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Primary health care attributes and responses to intimate partner violence in Spain.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0002-8114-4705
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-7134-8256
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2017 (English)In: Gaceta sanitaria, ISSN 1578-1283, S0213-9111(17)30035-3Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVE: This study provides an overview of the perceptions of primary care professionals on how the current primary health care (PHC) attributes in Spain could influence health-related responses to intimate partner violence (IPV).

METHODS: A qualitative study was conducted using semi-structured interviews with 160 health professionals working in 16 PHC centres in Spain. Data were analysed using a qualitative content analysis.

RESULTS: Four categories emerged from the interview analysis: those committed to the PHC approach, but with difficulties implementing it; community work relying on voluntarism; multidisciplinary team work or professionals who work together?; and continuity of care hindered by heavy work load. Participants felt that person-centred care as well as other attributes of the PHC approach facilitated detecting IPV and a better response to the problem. However, they also pointed out that the current management of the health system (workload, weak supervision and little feedback, misdistribution of human and material resources, etc.) does not facilitate the sustainability of such an approach.

CONCLUSION: There is a gap between the theoretical attributes of PHC and the "reality" of how these attributes are managed in everyday work, and how this influences IPV care.

Place, publisher, year, edition, pages
2017. S0213-9111(17)30035-3
Keyword [en]
Análisis de contenido cualitativo, Atención centrada en la persona, Atención primaria de salud, Intimate partner violence, Person-centred care, Primary health care, Qualitative content analysis, Violencia de compañero íntimo
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-132347DOI: 10.1016/j.gaceta.2016.11.012PubMedID: 28222974OAI: oai:DiVA.org:umu-132347DiVA: diva2:1080504
Available from: 2017-03-10 Created: 2017-03-10 Last updated: 2017-03-10

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf