scholarly journals Correction: Mechanisms that Trigger a Good Health-Care Response to Intimate Partner Violence in Spain. Combining Realist Evaluation and Qualitative Comparative Analysis Approaches

PLoS ONE ◽  
2015 ◽  
Vol 10 (9) ◽  
pp. e0139184
Author(s):  
Isabel Goicolea ◽  
Carmen Vives-Cases ◽  
Anna-Karin Hurtig ◽  
Bruno Marchal ◽  
Erica Briones-Vozmediano ◽  
...  
2019 ◽  
Vol 26 (3-4) ◽  
pp. 334-358 ◽  
Author(s):  
Jo Spangaro ◽  
Jane Koziol-McLain ◽  
Alison Rutherford ◽  
Anthony B. Zwi

Intimate partner violence (IPV) routine screening is widely implemented, yet the evidence for pathways to impact remains unclear. Of the 32 abused women interviewed 16 weeks after antenatal IPV screening, 24 reported positive impact, six reported nil positive impact, and two reported negative impact. Using qualitative comparative analysis (QCA), key conditions for positive impact were care in asking, and support and validation from the midwife. Lack of these and lack of continuity of care were relevant to nil positive impact. Benefits included naming the abuse, connection, unburdening, taking steps to safety, and enabling informed care. Disclosure was not required for positive impact.


JAMA ◽  
2016 ◽  
Vol 315 (23) ◽  
pp. 2517 ◽  
Author(s):  
Kelly C. Young-Wolff ◽  
Krista Kotz ◽  
Brigid McCaw

2015 ◽  
Vol 33 (10) ◽  
pp. 1653-1678 ◽  
Author(s):  
Erica Briones-Vozmediano ◽  
Amaia Maquibar ◽  
Carmen Vives-Cases ◽  
Ann Öhman ◽  
Anna-Karin Hurtig ◽  
...  

This 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 ensured.


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