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[Proposals for approaching violence against women in health care. A qualitative analysis]
Vanessa Alcaide Lozano1, Alba Pérez Domínguez1, Elisenda Lupresti Medina1
1Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona , España.
Objective:
Identify improvement proposals for approaching violence against women through the evaluation of 2009s Protocol for approaching Violence Against Women in Health Care in Cataluña (PAVIM).
Design:
Qualitative ethnographic study, 2019.
Setting:
Public Health Care in Catalonia.
Participants:
One hundred eighty one participants, of which: 104 health care professionals, 43 women's associations and/or experts in violence against women and 34 experts on health and violence against women.
Method:
Intentional sampling. Eighteen focus groups and 34 semi-structured interviews. Evaluation with a gender and intersectional perspective.
Results:
Results are structured along PAVIM's phases.
Prevention:
mandatory and institutionally recognized training for the whole professional team, with a gender and intersectional perspective. Detection: diagnostic code standardization for violence against women and improve coordination between primary care, emergency service, pediatrics and Assistance to Sexual and Reproductive Health. Care and recovery: territorial equity in the applied resources on cases of violence against women care (in the 9 sanitary regions of Catalonia) and improves communication between health and associative fields.
Conclusions:
The improvement proposals identified are those that have generated a greater consensus among participants and are the most interesting to primary care. As limitations, stand out the temporality and heterogeneity of the Catalan territory.
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