Spatial Access Matters
An Analysis of Policy Change and Its Effects on Avoidable Infant Mortality in Portugal
Bibliographic Data
| ID | 15511665 |
|---|---|
| Authors | Morgan Weiland (0000-0002-1779-7162, Maastricht University), Paula Santana (0000-0002-7658-8475, Centro de Estudos em Geografia e Ordenamento do Territorio), Cláudia Costa (0000-0002-2715-1154, Centro de Estudos em Geografia e Ordenamento do Territorio), Julia Nadine Doetsch (0000-0003-1388-9542, Universidade do Porto), Julia Doetsch (Maastricht University), Eva Pilot (0000-0003-3112-4447, Maastricht University, corresponding author) |
| Year | 2021 |
| Volume | 18 |
| Issue | 3 |
| Pages | 1242-1242 |
| Publication date | 2021-01-30 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph18031242 |
| PMID | 33573190 |
| OpenAlex | W3127044864 |
| Language | EN |
| Citations received | 3 |
| References cited | 26 |
In 2006, a policy reform restructured the maternal and perinatal healthcare system, including closing smaller maternity units, to further improve care in Portugal. This study aimed to investigate the effects of the 2006 National Program of Maternal and Neonatal Health policy on spatial inequalities in access to care and consequently avoidable infant mortality. A thematic analysis of qualitative data including interviews and surveys and a quantitative spatial analysis using Geographic Information Systems was applied. Spatial inequalities were found which may lead to avoidable infant mortality. Inequalities exist in freedom of choice and autonomy in care, within a medicalized system. Changes in approach to and organization of care would further enhance equitable spatial access to care in maternal health and reduce avoidable infant mortality
Autonomy · Economic growth · Economics · Environmental health · Geography · Health care · Inequality · Infant mortality · Political science · Population · Qualitative research · Socioeconomics · Sociology · Thematic analysis · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Medicine
Financial crisis, austerity, and health in Europe
Disparities in Geographical Access to Hospitals in Portugal
When homebirth “goes wrong”
Birthing matters in Portugal
Potential barriers in healthcare access of the elderly population influenced by the economic crisis and the troika agreement
Impact of macro-socioeconomic determinants on sustainable perinatal health care in Portugal
Maternal Age and Risk of Labor and Delivery Complications
Assessing the Effect on Outcomes of Public or Private Provision of Prenatal Care in Portugal
The global distribution of infant mortality
Has the Portuguese NHS Achieved its Objectives of Equity and Efficiency
Poverty, social exclusion and health in Portugal
The controversy over the restructuring of perinatal emergency services in Portugal and the importance of citizen participation in health care decision-making processes
A importância da participação cidadã nas políticas de saúde
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,6 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 3 |