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Goicolea was the PI in this project, has bene involved in the entire project, proposed the idea for this manuscript, organized the structure and developed the first draft.
Briones-Vozmediano has been involved in the entire project, participated in data collection and analysis and have critically revised successive manuscripts. All authors have approved the final version of the manuscript and all agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved..
The authors declare that there is no conflict of interest. We have to point out that one of the authors E. Briones-Vozmediano is associated editor in Gaceta Sanitaria. However, she has not been involved in any of the steps of the editorial process of this article.. The authors are grateful to the Observatory of Women's Health of the Spanish Ministry of Health, and to the professionals in charge of IPV programs within the regional health system for facilitating access to relevant information and contacts.
The authors are especially grateful to the primary health care teams and to the women patients who participated in this study, who shared their time, enthusiasm, experiences and expertise, and facilitated access to unpublished information.. Why do certain primary health care teams respond better to intimate partner violence than others? A multiple case study. Isabel Goicolea a , b ,.
Helga Gonzalez marked it as to-read Jan 31, The literature shows that the implementation of women-centred care for different health issues i. Family doctor 4, La Virgen. No trivia or quizzes yet. Conclusiones Los equipos que respondieron mejor a la violencia de pareja fueron aquellos que: I can give some suggestions and we can share the burden, the anxiety Social worker, El Campo I have been working in this team six years and I can tell you that we have never talked about IPV in any of our weekly meetings. Team structure, processes and climate have an impact on interdisciplinary team working; the importance of ensuring regular team meetings and the availability of organizational support to foster interdisciplinary team work in primary care that emerged from this study has been reported elsewhere, although not in relation with IPV.
Under a Creative Commons license. Recibido 05 junio , Aceptado 03 octubre Methods We used a multiple embedded case study. In each case quantitative and qualitative data were collected using a social network questionnaire, interviews and observations. Conclusions Better individual responses to intimate partner violence were implemented in the teams which: En cada caso se recolectaron datos cuantitativos y cualitativos mediante un cuestionario de redes sociales, entrevistas y observaciones.
Conclusiones Los equipos que respondieron mejor a la violencia de pareja fueron aquellos que: Introduction Men's intimate partner violence IPV against women is a global public health problem that has devastating effects on the health and wellbeing of women and children. Methods Setting and case selection We adopted a multiple, embedded case study design, since this design allows for an in-depth exploration of the interrelationship of context, processes and outcomes as they happen in their natural setting.
Total scores for practice issues, as well as other characteristics of each case can be found in Appendix 2 online , while more details on the methods for data collection and sample can be found in Appendix 3 online. Ninety-three professionals filled in the SNA questionnaire. Interaction between users and professionals and between the team members was observed and reported in written notes. Data analysis Responses to the SNA questionnaire were tabulated and entered in a matrix. Next, the preliminary codes were refined, expanded and finally aggregated to develop themes.
Ethical considerations Ethical approval for this study was granted by the Ethical Committee of the University of Alicante Spain. Confidentiality was assured, and pseudonyms were used for the cases.
Number of relational ties, density and centralization of the networks in each of the PHC teams. Themes and selected quotations. She is my patient, but she is also known by her nurse, by the social worker… She will be a patient who receives a coordinated support from the team. Family doctor 1, La Virgen Team meetings are opportunities that I always use to tell the other professionals: I can give some suggestions and we can share the burden, the anxiety Social worker, El Campo I have been working in this team six years and I can tell you that we have never talked about IPV in any of our weekly meetings.
They underestimate the value of psychosocial approaches […] In addition, the relationships between the professionals are not that good.
The medical coordinator has failed to promote team work. We do not have team meetings [in Zarzas]. Social worker, El Campo. I mean, there are women who are almost imploring you to ask them… Family doctor 2, El Campo When the aim and care focuses on the woman, then […] establishing a trust relationship will be more important than any other issue, more important than filling a report, the protocol, the bruise… This approach will help me to make appropriate decisions.
Sometimes, we insist that they have to fill a denouncement form immediately Family doctor 3, Cristina Now that we have the women's group there are issues that we can handle here in the health care center. In the group, women work out issues that are different from the ones that can be dealt with in individual consultations. Family doctor 4, La Virgen. Primary health care teams can play an important role in responding to women exposed to intimate partner violence, but there is huge heterogeneity in regard to how each team and each professional responds and little is known about how team factors influence such responses.
What does this study add to the literature? The authors are especially grateful to the primary health care teams and to the women patients who participated in this study, who shared their time, enthusiasm, experiences and expertise, and facilitated access to unpublished information. The health-systems response to violence against women. Global and regional estimates of violence against women: World Health Organization; Health-sector responses to intimate partner violence in low-and middle-income settings: Bull World Health Organ.
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WHO clinical and policy guidelines. Health-sector responses to intimate partner violence: J Interpers Violence, , pp. Br J Gen Pract. Mechanisms that trigger a good health-care response to intimate partner violence in Spain, Combining realist evaluation and qualitative comparative analysis approaches. Referral to health and social services for intimate partner violence in health care settings: Gac Sanit, ,.
Primary health care attributes and responses to intimate partner violence in Spain. Health policy and systems research: World Health Organization, pp. Rev Esp Salud Publica. Social network analysis as an analytic tool for interaction patterns in primary care practices. Exploring the use of social network analysis to measure communication between disease programme and district managers at sub-national level in South Africa.
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Person-centered care — ready for prime time. Euro J Cardiovasc Nurs.
Insituto Andaluz de la Mujer; Factores asociados a la respuesta a la violencia del Primary health care attributes and responses to intimate Explaining differences in perceived health-related quality of life: Secondhand exposure to aerosol from electronic cigarettes: