Primary health care attributes and responses to intimate partner violence in Spain

• Published in: Gaceta sanitaria Vol. 31; no. 3; pp. 187 - 193
• Main Authors: Goicolea, Isabel, Mosquera, Paola, Briones-Vozmediano, Erica, Otero-García, Laura, García-Quinto, Marta, Vives-Cases, Carmen
• Format: Journal Article
• Language: English; Portuguese
• Published: Spain Elsevier España, S.L.U 01.05.2017; Ediciones Doyma, S.L; Elsevier
• Subjects: Análisis de contenido cualitativo; Atención centrada en la persona; Atención primaria de salud; Attitude of Health Personnel; Demography; Female; Health Care Sciences & Services; Health Personnel - psychology; Health Policy; Health Policy & Services; Humans; Infectious Diseases; Internal Medicine; Interviews as Topic; Intimate partner violence; Intimate Partner Violence - psychology; Intimate Partner Violence - statistics & numerical data; Male; Patient Care Team; Person-centred care; Primary Health Care; Professional-Patient Relations; Psychology; Public, Environmental & Occupational Health; Qualitative content analysis; Qualitative Research; Sociology; Spain; Truth Disclosure; Violencia de compañero íntimo; Volunteers; Atención primaria de salud; Qualitative content analysis; Primary health care; Intimate partner violence; Análisis de contenido cualitativo; Atención centrada en la persona; Person-centred care; Violencia de compañero íntimo
• ISSN: 0213-9111; 1578-1283; 1578-1283
• DOI: 10.1016/j.gaceta.2016.11.012

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.