Portal de investigação
Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal
Data de publicação:
Data Ahead of Print:
Autores da FMUP
Participantes de fora da FMUP
- Doetsch, J
- Almendra, R
- Carrapatoso, M
- Teixeira, C
Unidades de investigação
Abstract
Background: 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.
Dados da publicação
- ISSN/ISSNe:
- 1464-360X, 1101-1262
- Tipo:
- Article
- Páginas:
- 951-957
European Journal of Public Health Oxford University Press
Citações Recebidas na Web of Science: 3
Documentos
- Não há documentos
Filiações
Financiamento
Proyectos asociados
Estudo dos factores de risco cardiovascular numa população adulta da Província do Bengo, Angola
Investigador Principal: José Henrique Dias Pinto de Barros
Estudo Clínico Académico . 2019
Citar a publicação
Doetsch J,Almendra R,Carrapatoso M,Teixeira C,Barros H. Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal. Eur. J. Public Health. 2021. 31. (5):p. 951-957. IF:4,424. (2).
