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Equitable perinatal healthcare for migrants, Portugal: comparative analysis of a self-assessment tool

2020Conference object Open access
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dc.contributor.authorDoetsch, Julia
dc.contributor.authorAlmendra, Ricardo
dc.contributor.authorCarrapatoso, Mariana
dc.contributor.authorTeixeira, Cristina
dc.contributor.authorBarros, Henrique
dc.date.accessioned2021-02-17T10:36:50Z
dc.date.available2021-02-17T10:36:50Z
dc.date.issued2020
dc.description.abstractMigration is seen as a common risk factor in obstetricmanagement. Migrants often have a higher risk of experience worse pregnancy outcomes, higher rates of operative delivery, and a higher likelihood to receive less adequate postpartum care when compared to native women. This study evaluates self-perceived assessment of migrant women and hospital directors on equitable migrant friendly perinatal healthcare quality and access during intrapartum and postpartum period at public maternity units across Portuguese mainland between 2017-2019. This cross-sectional study analyses perinatal health data from migrant women over 18 years giving birth in public maternity units from between April 2017 and March 2019 as part of the baMBINO project. Data on the assessments of maternity units’ directors on equitable migrant friendly healthcare was collected in a self-assessment tool. Two standards on healthcare access and on healthcare quality were developed by: 1) scoring 25 and 30 questions, respectively, from 0 (worst) to 5 (best); 2) calculating the average of each score. The OneSample Wilcoxon Test (non-parametric) was applied to compare the assessment of hospital directors with the migrant mothers and the Kruskal-Wallis one-way analysis of variance to test for regional differences. Significant differences between migrant woman and healthcare directors’ assessments on migrant friendly healthcare access and quality of care were found. Directors rated healthcare access with a median score of 2.4, twice as good as migrant women (1.3). Migrant women rated healthcare quality with a median score of 4.0 (directors: 3.2). Significant differences between the regions for quality of care and healthcare access were found. Statistically significant difference between migrants from Portuguese and non-Portuguese speaking countries was identified for healthcare access (p-value <0.001) and healthcare quality (p-value < 0.05).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDoetsch, J; Almendra, R; Carrapatoso, M; Teixeira, Cristina; Barros, Henrique (2020). Equitable perinatal healthcare for migrants, Portugal: comparative analysis of a self-assessment tool . In 16th World Congress on Public Health. p. 902-903. ISSN 1101-1262pt_PT
dc.identifier.issn1101-1262
dc.identifier.urihttp://hdl.handle.net/10198/23319
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectQuality of carept_PT
dc.subjectHealth personnelpt_PT
dc.subjectHealth services accessibilitypt_PT
dc.subjectMotherspt_PT
dc.subjectPortugalpt_PT
dc.subjectPostnatal carept_PT
dc.subjectPregnancy outcomespt_PT
dc.subjectObstetricspt_PT
dc.titleEquitable perinatal healthcare for migrants, Portugal: comparative analysis of a self-assessment toolpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/9471 - RIDTI/PTDC%2FDTP-SAP%2F6384%2F2014/PT
oaire.citation.conferencePlace16th World Congress on Public Health. September 2020. Onlinept_PT
oaire.citation.endPage903pt_PT
oaire.citation.issueSupplement_5pt_PT
oaire.citation.startPage902pt_PT
oaire.citation.titleEuropean Journal of Public Healthpt_PT
oaire.citation.volume30pt_PT
oaire.fundingStream9471 - RIDTI
person.familyNameTeixeira
person.givenNameCristina
person.identifier.ciencia-id6E12-F2A0-568F
person.identifier.orcid0000-0001-5194-5141
person.identifier.ridO-2296-2013
person.identifier.scopus-author-id55207402700
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isAuthorOfPublication.latestForDiscovery9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isProjectOfPublication610ad528-8051-44e8-8129-f65531c60c61
relation.isProjectOfPublication.latestForDiscovery610ad528-8051-44e8-8129-f65531c60c61

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