Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal

Detalhes bibliográficos
Autor(a) principal: Doetsch, Julia
Data de Publicação: 2021
Outros Autores: Almendra, Ricardo, Carrapatoso, Mariana, Teixeira, Cristina, Barros, Henrique
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10198/25045
Resumo: Migrant women are at higher risk to face access barriers to perinatal care services and to experience worse pregnancy outcomes compared to native. Assessing the perception of migrant women and health providers discloses a multifaceted view on migrant-friendly care, a multidimensional concept in itself. This study aims to compare self-perceived assessments of migrant women and directors of obstetrics and gynaecology (GYN/OBS) departments on equitable migrant-friendly perinatal healthcare quality and access during the intrapartum and postpartum period at public maternities in Portugal. Methods: In this cross-sectional study, two indicators on Healthcare access and Quality of care were developed to compare how adult migrant women who gave birth between April 2017 and March 2019 and GYN/OBS department directors assessed offered care. The one-sample Wilcoxon test was used to compare directors' with migrants' assessments and the Kruskal-Wallis one-way analysis of variance to test for country regional differences. A stratified analysis by sex, spoken language, and country of birth tested for potential effect modifiers. Results: Migrants rated Healthcare access significantly better (P<0.05), but perceived Quality of care worse (P<0.01) than GYN/OBS department directors. Migrants' and directors' perceptions differed significantly according to directors' gender (P<0.05). Migrants' and directors' assessments on Healthcare access (P<0.05) and Quality (P<0.01) changed significantly across regions. Conclusions: Migrants' and directors' self-perceived appraisal of Healthcare access and Quality of care significantly varied. Identifying these discordances allows to deliver insights into existing barriers in access and provision of care and raises awareness to improve quality assurance, essential to inform practice and policies.
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spelling Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in PortugalCross-sectional studiesFemaleHealth services accessibilityHumansPolicyMigrant women are at higher risk to face access barriers to perinatal care services and to experience worse pregnancy outcomes compared to native. Assessing the perception of migrant women and health providers discloses a multifaceted view on migrant-friendly care, a multidimensional concept in itself. This study aims to compare self-perceived assessments of migrant women and directors of obstetrics and gynaecology (GYN/OBS) departments on equitable migrant-friendly perinatal healthcare quality and access during the intrapartum and postpartum period at public maternities in Portugal. Methods: In this cross-sectional study, two indicators on Healthcare access and Quality of care were developed to compare how adult migrant women who gave birth between April 2017 and March 2019 and GYN/OBS department directors assessed offered care. The one-sample Wilcoxon test was used to compare directors' with migrants' assessments and the Kruskal-Wallis one-way analysis of variance to test for country regional differences. A stratified analysis by sex, spoken language, and country of birth tested for potential effect modifiers. Results: Migrants rated Healthcare access significantly better (P<0.05), but perceived Quality of care worse (P<0.01) than GYN/OBS department directors. Migrants' and directors' perceptions differed significantly according to directors' gender (P<0.05). Migrants' and directors' assessments on Healthcare access (P<0.05) and Quality (P<0.01) changed significantly across regions. Conclusions: Migrants' and directors' self-perceived appraisal of Healthcare access and Quality of care significantly varied. Identifying these discordances allows to deliver insights into existing barriers in access and provision of care and raises awareness to improve quality assurance, essential to inform practice and policies.This study is funded by FEDER funds through the Operational Program for Competitiveness and Internationalization, and by national funds of FCT—Fundac¸~ao para a Cieˆncia e Tecnologia, under the scope of the project ‘Perinatal Health in Migrants Barriers, Incentives and Outcomes’ (POCI-01-0145-FEDER-016874; PTDC/DTPSAP/6384/2014), the Unidade de Investigação em Epidemiologia (EPIUnit) - Instituto de Sau´ de Pu´ blica da Universidade do Porto (ISPUP) (UIDB/04750/2020). During the article writing process, the salary of J.D. was paid by the RECAP preterm project. The RECAP project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No. 733280.Oxford AcademicBiblioteca Digital do IPBDoetsch, JuliaAlmendra, RicardoCarrapatoso, MarianaTeixeira, CristinaBarros, Henrique2022-02-09T15:28:01Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10198/25045engDoetsch, Julia; Almendra, Ricardo; Carrapatoso, Mariana; Teixeira, Cristina; Barros, Henrique (2021). Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal. European Journal of Public Health. ISSN 1101-1262. 31:5, p. 951-9571101-12621464-360Xinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-21T10:55:59Zoai:bibliotecadigital.ipb.pt:10198/25045Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T23:15:46.394005Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
title Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
spellingShingle Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
Doetsch, Julia
Cross-sectional studies
Female
Health services accessibility
Humans
Policy
title_short Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
title_full Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
title_fullStr Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
title_full_unstemmed Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
title_sort Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
author Doetsch, Julia
author_facet Doetsch, Julia
Almendra, Ricardo
Carrapatoso, Mariana
Teixeira, Cristina
Barros, Henrique
author_role author
author2 Almendra, Ricardo
Carrapatoso, Mariana
Teixeira, Cristina
Barros, Henrique
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Biblioteca Digital do IPB
dc.contributor.author.fl_str_mv Doetsch, Julia
Almendra, Ricardo
Carrapatoso, Mariana
Teixeira, Cristina
Barros, Henrique
dc.subject.por.fl_str_mv Cross-sectional studies
Female
Health services accessibility
Humans
Policy
topic Cross-sectional studies
Female
Health services accessibility
Humans
Policy
description Migrant women are at higher risk to face access barriers to perinatal care services and to experience worse pregnancy outcomes compared to native. Assessing the perception of migrant women and health providers discloses a multifaceted view on migrant-friendly care, a multidimensional concept in itself. This study aims to compare self-perceived assessments of migrant women and directors of obstetrics and gynaecology (GYN/OBS) departments on equitable migrant-friendly perinatal healthcare quality and access during the intrapartum and postpartum period at public maternities in Portugal. Methods: In this cross-sectional study, two indicators on Healthcare access and Quality of care were developed to compare how adult migrant women who gave birth between April 2017 and March 2019 and GYN/OBS department directors assessed offered care. The one-sample Wilcoxon test was used to compare directors' with migrants' assessments and the Kruskal-Wallis one-way analysis of variance to test for country regional differences. A stratified analysis by sex, spoken language, and country of birth tested for potential effect modifiers. Results: Migrants rated Healthcare access significantly better (P<0.05), but perceived Quality of care worse (P<0.01) than GYN/OBS department directors. Migrants' and directors' perceptions differed significantly according to directors' gender (P<0.05). Migrants' and directors' assessments on Healthcare access (P<0.05) and Quality (P<0.01) changed significantly across regions. Conclusions: Migrants' and directors' self-perceived appraisal of Healthcare access and Quality of care significantly varied. Identifying these discordances allows to deliver insights into existing barriers in access and provision of care and raises awareness to improve quality assurance, essential to inform practice and policies.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-01-01T00:00:00Z
2022-02-09T15:28:01Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10198/25045
url http://hdl.handle.net/10198/25045
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Doetsch, Julia; Almendra, Ricardo; Carrapatoso, Mariana; Teixeira, Cristina; Barros, Henrique (2021). Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal. European Journal of Public Health. ISSN 1101-1262. 31:5, p. 951-957
1101-1262
1464-360X
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Oxford Academic
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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