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Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal

2021Journal article 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.accessioned2022-02-09T15:28:01Z
dc.date.available2022-02-09T15:28:01Z
dc.date.issued2021
dc.description.abstractMigrant 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.pt_PT
dc.description.sponsorshipThis 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.
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationDoetsch, 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. 951-957pt_PT
dc.identifier.eissn1464-360X
dc.identifier.issn1101-1262
dc.identifier.urihttp://hdl.handle.net/10198/25045
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford Academicpt_PT
dc.relationEpidemiology Research Unit - Institute of Public Health, University of Porto
dc.relationRECAP preterm: Research on European Children and Adults born Preterm
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCross-sectional studiespt_PT
dc.subjectFemalept_PT
dc.subjectHealth services accessibilitypt_PT
dc.subjectHumanspt_PT
dc.subjectPolicypt_PT
dc.titleEquitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleEpidemiology Research Unit - Institute of Public Health, University of Porto
oaire.awardTitleRECAP preterm: Research on European Children and Adults born Preterm
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/9471 - RIDTI/PTDC%2FDTP-SAP%2F6384%2F2014/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04750%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/EC/H2020/733280/EU
oaire.citation.endPage957pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage951pt_PT
oaire.citation.titleEuropean Journal of Public Healthpt_PT
oaire.citation.volume31pt_PT
oaire.fundingStream9471 - RIDTI
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStreamH2020
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.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100008530
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameEuropean Commission
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication.latestForDiscovery9037c83c-43c1-4714-ad3e-9f307dd1d89f
relation.isProjectOfPublication610ad528-8051-44e8-8129-f65531c60c61
relation.isProjectOfPublication329cc051-88c4-40f4-85c8-b984ea185b54
relation.isProjectOfPublicationcf06e48d-3352-40d7-aa58-64872adc2025
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