Group Prenatal Care in Mexico: perspectives and experiences of health personnel
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100313 |
Resumo: | ABSTRACT OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos and Hidalgo) from June 2016 to August 2018. We conducted 11 semi-structured interviews with health care service providers, and we examined their perceptions and experiences during the implementation of the GPC model. We identified the barriers and facilitators for its adoption in two dimensions: a) structural (space, resources, health personnel, patient volume, community) and b) attitudinal (motivation, leadership, acceptability, address problems, work atmosphere and communication). RESULTS: The most relevant barriers reported at the structural level were the availability of physical space in health units and the work overload of health personnel. We identified the difficulty in adopting a less hierarchical relationship during the pregnant women's care at the attitudinal level. The main facilitator at the attitudinal level was the acceptability that providers had of the model. One specific finding for Mexico's implementation context was the resistance to change the doctor-patient relationship; it is difficult to abandon the prevailing hierarchical model and change to a more horizontal relationship with pregnant women. CONCLUSION: Analyzing the GPC model's implementation in Mexico, from the health care personnel's perspective, has revealed barriers and facilitators similar to the experiences in other contexts. Future efforts to adopt the model should focus on timely attention to identified barriers, especially those identified in the attitudinal dimension that can be modified by regular health care personnel training. |
id |
USP-23_0d79c73a0c7753be626358b86e1507b5 |
---|---|
oai_identifier_str |
oai:scielo:S0034-89102020000100313 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Group Prenatal Care in Mexico: perspectives and experiences of health personnelPrenatal CareMaternal-Child Health Services, organization & administrationPrimary Health CareQualitative ResearchABSTRACT OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos and Hidalgo) from June 2016 to August 2018. We conducted 11 semi-structured interviews with health care service providers, and we examined their perceptions and experiences during the implementation of the GPC model. We identified the barriers and facilitators for its adoption in two dimensions: a) structural (space, resources, health personnel, patient volume, community) and b) attitudinal (motivation, leadership, acceptability, address problems, work atmosphere and communication). RESULTS: The most relevant barriers reported at the structural level were the availability of physical space in health units and the work overload of health personnel. We identified the difficulty in adopting a less hierarchical relationship during the pregnant women's care at the attitudinal level. The main facilitator at the attitudinal level was the acceptability that providers had of the model. One specific finding for Mexico's implementation context was the resistance to change the doctor-patient relationship; it is difficult to abandon the prevailing hierarchical model and change to a more horizontal relationship with pregnant women. CONCLUSION: Analyzing the GPC model's implementation in Mexico, from the health care personnel's perspective, has revealed barriers and facilitators similar to the experiences in other contexts. Future efforts to adopt the model should focus on timely attention to identified barriers, especially those identified in the attitudinal dimension that can be modified by regular health care personnel training.Faculdade de Saúde Pública da Universidade de São Paulo2020-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100313Revista de Saúde Pública v.54 2020reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.11606/s1518-8787.2020054002175info:eu-repo/semantics/openAccessIbañez-Cuevas,MidiamHeredia-Pi,Ileana BeatrizFuentes-Rivera,EvelynAndrade-Romo,ZafiroAlcalde-Rabanal,JacquelineCacho,Lourdes Bravo-BolañosGuzmán-Delgado,XochitlJurkiewicz,LaurieDarney,Blair Geng2020-12-10T00:00:00Zoai:scielo:S0034-89102020000100313Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2020-12-10T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title |
Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
spellingShingle |
Group Prenatal Care in Mexico: perspectives and experiences of health personnel Ibañez-Cuevas,Midiam Prenatal Care Maternal-Child Health Services, organization & administration Primary Health Care Qualitative Research |
title_short |
Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_full |
Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_fullStr |
Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_full_unstemmed |
Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_sort |
Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
author |
Ibañez-Cuevas,Midiam |
author_facet |
Ibañez-Cuevas,Midiam Heredia-Pi,Ileana Beatriz Fuentes-Rivera,Evelyn Andrade-Romo,Zafiro Alcalde-Rabanal,Jacqueline Cacho,Lourdes Bravo-Bolaños Guzmán-Delgado,Xochitl Jurkiewicz,Laurie Darney,Blair G |
author_role |
author |
author2 |
Heredia-Pi,Ileana Beatriz Fuentes-Rivera,Evelyn Andrade-Romo,Zafiro Alcalde-Rabanal,Jacqueline Cacho,Lourdes Bravo-Bolaños Guzmán-Delgado,Xochitl Jurkiewicz,Laurie Darney,Blair G |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Ibañez-Cuevas,Midiam Heredia-Pi,Ileana Beatriz Fuentes-Rivera,Evelyn Andrade-Romo,Zafiro Alcalde-Rabanal,Jacqueline Cacho,Lourdes Bravo-Bolaños Guzmán-Delgado,Xochitl Jurkiewicz,Laurie Darney,Blair G |
dc.subject.por.fl_str_mv |
Prenatal Care Maternal-Child Health Services, organization & administration Primary Health Care Qualitative Research |
topic |
Prenatal Care Maternal-Child Health Services, organization & administration Primary Health Care Qualitative Research |
description |
ABSTRACT OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos and Hidalgo) from June 2016 to August 2018. We conducted 11 semi-structured interviews with health care service providers, and we examined their perceptions and experiences during the implementation of the GPC model. We identified the barriers and facilitators for its adoption in two dimensions: a) structural (space, resources, health personnel, patient volume, community) and b) attitudinal (motivation, leadership, acceptability, address problems, work atmosphere and communication). RESULTS: The most relevant barriers reported at the structural level were the availability of physical space in health units and the work overload of health personnel. We identified the difficulty in adopting a less hierarchical relationship during the pregnant women's care at the attitudinal level. The main facilitator at the attitudinal level was the acceptability that providers had of the model. One specific finding for Mexico's implementation context was the resistance to change the doctor-patient relationship; it is difficult to abandon the prevailing hierarchical model and change to a more horizontal relationship with pregnant women. CONCLUSION: Analyzing the GPC model's implementation in Mexico, from the health care personnel's perspective, has revealed barriers and facilitators similar to the experiences in other contexts. Future efforts to adopt the model should focus on timely attention to identified barriers, especially those identified in the attitudinal dimension that can be modified by regular health care personnel training. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100313 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102020000100313 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.11606/s1518-8787.2020054002175 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.54 2020 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1748936506113785856 |