Desigualdades Recursos Atención a la Salud Desigualdades en Salud Género Developing a programme theory to explain how primary health care teams learn to respond to intimate partner violence: a realist case-study

Título
Developing a programme theory to explain how primary health care teams learn to respond to intimate partner violence: a realist case-study
Resumen
Background: Despite the progress made on policies and programmes to strengthen primary health care teams’ response to Intimate Partner Violence, the literature shows that encounters between women exposed to IPV and health-care providers are not always satisfactory, and a number of barriers that prevent individual health-careproviders from responding to IPV have been identified. We carried out a realist case study, for which we developed and tested a programme theory that seeks to explain how, why and under which circumstances a primary health care team in Spain learned to respond to IPV.Methods: A realist case study design was chosen to allow for an in-depth exploration of the linkages between context,intervention, mechanisms and outcomes as they happen in their natural setting. The first author collected data at the primary health care center La Virgen (pseudonym) through the review of documents, observation and interviews withhealth systems’ managers, team members, women patients, and members of external services. The quality of the IPV case management was assessed with the PREMIS tool.Results: This study found that the health care team at La Virgen has managed 1) to engage a number of staff members in actively responding to IPV, 2) to establish good coordination, mutual support and continuous learning processes related to IPV, 3) to establish adequate internal referrals within La Virgen, and 4) to establish goodcoordination and referral systems with other servi ...
Autoría
Isabel Goicolea, Anna-Karin Hurtig, Miguel San Sebastian, Carmen Vives-Cases, Bruno Marchal
Datos fuente
BMC health services research, 15(1), 228.
Tipo
  • Comunicaciones/Informes/Artículos (individual)
Idioma
  • Inglés
Publicado en ODS
2015-06-22
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