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Group Prenatal Care in Mexico: perspectives and experiences of health personnel
OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos and Hidalg...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Faculdade de Saúde Pública da Universidade de São Paulo
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7703532/ https://www.ncbi.nlm.nih.gov/pubmed/33331532 http://dx.doi.org/10.11606/s1518-8787.2020054002175 |
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author | Ibañez-Cuevas, Midiam Heredia-Pi, Ileana Beatriz Fuentes-Rivera, Evelyn Andrade-Romo, Zafiro Alcalde-Rabanal, Jacqueline Cacho, Lourdes Bravo-Bolaños Guzmán-Delgado, Xochitl Jurkiewicz, Laurie Darney, Blair G |
author_facet | Ibañez-Cuevas, Midiam Heredia-Pi, Ileana Beatriz Fuentes-Rivera, Evelyn Andrade-Romo, Zafiro Alcalde-Rabanal, Jacqueline Cacho, Lourdes Bravo-Bolaños Guzmán-Delgado, Xochitl Jurkiewicz, Laurie Darney, Blair G |
author_sort | Ibañez-Cuevas, Midiam |
collection | PubMed |
description | OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos and Hidalgo) from June 2016 to August 2018. We conducted 11 semi-structured interviews with health care service providers, and we examined their perceptions and experiences during the implementation of the GPC model. We identified the barriers and facilitators for its adoption in two dimensions: a) structural (space, resources, health personnel, patient volume, community) and b) attitudinal (motivation, leadership, acceptability, address problems, work atmosphere and communication). RESULTS: The most relevant barriers reported at the structural level were the availability of physical space in health units and the work overload of health personnel. We identified the difficulty in adopting a less hierarchical relationship during the pregnant women's care at the attitudinal level. The main facilitator at the attitudinal level was the acceptability that providers had of the model. One specific finding for Mexico's implementation context was the resistance to change the doctor-patient relationship; it is difficult to abandon the prevailing hierarchical model and change to a more horizontal relationship with pregnant women. CONCLUSION: Analyzing the GPC model's implementation in Mexico, from the health care personnel's perspective, has revealed barriers and facilitators similar to the experiences in other contexts. Future efforts to adopt the model should focus on timely attention to identified barriers, especially those identified in the attitudinal dimension that can be modified by regular health care personnel training. |
format | Online Article Text |
id | pubmed-7703532 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Faculdade de Saúde Pública da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-77035322020-12-04 Group Prenatal Care in Mexico: perspectives and experiences of health personnel Ibañez-Cuevas, Midiam Heredia-Pi, Ileana Beatriz Fuentes-Rivera, Evelyn Andrade-Romo, Zafiro Alcalde-Rabanal, Jacqueline Cacho, Lourdes Bravo-Bolaños Guzmán-Delgado, Xochitl Jurkiewicz, Laurie Darney, Blair G Rev Saude Publica Original Article OBJECTIVE: Identify barriers and facilitators to implementing the Group Prenatal Care model in Mexico (GPC) from the health care personnel's perspective. METHODS: We carried out a qualitative descriptive study in four clinics of the Ministry of Health in two states of Mexico (Morelos and Hidalgo) from June 2016 to August 2018. We conducted 11 semi-structured interviews with health care service providers, and we examined their perceptions and experiences during the implementation of the GPC model. We identified the barriers and facilitators for its adoption in two dimensions: a) structural (space, resources, health personnel, patient volume, community) and b) attitudinal (motivation, leadership, acceptability, address problems, work atmosphere and communication). RESULTS: The most relevant barriers reported at the structural level were the availability of physical space in health units and the work overload of health personnel. We identified the difficulty in adopting a less hierarchical relationship during the pregnant women's care at the attitudinal level. The main facilitator at the attitudinal level was the acceptability that providers had of the model. One specific finding for Mexico's implementation context was the resistance to change the doctor-patient relationship; it is difficult to abandon the prevailing hierarchical model and change to a more horizontal relationship with pregnant women. CONCLUSION: Analyzing the GPC model's implementation in Mexico, from the health care personnel's perspective, has revealed barriers and facilitators similar to the experiences in other contexts. Future efforts to adopt the model should focus on timely attention to identified barriers, especially those identified in the attitudinal dimension that can be modified by regular health care personnel training. Faculdade de Saúde Pública da Universidade de São Paulo 2020-11-27 /pmc/articles/PMC7703532/ /pubmed/33331532 http://dx.doi.org/10.11606/s1518-8787.2020054002175 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Ibañez-Cuevas, Midiam Heredia-Pi, Ileana Beatriz Fuentes-Rivera, Evelyn Andrade-Romo, Zafiro Alcalde-Rabanal, Jacqueline Cacho, Lourdes Bravo-Bolaños Guzmán-Delgado, Xochitl Jurkiewicz, Laurie Darney, Blair G Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_full | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_fullStr | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_full_unstemmed | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_short | Group Prenatal Care in Mexico: perspectives and experiences of health personnel |
title_sort | group prenatal care in mexico: perspectives and experiences of health personnel |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7703532/ https://www.ncbi.nlm.nih.gov/pubmed/33331532 http://dx.doi.org/10.11606/s1518-8787.2020054002175 |
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