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Primary health care attributes and responses to intimate partner violence in Spain
Authors:Isabel Goicolea  Paola Mosquera  Erica Briones-Vozmediano  Laura Otero-García  Marta García-Quinto  Carmen Vives-Cases
Affiliation:1. Department of Clinical Medicine and Public Health, Unit of Epidemiology and Global Health, Umeå University, Umeå, Sweden;2. Grupo de Investigación de Salud Pública, Universidad de Alicante, Alicante, Spain;3. 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;5. CIBER de Epidemiología y Salud Pública (CIBERESP), Spain;6. 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.
Keywords:Primary health care  Intimate partner violence  Qualitative content analysis  Person-centred care  Atención primaria de salud  Violencia de compañero íntimo  Análisis de contenido cualitativo  Atención centrada en la persona
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