Health-Sector Responses to Intimate Partner Violence Fitting the Response Into the Biomedical Health System or Adapting the System to Meet the Response?

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dc.contributorSalud Públicaes
dc.contributor.authorBriones Vozmediano, Erica-
dc.contributor.authorMaquibar Landa, Amaia-
dc.contributor.authorVives-Cases, Carmen-
dc.contributor.authorÖhman, Ann-
dc.contributor.authorHurtig, Anna-Karin-
dc.contributor.authorGoicolea, Isabel-
dc.contributor.otherUniversidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Cienciaes
dc.identifier.citationJournal of Interpersonal Violence. 2018, 33(10): 1653-1678. doi:10.1177/0886260515619170es
dc.identifier.issn0886-2605 (Print)-
dc.identifier.issn1552-6518 (Online)-
dc.description.abstractThis study aims to analyze how middle-level health systems’ managers understand the integration of a health care response to intimate partner violence (IPV) within the Spanish health system. Data were obtained through 26 individual interviews with professionals in charge of coordinating the health care response to IPV within the 17 regional health systems in Spain. The transcripts were analyzed following grounded theory in accordance with the constructivist approach described by Charmaz. Three categories emerged, showing the efforts and challenges to integrate a health care response to IPV within the Spanish health system: “IPV is a complex issue that generates activism and/or resistance,” “The mandate to integrate a health sector response to IPV: a priority not always prioritized,” and “The Spanish health system: respectful with professionals’ autonomy and firmly biomedical.” The core category, “Developing diverse responses to IPV integration,” crosscut the three categories and encompassed the range of different responses that emerge when a strong mandate to integrate a health care response to IPV is enacted. Such responses ranged from refraining to deal with the issue to offering a women-centered response. Attempting to integrate a response to nonbiomedical health problems as IPV into health systems that remain strongly biomedicalized is challenging and strongly dependent both on the motivation of professionals and on organizational factors. Implementing and sustaining changes in the structure and culture of the health care system are needed if a health care response to IPV that fulfills the World Health Organization guidelines is to be
dc.description.sponsorshipThis study has been funded by a COFAS grant (Incoming International Postdoc fellowships grants of the Swedish Research Council for Health, Working Life and Welfare) supported by The European Commission Cofunding programme with the Swedish Research Council for Health, Working Life and Welfare -COFUND action within the Marie Curie Action People, in the Seventh Framework Programme and the Swedish Council for Working Life and Social Research/FAS-Forskningsradet för arbetsliv och
dc.publisherSAGE Publicationses
dc.rights© The Author(s) 2015es
dc.subjectIntimate partner violencees
dc.subjectHealth systemes
dc.subjectGrounded theoryes
dc.subject.otherMedicina Preventiva y Salud Públicaes
dc.titleHealth-Sector Responses to Intimate Partner Violence Fitting the Response Into the Biomedical Health System or Adapting the System to Meet the Response?es
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INV - Investigación en Género - Artículos de Revistas
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