Barriers to access prenatal screening: integrative review

Bibliographic Details
Main Author: Carvalho, Elisabete Mesquita Peres de
Publication Date: 2018
Other Authors: Göttems, Leila Bernarda Donato, Monteiro, Sandra de Nazaré Costa, Guilhem, Dirce Bellize, Ribeiro, Laiane Medeiros
Format: Article
Language: eng
Source: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Download full: https://doi.org/10.29352/mill0205.04.00167
Summary: Introduction: Prenatal monitoring is essential to reducing maternal and neonatal morbidity and mortality rates. However, organisational barriers may hamper access to the actions and services carrying on with the fragmentation and quality of care. Objectives: To analyse in the Brazilian scientific production the access barriers to performing screenings during prenatal monitoring. Method: Integrative review of publications searched in the bibliographic databases of Latin American and Caribbean Center on Health Sciences Information (LILACS), Nursing Database (BDENF), and Medical Literature Analysis and Retrieval System Online (MEDLINE), published in Portuguese, English, and Spanish from 2005 to 2015. Results: Of 708 articles searched, 15 met the inclusion criteria. The studies were systematised and led to four categories for analysis: (1) Sluggishness in the process of exam scheduling, sample collection, and releasing of results; (2) Insufficient quotas for the primary care screenings; (3) Lack of resources of the pregnant women; and (4) Adequacy of screenings related to the early onset of prenatal care. Conclusion: The access barriers to screenings in the prenatal monitoring are mainly related to the scant health resources devoted to primary care; sluggishness in the process of scheduling and running of tests; and to the lack of resources of the pregnant woman, who cannot afford the costs of examinations not covered by the public health system. The publications also highlighted the positive aspects for the pregnant women who had an early onset of prenatal care.
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spelling Barriers to access prenatal screening: integrative reviewBarreiras de acesso a realização de exames no pré-natal: revisão integrativaLife and Healthcare SciencesIntroduction: Prenatal monitoring is essential to reducing maternal and neonatal morbidity and mortality rates. However, organisational barriers may hamper access to the actions and services carrying on with the fragmentation and quality of care. Objectives: To analyse in the Brazilian scientific production the access barriers to performing screenings during prenatal monitoring. Method: Integrative review of publications searched in the bibliographic databases of Latin American and Caribbean Center on Health Sciences Information (LILACS), Nursing Database (BDENF), and Medical Literature Analysis and Retrieval System Online (MEDLINE), published in Portuguese, English, and Spanish from 2005 to 2015. Results: Of 708 articles searched, 15 met the inclusion criteria. The studies were systematised and led to four categories for analysis: (1) Sluggishness in the process of exam scheduling, sample collection, and releasing of results; (2) Insufficient quotas for the primary care screenings; (3) Lack of resources of the pregnant women; and (4) Adequacy of screenings related to the early onset of prenatal care. Conclusion: The access barriers to screenings in the prenatal monitoring are mainly related to the scant health resources devoted to primary care; sluggishness in the process of scheduling and running of tests; and to the lack of resources of the pregnant woman, who cannot afford the costs of examinations not covered by the public health system. The publications also highlighted the positive aspects for the pregnant women who had an early onset of prenatal care.Introducción: El seguimiento prenatal es fundamental para la reducción de las tasas de morbimortalidad materna y neonatal. Sin embargo, barreras organizacionales pueden dificultar el acceso a las acciones y servicios cursando con la fragmentación del cuidado y de la calidad de la asistencia.  Objetivos: Analizar en la producción científica brasileña, las barreras de acceso a la realización de exámenes en el seguimiento prenatal. Método: Revisión integrativa de publicaciones en las bases científicas de la Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Base de datos de Enfermería (BDENF) y Medical Literature Analysis and Retrieval System Online (MEDLINE), publicados en los idiomas portugués, inglés y portugués en el período de 2005 a 2015. Resultados: El proceso de búsqueda resultó en 708 artículos de los cuales 15 cumplieron los criterios de inclusión. Los estudios se resumen y se produjeron cuatro categorías para el análisis: (1) proceso de programación lenta, la recogida y liberación de los resultados; (2) Cuotas insuficientes de los exámenes destinados a la atención primaria; (3) Falta de recursos de las gestantes; y (4) Adecuación de los exámenes relacionados al inicio precoz del prenatal. Conclusiones: Las barreras de acceso a los exámenes en el seguimiento prenatal están relacionadas principalmente con los recursos escasos en la salud destinados a la atención primaria; a la lentitud en el proceso de programación y realización; y la  falta de recursos de la gestante para cubrir los costos de exámenes no realizados por el sistema público. Las publicaciones también evidenciaron los aspectos positivos para las gestantes que iniciaron prenatal temprano.Introdução: O acompanhamento pré-natal é fundamental para a redução das taxas de morbimortalidade materna e neonatal. No entanto, barreiras organizacionais podem dificultar o acesso às ações e serviços cursando com a fragmentação do cuidado e da qualidade da assistência. Objetivos: Analisar na produção científica brasileira, as barreiras de acesso a realização de exames no acompanhamento pré-natal. Método: Revisão integrativa de publicações nas bases científicas da Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Base de dados de Enfermagem (BDENF) e Medical Literature Analysis and Retrieval System Online (MEDLINE), publicados nos idiomas português, inglês e espanhol, no período de 2005 a 2015. Resultados: O processo de busca resultou em 708 artigos dos quais 15 cumpriram os critérios de inclusão. Os estudos foram sistematizados e originaram quatro categorias para análise: (1) Lentidão no processo de agendamento, coleta e liberação de resultados; (2) Quotas insuficientes dos exames destinados a atenção primária; (3) Falta de recursos das gestantes; e (4) Adequação dos exames relacionada ao início precoce do pré-natal. Conclusões: As barreiras de acesso aos exames no acompanhamento pré-natal estão relacionadas principalmente aos recursos escassos na saúde destinados à atenção primária; à lentidão no processo de agendamento e realização; e, a falta de recursos da gestante para arcar com os custos de exames não realizados pelo sistema público. As publicações também evidenciaram os aspectos positivos para as gestantes que iniciaram pré-natal precoce.Polytechnic Institute of Viseu (IPV)2018-01-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.29352/mill0205.04.00167eng1647-662X0873-3015Carvalho, Elisabete Mesquita Peres deGöttems, Leila Bernarda DonatoMonteiro, Sandra de Nazaré CostaGuilhem, Dirce BellizeRibeiro, Laiane Medeirosinfo: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:RCAAP2023-06-15T15:01:40Zoai:ojs.revistas.rcaap.pt:article/13533Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T15:29:21.017853Repositório 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 Barriers to access prenatal screening: integrative review
Barreiras de acesso a realização de exames no pré-natal: revisão integrativa
title Barriers to access prenatal screening: integrative review
spellingShingle Barriers to access prenatal screening: integrative review
Carvalho, Elisabete Mesquita Peres de
Life and Healthcare Sciences
title_short Barriers to access prenatal screening: integrative review
title_full Barriers to access prenatal screening: integrative review
title_fullStr Barriers to access prenatal screening: integrative review
title_full_unstemmed Barriers to access prenatal screening: integrative review
title_sort Barriers to access prenatal screening: integrative review
author Carvalho, Elisabete Mesquita Peres de
author_facet Carvalho, Elisabete Mesquita Peres de
Göttems, Leila Bernarda Donato
Monteiro, Sandra de Nazaré Costa
Guilhem, Dirce Bellize
Ribeiro, Laiane Medeiros
author_role author
author2 Göttems, Leila Bernarda Donato
Monteiro, Sandra de Nazaré Costa
Guilhem, Dirce Bellize
Ribeiro, Laiane Medeiros
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Carvalho, Elisabete Mesquita Peres de
Göttems, Leila Bernarda Donato
Monteiro, Sandra de Nazaré Costa
Guilhem, Dirce Bellize
Ribeiro, Laiane Medeiros
dc.subject.por.fl_str_mv Life and Healthcare Sciences
topic Life and Healthcare Sciences
description Introduction: Prenatal monitoring is essential to reducing maternal and neonatal morbidity and mortality rates. However, organisational barriers may hamper access to the actions and services carrying on with the fragmentation and quality of care. Objectives: To analyse in the Brazilian scientific production the access barriers to performing screenings during prenatal monitoring. Method: Integrative review of publications searched in the bibliographic databases of Latin American and Caribbean Center on Health Sciences Information (LILACS), Nursing Database (BDENF), and Medical Literature Analysis and Retrieval System Online (MEDLINE), published in Portuguese, English, and Spanish from 2005 to 2015. Results: Of 708 articles searched, 15 met the inclusion criteria. The studies were systematised and led to four categories for analysis: (1) Sluggishness in the process of exam scheduling, sample collection, and releasing of results; (2) Insufficient quotas for the primary care screenings; (3) Lack of resources of the pregnant women; and (4) Adequacy of screenings related to the early onset of prenatal care. Conclusion: The access barriers to screenings in the prenatal monitoring are mainly related to the scant health resources devoted to primary care; sluggishness in the process of scheduling and running of tests; and to the lack of resources of the pregnant woman, who cannot afford the costs of examinations not covered by the public health system. The publications also highlighted the positive aspects for the pregnant women who had an early onset of prenatal care.
publishDate 2018
dc.date.none.fl_str_mv 2018-01-31
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 1647-662X
0873-3015
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dc.publisher.none.fl_str_mv Polytechnic Institute of Viseu (IPV)
publisher.none.fl_str_mv Polytechnic Institute of Viseu (IPV)
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