, 35(2), pp. 153161. 10.1080/02813432.2017.1333323.
  16. Garmezy, N., Masten, A.S. and Tellegen, A. 1984. ‘The study of stress and competence in children: a building block for developmental psychopathology’, Child Development, 55(1), pp. 97. 10.2307/1129837.
  17. Glenngård, A.H. 2005. ‘Sweden: health system review’, Frontiers in Public Health, 12, pp. 1264230. https://scholar.google.com/citations?user=TfCMIjEAAAAJ&hl=en&oi=sra.
  18. Goth, U., Berg, J. and Akman, H. 2010. ‘The intercultural challenges of general practitioners in Norway with Migrant patients’, International Journal of Migration, Health, and Social Care, 6(1), pp. 2633. 10.5042/ijmhsc.2010.0447.
  19. Greer, L. and Bendersky, C. 2013. ‘Power and status in conflict and negotiation research: introduction to the special issue’, Negotiation and Conflict Management Research, 6(4), pp. 239252. 10.1111/ncmr.12021.
  20. Gruber, T. and Frugone, F. 2011. ‘Uncovering the desired qualities and behaviours of general practitioners (GPs) during medical (service recovery) encounters’, Journal of Service Management, 22(4), pp. 491521. 10.1108/09564231111155097.
  21. Güngör, D. and Strohmeier, D. 2020. ‘Contextualizing immigrant and refugee resilience: cultural and acculturative perspectives’, in S.S. Chuang (ed.). Advances in immigrant family research. Cham: Springer International Publishing, pp. 17. 10.1007/978-3-030-42303-2_1.
  22. Haj‑Younes, J., Abildsnes, E., Kumar, B. and Diaz, E. ‘The road to equitable healthcare: a conceptual model developed from a qualitative study of Syrian refugees in Norway’, Social Science & Medicine, 292, pp. 114540. 10.1016/j.socscimed.2021.114540.
  23. Hansen, A.H., Halvorsen, P.A., Aaraas, I.J. and Førde, O.H. 2013. ‘Continuity of GP care is related to reduced specialist healthcare use: a cross‑sectional survey’, The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 63(612), pp. 482489. 10.3399/bjgp13X669202.
  24. Harris, P. Twose, O. Chaoilte, A.N. Cinardo, P. Bradbeer, L. Longley, N. Eisen, S. Ward, A. 2024. ‘Empowering professionals: a multidisciplinary approach to supporting people seeking asylum and refugees’, BMJ Paediatrics Open 8, pp. e002869.
  25. Keskimaki, I., Tynkkynen, L., Reissell, E., Koivusalo, M., Syrja, V., Vuorenkoski, L., Rechel, B. and Karanikolos, M. 2019. ‘Finland: health system review’, Health Systems in Transition, 21(2), pp. 1166. https://researchonline.lshtm.ac.uk/id/eprint/4667421.
  26. Kraft, K.B., Hoff, E.H., Nylenna, M., Moe, C.F., Mykletun, A. and Østby, K. 2024. ‘Time is money: general practitioners’ reflections on the fee‑for‑service system’, BMC Health Services Research, 24(1), pp. 472. 10.1186/s12913-024-10968-3.
  27. Lindert, J., von Ehrenstein, O.S., Wehrwein, A., Brähler, E. and Schäfer, I. 2018. Anxiety, depression and posttraumatic stress disorder in refugees – a systematic review’, Psychotherapie, Psychosomatik, medizinische Psychologie, 68(1), pp. 2229. 10.1055/s-0043-103344.
  28. Luthar, S.S., Cicchetti, D. and Becker, B. 2000. ‘The construct of resilience: a critical evaluation and guidelines for future work’, Child Development, 71(3), pp. 543562. 10.1111/1467-8624.00164.
  29. Lyhne, C.N., Bjerrum, M. and Jørgensen, M.J. 2022. Person‑centred care to prevent hospitalisations – a focus group study addressing the views of healthcare providers’, BMC Health Services Research, 22(1), pp. 801. 10.1186/s12913-022-08198-6.
  30. Masten, A.S., Hubbard, J.J., Gest, S.D., Tellegen, A., Garmezy, N. and Ramirez, M. 1999. ‘Competence in the context of adversity: pathways to resilience and maladaptation from childhood to late adolescence’, Development and Psychopathology, 11(1), pp. 143169. 10.1017/s0954579499001996.
  31. Morina, N., Akhtar, A., Barth, J. and Schnyder, U. September. 2018. ‘Psychiatric disorders in refugees and internally displaced persons after forced displacement: a systematic review’, Frontiers in Psychiatry, 9, pp. 433. 10.3389/fpsyt.2018.00433.
  32. Naderifar, M., Goli, H. and Ghaljaie, F. 2017. ‘Snowball sampling: a purposeful method of sampling in qualitative research’, Strides in Development of Medical Education, 14(3) pp. e67670. https://www.researchgate.net/profile/Hamideh-Goli/publication/324590206_Snowball_Sampling_A_Purposeful_Method_of_Sampling_in_Qualitative_Research/links/5c1de8b4458515a4c7f01a95/Snowball-Sampling-A-Purposeful-Method-of-Sampling-in-Qualitative-Research.pdf.
  33. Nissen, A., Cauley, P., Saboonchi, F., Andersen, A.J., and Solberg, Ø. 2021. ‘Mental health in adult refugees from Syria resettled in Norway between 2015 and 2017: a nationwide, questionnaire‑based, cross‑sectional prevalence study’, European Journal of Psychotraumatology, 12(1), pp. 1994218. 10.1080/20008198.2021.1994218.
  34. Nissen, A. Hynek, K.A., Scales, D., Hilden, P.K. and Straiton, M. 2022. ‘Chronic pain, mental health and functional impairment in adult refugees from Syria resettled in Norway: a cross‑sectional study’, BMC Psychiatry, 22(1), pp. 571. 10.1186/s12888-022-04200-x.
  35. Norwegian Integration Act. 2020. Act relating to the admission of foreign nationals into the realm and their stay here (Immigration Act). Lovdata. https://lovdata.no/dokument/NLE/lov/2008-05-15-35.
  36. Ojha, S., Thapa, S. and Thapa, S.B. 2024. ‘Mental health problems among Syrian refugees in Nordic countries: a systematic review’, Nordic Journal of Psychiatry, 78(7), pp. 561569. 10.1080/08039488.2024.2403600.
  37. Olsen, B. 30 January 2024. ‘Hvordan har det gått med flyktningene fra Syria?’ SSB. https://www.ssb.no/arbeid-og-lonn/sysselsetting/artikler/hvordan-har-det-gatt-med-flyktningene-fra-syria.
  38. Peckham, S., Falconer, J., Gillam, S., Hann, A., Kendall, S., Nanchahal, K., Ritchie, B., Rogers, R. and Wallace, A. 2015. ‘The organisation and delivery of health improvement in general practice and primary care: a scoping study’, Health Services and Delivery Research, 3(29), pp. 1180. 10.3310/hsdr03290.
  39. Peconga, E.K. and Thøgersen, M.H. 2020. Post‑traumatic stress disorder, depression, and anxiety in adult Syrian refugees: what do we know?’, Scandinavian Journal of Public Health, 48(7), pp. 677687. 10.1177/1403494819882137.
  40. Pedersen, K.M., Andersen, J.S., and Søndergaard, J. 2012. ‘General practice and primary health care in Denmark’, Journal of the American Board of Family Medicine: JABFM, 25 Suppl 1 (Suppl 1), pp. S34S38. 10.3122/jabfm.2012.02.110216.
  41. Rechel, B., Mladovsky, P., Ingleby, D., Mackenbach, J.P. and McKee, M. 2013. ‘Migration and health in an increasingly diverse Europe’, The Lancet, 381(9873), pp. 12351245. 10.1016/S0140-6736(12)62086-8.
  42. Regulation, P. 2016. Regulation (EU) 2016/679 of the European Parliament and of the Council’, Regulation (Eu). https://dvbi.ru/Portals/0/DOCUMENTS_SHARE/RISK_MANAGEMENT/EBA/GDPR_eng_rus.pdf.
  43. Ringard, Å., Sagan, A., Saunes, I. and Lindahl, A.K. 2013. ‘Norway: health system review’, Health Systems in Transition, 15(8), pp. 1162.
  44. Rutter, M. 1987. ‘Psychosocial resilience and protective mechanisms’, The American Journal of Orthopsychiatry, 57(3), pp. 316331. 10.1111/j.1939-0025.1987.tb03541.x.
  45. Sandvik, H., Hetlevik, Ø., Blinkenberg, J. and Hunskaar, S. 2022. ‘Continuity in general practice as predictor of mortality, acute hospitalisation, and use of out‑of‑hours care: a registry‑based observational study in Norway’, The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 72(715), pp. e84e90. 10.3399/BJGP.2021.0340.
  46. Sandvik, H., Hunskaar, S. and Diaz, E. 2012. ‘‘Immigrants’ use of emergency primary health care in Norway: a registry‑based observational study’, BMC Health Services Research, 12, pp. 110.
  47. Saunes, I.S., Karanikolos, M. and Sagan, A. 2020. ‘Norway: health system review’, Health Systems in Transition, 22(1), pp. 1163. https://researchonline.lshtm.ac.uk/id/eprint/4658828.
  48. Solberg, Ø., Nissen, A., Cauley, P. and Andersen, A.J. 20 October 2020. ‘Mental health and quality of life among refugees from Syria after forced migration to Norway: main findings from the REFUGE study’, NKVTS English. https://www.nkvts.no/english/report/mental-health-and-quality-of-life-among-refugees-from-syria-after-forced-migration-to-norway-main-findings-from-the-refuge-study/.
  49. Starfield, B. ‘Primary care: an increasingly important contributor to effectiveness, equity, and efficiency of health services. SESPAS Report 2012’ Gaceta Sanitaria, 26(Suppl 1) pp. 2026. 10.1016/j.gaceta.2011.10.009.
  50. Strang, A. and Ager, A. 2010. ‘Refugee integration: emerging trends and remaining agendas’, Journal of Refugee Studies, 23(4), pp. 589607. 10.1093/jrs/feq046.
  51. Strømme, E.M., Haj‑Younes, J., Hasha, W, Fadnes, L.T., Kumar, B., Igland, J. and Diaz, E. ‘Changes in health among Syrian refugees along their migration trajectories from Lebanon to Norway: a prospective cohort study’, Public Health 186, pp. 240245. 10.1016/j.puhe.2020.07.016.
  52. Strømme, E.M., Igland, J., Haj‑Younes, J. and Kumar, B.N. 2021. ‘Chronic pain and mental health problems among Syrian refugees: associations, predictors and use of medication over time: a prospective cohort study’, BMJ Open. https://bmjopen.bmj.com/content/11/9/e046454.abstract.
  53. Tarrant, C., Colman, A.M. and Stokes, T. 2008. ‘Past experience, ‘Shadow of the Future’, and patient trust: a cross‑sectional survey’, The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 58(556), pp. 780783, i7vi. 10.3399/bjgp08X342615.
  54. Tarrant, C., Stokes, T. and Baker, R. 2003. ‘Factors associated with patients’ trust in their general practitioner: a cross‑sectional survey’, The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 53(495), pp. 798800. https://bjgp.org/content/53/495/798.short.
  55. Thompson, M. and Walter, F. 2016. Increases in general practice workload in England’, Lancet, 387, pp. 22702272. 10.1016/S0140-6736(16)00743-1.
  56. Tierney, S., Wong, G. and Mahtani, K. September 2019. Current understanding and implementation of ‘care navigation’ across England: a cross‑sectional study of NHS clinical commissioning groups’, The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 69, pp. e675e681. 10.3399/bjgp19X705569.
  57. Turrini, G., Purgato, M., Ballette, F., Nosè, M., Ostuzzi, G. and Barbui, C. 2017. ‘Common mental disorders in asylum seekers and refugees: umbrella review of prevalence and intervention studies’, International Journal of Mental Health Systems, 11(1), pp. 51. 10.1186/s13033-017-0156-0.
  58. Ungar, M. 2004. ‘A constructionist discourse on resilience: multiple contexts, multiple realities among at‑risk children and youth’, Youth & Society, 35(3), pp. 341365. 10.1177/0044118X03257030.
  59. Ungar, M. 2005. ‘Resilience among children in child welfare, corrections, mental health and educational settings: recommendations for service’, Child & Youth Care Forum, 34(6), pp. 445464. 10.1007/s10566-005-7756-6.
  60. Ungar, M. 2006. ‘Resilience across cultures’, British Journal of Social Work, 38(2), pp. 218235. 10.1093/bjsw/bcl343.
  61. Ungar, M. 2010. ‘What is resilience across cultures and contexts? Advances to the theory of positive development among individuals and families under stress’, Journal of Family Psychotherapy, 21(1), pp. 116. 10.1080/08975351003618494.
  62. Weigel, P.A.M., Ullrich, F., Shane, D.M. and Mueller, K.J. 2016. ‘Variation in primary care service patterns by rural‑urban location: primary care service pattern variation’, The Journal of Rural Health: Official Journal of the American Rural Health Association and the National Rural Health Care Association, 32(2), pp. 196203. 10.1111/jrh.12146.
  63. Werner, E. and Smith, R.S. 1982. Vulnerable, but invincible: A longitudinal study of resilient children and youth. New York: Adams, Bannister and Cox. https://cir.nii.ac.jp/crid/1573105975591989888.
  64. White, J., Young, A., Webber, M., Harrison, J., Hiscox, A., Lush, J., Joo, B., Sherrin, J., Grasselli, M. and Byles, J. 2024. ‘A qualitative exploration of refugee experiences of access to a dedicated multi‑disciplinary refugee health team in an Australian context: implication for future care’, Community Health Equity Research & Policy, 46(1), pp. 1929.
  65. World Health Organization. 1948. Summary report on proceedings, minutes and final acts of the international health conference: Held in New York from 19 June to 22 July 1946. United Nations World Health Organization, Interim Commission. https://iris.who.int/handle/10665/85573.
DOI: https://doi.org/10.33134/njmr.984 | Journal eISSN: 1799-649X
Language: English
Page range: 3 - 3
Submitted on: Jan 20, 2025
Accepted on: Nov 25, 2025
Published on: Jan 21, 2026
In partnership with: Paradigm Publishing Services

© 2026 Ayan Bashir Sheikh-Mohamed, Arnfinn Jomar Andersen, Esperanza Diaz, published by Helsinki University Press
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.