ABSTRACT
Objetivo: Identificar cuáles son las propuestas de mejora respecto al abordaje de la violencia machista a través de la evaluación sobre la implementación del Protocolo para el Abordaje de la Violencia Machista en el ámbito de la salud en Cataluña del 2009 (PAVIM). Diseño: Estudio cualitativo de tipo etnográfico, 2019. Emplazamiento: Sistema sanitario público de Cataluña. Participantes: Ciento ochenta y un participantes, de los cuales: 104 profesionales de la salud, 43 entidades de mujeres o especificas en violencia machista y 34 expertas en salud o violencia machista. Método: Muestreo intencional. Se realizan 18 grupos focales y 34 entrevistas semiestructuradas. Evaluación con perspectiva de género e interseccional. Resultados: Los resultados se estructuran en las fases del PAVIM. Prevención: formación obligatoria para todo el equipo de profesionales y reconocida institucionalmente, con perspectiva de género e interseccional. Detección: estandarización de códigos diagnósticos para la violencia machista y mejora en la coordinación entre Atención Primaria y servicios de Urgencias, Pediatría y Atención a la Salud Sexual y Reproductiva. Atención y recuperación: equidad territorial en los recursos destinados a la atención de los casos de violencia machista (en las 9 regiones sanitarias de Cataluña) y mayor comunicación entre el ámbito de la salud y el asociativo. Conclusiones: Las propuestas de mejora identificadas son aquellas que han generado un mayor consenso entre participantes y de interés para la atención primaria. Como limitaciones destacan la temporalidad y la heterogeneidad del territorio catalán.(AU)
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.(AU)
Subject(s)
Humans , Male , Female , Violence , Violence Against Women , Gender-Based Violence , Androcentrism , Health Personnel , Health Services , Public Policy , 50207 , Primary Health Care , Qualitative Research , Spain , Surveys and QuestionnairesABSTRACT
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.
