Department of Nursing, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
Ciber of Epidemiology and Public Health (CIBERESP), Spain.
Eur J Public Health. 2018 Dec 1;28(6):1000-1005. doi: 10.1093/eurpub/cky095.
The objective of this study was to explore how health professionals perceived the effect of the economic crisis and associated austerity measures on the detection of and cares for intimate partner violence (IPV) in primary care in Spain.
Qualitative study designed using semi-structured interviews carried out with 145 health professionals in 16 primary health care centres in different regions of Spain. An inductive thematic analysis was made of the transcriptions.
Three main themes were identified: 'Women endure more violence during times of economic crisis', 'Fewer resources, fewer professionals and less time to respond to IPV' and 'Professionals' motivation as a requirement to respond to IPV'. Professionals perceived that economic precariousness triggered violence against women and made women more hesitant to put an end to violent relationships. They also reported that the austerity measures applied to primary health care negatively affected their ability to detect and adequately care for cases of IPV due to a heavy workload, reduced human resources, difficulties in training and the loss of resources to which women could be referred. To counteract these obstacles, health professionals' motivation played a vital role in the response to IPV.
Institutional efforts to organize awareness programmes and training in order to improve and promote early diagnosis, care and rehabilitation of these women cannot stop during times of crisis and primary health care centres should facilitate health professionals' access to these programmes.
本研究旨在探讨卫生专业人员如何看待经济危机及其相关紧缩措施对西班牙初级保健中亲密伴侣暴力（IPV）的检测和护理的影响。
采用半结构式访谈，在西班牙不同地区的 16 个初级保健中心对 145 名卫生专业人员进行定性研究。对转录本进行归纳主题分析。
确定了三个主要主题：“经济危机时期女性遭受更多暴力”、“资源减少、专业人员减少和应对 IPV 的时间减少”和“专业人员的动机是应对 IPV 的要求”。专业人员认为经济不稳定引发了针对妇女的暴力行为，使妇女更不愿意结束暴力关系。他们还报告说，初级保健中实施的紧缩措施由于工作量大、人力资源减少、培训困难以及妇女可转介的资源损失，对他们发现和充分护理 IPV 病例的能力产生了负面影响。为了克服这些障碍，卫生专业人员的动机在应对 IPV 方面发挥了至关重要的作用。
在危机时期，不能停止机构为提高和促进这些妇女的早期诊断、护理和康复而组织的意识计划和培训，初级保健中心应便利卫生专业人员获得这些计划。
