Barriers to achieving quality birth care under the Sentinel Care model in Mexico.
Objective. To explore the use of birth care in a Sentinel Unit. Materials and methods. We interviewed eight health providers and 12 female users of health services to explore the main reasons to use birth care in a Sentinel Unit. Results. Findings indicate that the reasons for which health providers...
| Publicado en: | Salud Pública de México Vol. 65; no. 1; pp. 63 - 70 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Instituto Nacional de Salud Publica
Jan/Feb2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=162217709&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 162217709 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 00363634 7LC jtl: Salud Pública de México issn: 00363634 maglogo: N pubinfo: dt: Jan/Feb2023 vid: 65 iid: 1 pid: 20870 pub: Instituto Nacional de Salud Publica artinfo: ui: 162217709 10.21149/13750 ppf: 63 ppct: 7 formats: fmt: @attributes: type: P size: 762KB tig: atl: Barriers to achieving quality birth care under the Sentinel Care model in Mexico. aug: au: Parada-Toro, Irene Maldonado-Hernández, Juan Sánchez-Domínguez, Mario Treviño-Siller, Sandra affil: Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, Mexico Departamento de Salud Reproductiva, Servicios de Salud Jalisco. Guadalajara, Jalisco, Mexico su: Medical personnel Biomedical materials Women physicians Medical quality control Human resources departments Mexico sug: subj: Mexico Medical personnel Biomedical materials Women physicians Medical quality control Human resources departments keyword: obstetric labor primary health care quality of health care atención del parto atención primaria de salud calidad de los servicios de salud México ab: Objective. To explore the use of birth care in a Sentinel Unit. Materials and methods. We interviewed eight health providers and 12 female users of health services to explore the main reasons to use birth care in a Sentinel Unit. Results. Findings indicate that the reasons for which health providers do not attend births were fear of legal claims by users, lack of institutional support if complications arise, lack of training, not feeling confident in obstetric care, and the lack of necessary supplies. Female users mentioned the perception of a lack of trained physicians and a lack of necessary materials and medicines. Conclusions. Despite the strengthening of the infrastructure and human resources, as well as a 24/365 model attention and the increase of health personnel in the sentinel units, there are still significant barriers in certain units to achieve compliance with coverage of quality obstetric care focused on the needs of women. Objetivo. Explorar el uso de la atención obstétrica en una Unidad Centinela. Material y métodos. Se entrevistó a ocho proveedores de salud y 12 usuarias de servicios de salud para explorar las principales razones que definen el uso o la falta de atención obstétrica en una Unidad Centinela. Resultados. Los principales hallazgos indican que las razones por las cuales los proveedores de salud no atienden los partos fueron el temor a las demandas legales por parte de los usuarios, la falta de apoyo institucional si surgen complicaciones, la falta de capacitación, la falta de confianza en la atención obstétrica y la falta de insumos necesarios. Las usuarias mencionaron la percepción de falta de médicos capacitados y falta de materiales y medicamentos necesarios. Conclusiones. A pesar del fortalecimiento de la infraestructura y el recurso humano, así como un modelo de atención 24/365 y el aumento de personal de salud en las unidades centinela, aún existen barreras importantes en ciertas unidades para lograr el cumplimiento de cobertura de una atención obstétrica de calidad centrada en las necesidades de las mujeres. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Salud Pública de México is the property of Instituto Nacional de Salud Publica and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Salud Pública de México holder: Instituto Nacional de Salud Publica dt: @attributes: year: 2023 holdings: @attributes: islocal: N |
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