ABSTRACT
One in three children and adolescents is currently living in poverty in Catalonia. Most specialised research has been concerned with assessing and questioning current legal frameworks and policies to combat child poverty mainly through quantitative approaches. However, these approaches neglect the specific experiences, perspectives, and visions of children and their potential to provide important clues for the design and evaluation of policies to eradicate poverty. It is also uncommon to include the experiences and views of social intervention staff who often work in situations of extreme budgetary reductions with remedial—not transformative—models. The article presents some findings from a qualitative study commissioned by UNICEF to explore this double experience from the point of view of its protagonists on the front line, drawing on fieldwork carried out before the Covid-19 pandemic that aggravated the living conditions of the most vulnerable sectors of society. The results show a shared perception of the impact of material deprivation in all spheres of life, but also diversity in coping perspectives and understanding of the structural factors that cause inequality and poverty, as well as the possible responses to overcome them. They also reveal the need to further explore child poverty as a gendered experience. © 2022 by the author(s);licensee Cogitatio (Lisbon, Portugal).
ABSTRACT
Background and Aims: During the COVID 19 pandemic and due to lockdown periods there was a need to adapt diabetes consultations and organize health professionals in order to provide the best response to people with diabetes. Methods: In order to assess the patient's satisfaction with teleconsultations an on-line user satisfaction questionnaire was sent to all patients of the pediatric and Insulin pump Departments of APDP, who had consultation from March 16th to June 1st 2020. Results: The questionnaire was sent to 971 persons. The average age was 36.4±19.1 years, mostly female (53.1%), with higher education degree (46.9%). The results for medical consultations showed that 69.1% of the participants totally agree that the doctor was able to correctly interpret the current needs in diabetes management, and 49.5% totally agree and 35.6% agrees that the therapeutic adjustment was as efficient as if it had been performed in a face-to-face consultation. Regarding nursing consultations 56,7% completely agree or agree that it was possible to maintain adequate monitoring of diabetes. In relationship with nutrition 58,5% completely agree or agree that it was possible to clarify aspects related to food, carbohydrate counting or exercise efficiently. Conclusions: The results reveal that the majority of the patients felt supported in managing their diabetes and agree that teleconsultation with the multidisciplinary team was an adequate substitute for face-to-face consultation, it was possible to raise and clarify doubts about the management of diabetes and COVID-19 and that this model could complement face-to-face consultations.