de Sousa Maria Helena, Bento Silvana Ferreira, Osis Maria José Duarte, Ribeiro Meire de Paula, Faúndes Anibal
Departamento de Pesquisa Social, Centro de Pesquisas em Saúde Reprodutiva de Campinas, Campinas, SP, Brasil.
Rev Bras Epidemiol. 2015 Jan-Mar;18(1):94-107. doi: 10.1590/1980-5497201500010008. Epub 2015 Mar 1.
To evaluate the proportion of health services that fill out the compulsory notification and what the main difficulties to fill it out are.
A study was carried out with two different approaches. For the quantitative approach, a cross sectional study was performed, with telephone data collection. In the state of São Paulo, 291 health services that had reported providing care to women who suffer from sexual violence were identified. The sample was composed of 172 services that reported providing emergency care to women. In the qualitative approach, case studies were conducted. Six cities were chosen by intention and convenience. For each of them, professionals from two health services were invited to participate. Forty-five semi-structured interviews were conducted. For quantitative data, a descriptive analysis was carried out. For qualitative data, a thematic analysis of content was performed.
The proportion of health services which reported always filling out the notification in cases of sexual violence was 79.1%. More than half (53.5%) reported difficulties concerning the assisted women, one third reported reasons related to the form, and 29.7%, to the professionals. In the qualitative approach, the main difficulties were the size of the form, the problems to obtain the information about the woman and the difficulty for the professional to obtain this information.
Although most health services claimed to fill out the compulsory notification, they also mentioned several difficulties to do so, especially with regard to the workload of professionals and the misunderstanding about the importance of the notification in the context of comprehensive care to women who suffer from sexual violence.
To evaluate the proportion of health services that fill out the compulsory notification and what the main difficulties to fill it out are.
A study was carried out with two different approaches. For the quantitative approach, a cross sectional study was performed, with telephone data collection. In the state of São Paulo, 291 health services that had reported providing care to women who suffer from sexual violence were identified. The sample was composed of 172 services that reported providing emergency care to women. In the qualitative approach, case studies were conducted. Six cities were chosen by intention and convenience. For each of them, professionals from two health services were invited to participate. Forty-five semi-structured interviews were conducted. For quantitative data, a descriptive analysis was carried out. For qualitative data, a thematic analysis of content was performed.
The proportion of health services which reported always filling out the notification in cases of sexual violence was 79.1%. More than half (53.5%) reported difficulties concerning the assisted women, one third reported reasons related to the form, and 29.7%, to the professionals. In the qualitative approach, the main difficulties were the size of the form, the problems to obtain the information about the woman and the difficulty for the professional to obtain this information.
Although most health services claimed to fill out the compulsory notification, they also mentioned several difficulties to do so, especially with regard to the workload of professionals and the misunderstanding about the importance of the notification in the context of comprehensive care to women who suffer from sexual violence.
评估填写强制通报的卫生服务机构的比例以及填写过程中的主要困难。
采用两种不同方法进行研究。对于定量方法，进行了一项横断面研究，通过电话收集数据。在圣保罗州，确定了291家报告为遭受性暴力的妇女提供护理的卫生服务机构。样本由172家报告为妇女提供紧急护理的服务机构组成。对于定性方法，进行了案例研究。有意且方便地选择了六个城市。对于每个城市，邀请了两家卫生服务机构的专业人员参与。进行了45次半结构化访谈。对于定量数据，进行了描述性分析。对于定性数据，进行了内容主题分析。
报告在性暴力案件中总是填写通报的卫生服务机构的比例为79.1%。超过一半（53.5%）报告在受助妇女方面存在困难，三分之一报告与表格相关的原因，29.7%报告与专业人员相关的原因。在定性方法中，主要困难是表格的大小、获取妇女信息的问题以及专业人员获取此信息的困难。
尽管大多数卫生服务机构声称填写强制通报，但他们也提到了这样做的几个困难，特别是在专业人员的工作量以及在为遭受性暴力的妇女提供全面护理的背景下对通报重要性的误解方面。
评估填写强制通报的卫生服务机构的比例以及填写过程中的主要困难。
采用两种不同方法进行研究。对于定量方法，进行了一项横断面研究，通过电话收集数据。在圣保罗州，确定了291家报告为遭受性暴力的妇女提供护理的卫生服务机构。样本由172家报告为妇女提供紧急护理的服务机构组成。对于定性方法，进行了案例研究。有意且方便地选择了六个城市。对于每个城市，邀请了两家卫生服务机构的专业人员参与。进行了45次半结构化访谈。对于定量数据，进行了描述性分析。对于定性数据，进行了内容主题分析。
报告在性暴力案件中总是填写通报的卫生服务机构的比例为79.1%。超过一半（53.5%）报告在受助妇女方面存在困难，三分之一报告与表格相关的原因，29.7%报告与专业人员相关的原因。在定性方法中，主要困难是表格的大小、获取妇女信息的问题以及专业人员获取此信息的困难。
尽管大多数卫生服务机构声称填写强制通报，但他们也提到了这样做的几个困难，特别是在专业人员的工作量以及在为遭受性暴力的妇女提供全面护理的背景下对通报重要性的误解方面。
