Aim <p>The digital transformation in healthcare calls for an inclusive approach to promote digital health literacy, to increase access to digital healthcare services. The objective of this study was to explore the key barriers and opportunities experienced by individuals with immigrant backgrounds in Sweden, providing insights to strengthen digital health literacy across the European Union (EU).</p> Subject and methods <p>A total of 20 participants with immigrant backgrounds in Sweden were interviewed using a semi-structured interview guide developed as part of the EU-funded IDEAHL project. Interviews were conducted in group or individual settings. The data was transcribed and analyzed using qualitative content analyses.</p> Results <p>Key challenges to digital health literacy were identified, including a lack of support in navigating digital healthcare services. Participants highlighted the potential of digital support tools to simplify healthcare interactions, allowing patients to evaluate symptoms and concerns before consulting healthcare professionals. They also emphasized the importance of integrating cultural considerations to aid healthcare providers in delivering culturally sensitive care. Furthermore, participants noted difficulties in actively participating in shared treatment decisions, often due to cultural beliefs about deferring to healthcare professionals.</p> Conclusion <p>Expanding access to digital health services requires inclusive interventions to support the integration of minority communities into the digital health landscape. Addressing the diverse needs within immigrant populations is crucial to support equitable digital health access.</p>