Why do certain primary health care teams respond better to intimate partner violence than others? A multiple case study
Vives Cases, Carmen
San Sebastián, Miguel
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Objective: To analyse how team level conditions influenced health care professionals’ responses to inti-mate partner violence.Methods: We used a multiple embedded case study. The cases were four primary health care teamslocated in a southern region of Spain; two of them considered “good” and two s “average”. The twoteams considered good had scored highest in practice issues for intimate partner violence, measured viaa questionnaire (PREMIS - Physicians Readiness to Respond to Intimate Partner Violence Survey) appliedto professionals working in the four primary health care teams. In each case quantitative and qualitativedata were collected using a social network questionnaire, interviews and observations.Results: The two “good” cases showed dynamics and structures that promoted team working and teamlearning on intimate partner violence, had committed social workers and an enabling environment fortheir work, and had put into practice explicit strategies to implement a women-centred approach.Conclusions: Better individual responses to intimate partner violence were implemented in the teamswhich: 1) had social workers who were knowledgeable and motivated to engage with others; 2) sustaineda structure of regular meetings during which issues of violence were discussed; 3) encouraged a friendlyteam climate; and 4) implemented concrete actions towards women-centred care.
Is part ofGaceta Sanitaria, 2017, vol. 33, núm. 2, p. 169-176
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