Isabel Goicolea1, Paola Mosquera2, Erica Briones-Vozmediano3, Laura Otero-García4, Marta García-Quinto5, Carmen Vives-Cases6. 1. Department of Clinical Medicine and Public Health, Unit of Epidemiology and Global Health, Umeå University, Umeå, Sweden; Grupo de Investigación de Salud Pública, Universidad de Alicante, Alicante, Spain. Electronic address: isabel.goicolea@umu.se. 2. Department of Clinical Medicine and Public Health, Unit of Epidemiology and Global Health, Umeå University, Umeå, Sweden. 3. Grupo de Investigación de Salud Pública, Universidad de Alicante, Alicante, Spain; Departamento de Enfermería y Fisioterapia, Facultad de Enfermería y Fisioterapia, University of Lleida, Lleida, Spain. 4. Nursing Section, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain. 5. Grupo de Investigación de Salud Pública, Universidad de Alicante, Alicante, Spain; Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, Alicante, Spain. 6. Grupo de Investigación de Salud Pública, Universidad de Alicante, Alicante, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Spain; Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia, Universidad de Alicante, Alicante, Spain.
Abstract
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.
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.
Keywords:
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
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