Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , , , |
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. |
id |
RCAP_6910c25a42070c35c41d77703b6be357 |
---|---|
oai_identifier_str |
oai:bibliotecadigital.ipb.pt:10198/25045 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
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 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Oxford Academic |
publisher.none.fl_str_mv |
Oxford Academic |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799135440821813248 |