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Exploring women's health care experiences through an equity lens: Findings from a community clinic serving marginalised women.

Authors
  • Prodan-Bhalla, Natasha1
  • Browne, Annette J2
  • 1 BC Women's Hospital and Health Centre, Vancouver, British Columbia, Canada. , (Canada)
  • 2 School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada. , (Canada)
Type
Published Article
Journal
Journal of Clinical Nursing
Publisher
Wiley (Blackwell Publishing)
Publication Date
Jun 04, 2019
Identifiers
DOI: 10.1111/jocn.14937
PMID: 31162864
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

To explore how marginalised women perceive and rate equity-oriented health care at a primary care clinic using items that evaluate patients' experiences of care. Despite an increased recognition of the importance of health care that is equity-oriented, and that understands the patient within the context of the broader social determinants of health, inequities in health remain prevalent around the world. Items from the "EQUIP Primary Health Care" research programme were used to explore patients' experiences of equity-oriented health care. Women were invited to complete the questionnaire with the explicit aim of gaining their input to improve quality of care at the clinic. The Strengthening the Reporting of Observational Studies in Epidemiology Statement was followed for the study. Sixty-seven women who experienced significant health and social inequities, and were seeking care at a women's only nurse practitioner primary health care clinic in Canada, were invited to complete the questionnaire. For quality improvement purposes, correlational analyses were used to explore women's experiences of care. Women's responses showed that Promote Emotional Safety and Trust and Overall Quality of Care were the most highly correlated domains, indicating the importance of the health care team in establishing trusting relationships, particularly for women who experience stigma and negative judgement when seeking care. Seeking feedback from patients on their experiences of care using items developed to explicitly tap into equity issues is useful in understanding how patients experience equity-oriented health care. Responses from the women highlight the importance of understanding not only the what of equity-oriented care but also the how. The results of this study illustrate the importance of establishing trusting relationships, tailoring care, and using a nondiscriminatory approach when working with women who experience negative judgements when seeking care. © 2019 John Wiley & Sons Ltd.

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