Access to healthcare system of indigenous communities with musculoskeletal disorders and rheumatic disease in Chaco, Arg
- PDF / 470,819 Bytes
- 11 Pages / 595.276 x 790.866 pts Page_size
- 29 Downloads / 188 Views
ORIGINAL ARTICLE
Access to healthcare system of indigenous communities with musculoskeletal disorders and rheumatic disease in Chaco, Argentina: a qualitative study Rosana Quintana 1 & Sofia Fernandez 2 & Martina Fay 2 & Cecilia Camacho 2 & Graciela Gomez 2 & Jazmin Petrelli 2 & Andrés Honeri 2 & Viviana Arenas Solórzano 2 & Ana Bensi 2 & Gustavo Di Prinzio 2 & Adriana Silvestre 1 & Maria Elena Calvo 3 & Ingris Pelaez-Ballestas 4 & Marcela Valdata 2 & Bernardo A. Pons-Estel 1 Received: 23 September 2020 / Revised: 30 October 2020 / Accepted: 15 November 2020 # International League of Associations for Rheumatology (ILAR) 2020
Abstract Introduction/objectives The objective of this study is to describe the local healthcare system from the perspective of the health professionals, community health workers, and local representatives of the qom community living in the province of Chaco, Argentina. Methods A qualitative study, with an ethnographic approach, was carried out using two techniques: non-participant observations and semi-structured interviews. A guide for the interviews was designed and developed by a multidisciplinary group of GLADERPO researchers. The main aspects included were the following: reference into the local healthcare system and accessibility to the system. Andersen’s base conceptual model of health service utilization was applied for the analysis and for structuring the results. Results A total of 21 people were interviewed, twelve women and nine men with an age ranging between 25 and 60 years old. The main findings were different barriers (communication and cultural) between the community and the healthcare system; “navigation” within the health system carried out by the qom community; and migration and bureaucratization of the health system. Conclusions These findings should be incorporated into educational strategies to improve access to healthcare system and adherence to medical treatment, establishing an interaction between the different levels of the local care system and providing community health workers with an appropriate training with the support of the community representatives. Key Points • The different barriers between the community and the healthcare system were described. • The “navigation” within the health system carried out by the qom community and the migration were relevant points. • The bureaucratization of the health system and the need to design and implement educational strategies in the future were highlighted.
Keywords Models of healthcare . Multidisciplinary approach . qom population . Qualitative methods
Introduction * Rosana Quintana [email protected] 1
Centro Regional de Enfermedades Autoinmunes y Reumáticas (GO-CREAR), Bv. Oroño 1024, Rosario, Santa Fe, Argentina
2
CEAPROS (Centro de Estudios Aplicados a Problemáticas Socio-culturales), Facultad de Humanidades y Artes, Universidad Nacional de Rosario (UNR), Rosario, Argentina
3
Hospital 4 de junio “Dr. Ramón Carrillo”, Presidencia Roque Saenz Peña, Chaco, Argentina
4
Hospital General de México “Dr.
Data Loading...
