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In this time of large-scale global migration at levels unrivalled since World War II, primary care practitioners are providing the first line of care to economic immigrants and refugees. In doing so, they face daily the considerable challenges that this heterogenic group brings in terms of communication, culture, and legal status as well as physical and mental health. This accessible book has been carefully crafted to enable primary health care professionals to develop the skills and competencies required to deliver appropriate services to this diverse group of patients and, in turn, to ensure equity in health care for all. Key features : Highly practical focus, with clinical cases, learning objectives, concept and ‘What this Means in Practice’ boxes, and ‘Practical Tools for Meeting the Patient’ sections Covers widely applicable themes in health care including health literacy, communication, the cultures and sub-cultures of systems Fully referenced, combining policy, academic literature and practical advice with a broad international scope Prestigious author team with chapters written by international contributors with in-depth subject expertise curated by expert editors Endorsed and supported by the WONCA Special Interest Group on Migrant Care, International Health and Travel Medicine The book satisfies the urgent need for a hands-on guide to support and help general practitioners and other members of the primary health care team improve their provision of care not only to immigrants, but to other vulnerable groups and the whole society. Preface Foreward Background information – Kumar and Diaz Part 1: Overarching Themes Migration and immigrants – BN Kumar & E Diaz Migration health theories: healthy migrant effect and allostatic load. Can both be true? – BN Kumar & E Diaz Culture, language and the clinic - three stories, two keys- I Heath & E Schei The Ethics of Migrant Health: Power and Privilege versus Rights and Entitlements. G Oms, R Hammonds & I Keygnaert Discrimination and health – J H Magnus Immigrants’ use of primary health care services: overuse, underuse or both? – E Diaz & BN Kumar Part 2: A life course perspective on migrant health - Y ben Shlomo, L Mamluk & S Redwood Promoting the Health of Migrant Children and Children of Immigrants – K M Perreira & L T Fadnes Adolescent migrant health – M Catallozzi, C A Kolff, R Fowler & T McGovern Health care for older and elderly immigrants – C O’Donnell Family and group as a unit of care - B Kiely &B Viken, Part 3: Health challenges at the clinic - M van den Muijsenbergh Gynaecology and obstetrics– B Austveg, K A Møen Chronic disease prevention and management: an understated priority N Nitti Understanding unexplained and complex symptoms and diseases - M Sodemann Cancer among immigrant patients- K Albrecht & S De Maesschalck Immigration and Mental health - R Farrington Multimorbidity- the complexity - A Calderón & L Gimeno Part 4: Opportunities and tools when meeting immigrant patient s- C Phillips & J Benson Bridging Cultural and Language Discordance – E Diaz & BN Kumar Evidence Based Guidelines and Advocacy– K Pottie Diversity sensitive versus adapted services for immigrants: the example of dementia care in Germany - O Razum & H Tezcan-Guentekin Assessments tools for dementia an depression in older immigrants – T R Nielsen & M Nørredam Community participation in primary healthcare: meaningful involvement of immigrants- A MacFarlane & C Lionis Bernadette N. Kumar is a medical graduate from India, with a doctorate in Epidemiology and Public Health from the University of Oslo, Norway and post doc post-doctoral research fellowship at the Institute for Psychiatry, University of Oslo. Kumar has several years' international experience working for UNICEF, WHO, WFP, World Bank and NORAD in Asia en Africa (1989-2000). Migration and Health has been the focus of her research and she is the co-editor a text book on Immigrant Health in Norway. She was appointed Director of　the Norwegian Center for Migration and Minority Health in 2010 and Associate Professor, Global Health at the Institute for Health and Society, University of Oslo in 2013. She has been a commissioner of the Lancet Commission on Migration and Health (2018). Currently she works at the Norwegian Institute of Public Health and is the President of the EUPHA section of Migration and Ethnic Minority Health. Esperanza Diaz studied medicine and became specialist in Family Medicine in Madrid, Spain. In 1999 she moved to Norway, where she was certified Norwegian specialist in Family Medicine and took her PhD at the University of Bergen. She has for many years worked as a General Practitioner with a hugely diverse population. She works as Associate Professor at the Institute for Global Public Health and Primary Care, University of Bergen, and as a senior researcher at the Unit for Migration and Health at the Norwegian Institute for Public Health. Diaz has several publications in the field of immigrant health. She volunteers for a local non-profit organization providing care for undocumented migrants.