• Antonio Jesús Ramos-Morcillo, María Ruzafa-Martínez, Serafín Fernández-Salazar, and Rafael Del-Pino-Casado.
• Facultad de Enfermería, Universidad de Murcia, Murcia, España. Electronic address: ajramos@um.es.
• Aten Primaria. 2015 Apr 1; 47 (4): 213-9.

ObjectiveTo know the expectations and user experiences of older Roma women with health services in primary care (PC).DesignPhenomenological qualitative study. Using focus groups (4-9 women/group) and semistructured interviews. Audio recorded from March to November 2011.LocationPerformed in Úbeda and Linares (Spain).Participants And SettingRoma women over 50years. A purposive sample stratified by age and area of residence was carried out. Woman were recruited through community leaders.MethodProcess of qualitative content analysis: coding, triangulation, obtain and verify results. Supported whit the software Nvivo 8.ResultsThree 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.ConclusionsOlder 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.Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

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