Institutional practices in maternal health according to social class. Bogotá, Colombia, 2018
Institutional practices in maternal health according to social class. Bogotá, Colombia, 2018
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DOI：
10.18597/rcog.3497
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发表时间：
2020-12-01
期刊：
影响因子：
--
通讯作者：
Henao-Villegas, Santiago
中科院分区：
文献类型：
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作者：
Bedoya-Ruiz., Libia Amparo;Agudelo-Suárez, Andrés Alonso;Henao-Villegas, Santiago
目的：了解波哥大不同社会阶层妇女在怀孕、分娩和产后期间的医疗保健制度实践。方法：基于批判解释学范式的定性研究。具有理论抽样的关键人种学方法。参与者包括来自波哥大市的9名妇女和8名保健专业人员，他们在公共和私营保健机构服务，这些机构为一般社会保障制度补贴和缴费制度下的人口提供服务。总体而言，在13个月期间进行了38次深入访谈，在产前护理、疫苗接种、分娩、产后就诊、后续检查、精神预防疗程、住院和等候室等方面向母亲提供了62次支持。Atlas Ti的三角测量分析。结果：考虑到不同参与者的话语、观察和背景，发现两类是不公平的决定因素：“市场调节的卫生”和“卫生服务的监督和控制”。结论：在医疗实践中，应加强人群能力建设，以确保妇女和医务人员权利的实现。定性研究为促进改变影响妇女的医学理论提供了机会。
OBJECTIVE: To understand institutional practices in healthcare as relates to women during pregnancy, childbirth and the postpartum period according to social class in Bogota.METHODS: Qualitative study based on the critical hermeneutics paradigm. Critical ethnographic method with theoretical sampling. The participants included 9 women and 8 health-care professionals from the city of Bogota, attending public and private healthcare institutions that serve populations under both the subsidized as well as the contributive regimes of the General Social Security System. Overall, 38 in-depth interviews were conducted during a 13 month period, with 62 instances of support to the mothers in terms of prenatal care, vaccination, labor, postpartum visits, follow-up tests, psychoprophylactic course, hospitalization and waiting room. Triangulation analysis on Atlas Ti.RESULTS: Taking into account the discourse of the different players, observations and context, two categories were found to be determining factors of inequities: "Market-regulated health" and "Over- sight and control in health services".CONCLUSIONS: It is advisable in medical practice to build competencies in the population in order to ensure the realization of the rights of women and healthcare personnel. Qualitative research offers the opportunity to promote the transformation of medical rationale affecting women.