{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T07:19:39Z","timestamp":1763018379676,"version":"3.37.3"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia"},{"name":"Perinatal Health in Migrants Barriers, Incentives and Outcomes","award":["POCI-01-0145-FEDER-016874","PTDC\/DTPSAP\/6384\/2014"],"award-info":[{"award-number":["POCI-01-0145-FEDER-016874","PTDC\/DTPSAP\/6384\/2014"]}]},{"name":"European Union\u2019s Horizon 2020 research and innovation program","award":["733280"],"award-info":[{"award-number":["733280"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Migrant women are at higher risk to face access barriers to perinatal care services and to experience worse pregnancy outcomes compared to native. Assessing the perception of migrant women and health providers discloses a multifaceted view on migrant-friendly care, a multidimensional concept in itself. This study aims to compare self-perceived assessments of migrant women and directors of obstetrics and gynaecology (GYN\/OBS) departments on equitable migrant-friendly perinatal healthcare quality and access during the intrapartum and postpartum period at public maternities in Portugal.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In this cross-sectional study, two indicators on Healthcare access and Quality of care were developed to compare how adult migrant women who gave birth between April 2017 and March 2019 and GYN\/OBS department directors assessed offered care. The one-sample Wilcoxon test was used to compare directors\u2019 with migrants\u2019 assessments and the Kruskal\u2013Wallis one-way analysis of variance to test for country regional differences. A stratified analysis by sex, spoken language, and country of birth tested for potential effect modifiers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Migrants rated Healthcare access significantly better (P&amp;lt;0.05), but perceived Quality of care worse (P&amp;lt;0.01) than GYN\/OBS department directors. Migrants\u2019 and directors\u2019 perceptions differed significantly according to directors\u2019 gender (P&amp;lt;0.05). Migrants\u2019 and directors\u2019 assessments on Healthcare access (P&amp;lt;0.05) and Quality (P&amp;lt;0.01) changed significantly across regions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Migrants\u2019 and directors\u2019 self-perceived appraisal of Healthcare access and Quality of care significantly varied. Identifying these discordances allows to deliver insights into existing barriers in access and provision of care and raises awareness to improve quality assurance, essential to inform practice and policies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckab125","type":"journal-article","created":{"date-parts":[[2021,7,5]],"date-time":"2021-07-05T19:12:28Z","timestamp":1625512348000},"page":"951-957","source":"Crossref","is-referenced-by-count":5,"title":["Equitable migrant-friendly perinatal healthcare access and quality in public maternity units in Portugal"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1388-9542","authenticated-orcid":false,"given":"Julia","family":"Doetsch","sequence":"first","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica da Universidade do Porto (ISPUP), Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Porto, Portugal"}]},{"given":"Ricardo","family":"Almendra","sequence":"additional","affiliation":[{"name":"Department of Geography and Tourism, Centre of Studies in Geography and Spatial Planning, University of Coimbra, Coimbra, Portugal"}]},{"given":"Mariana","family":"Carrapatoso","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica da Universidade do Porto (ISPUP), Porto, Portugal"},{"name":"Unidade de Sa\u00fade P\u00fablica, ACES Grande Porto I\u2014Santo Tirso\/Trofa, ARS Norte, Santo Tirso, Portugal"}]},{"given":"Cristina","family":"Teixeira","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica da Universidade do Porto (ISPUP), Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Porto, Portugal"},{"name":"Instituto Polit\u00e9cnico de Bragan\u00e7a, Bragan\u00e7a, Portugal"}]},{"given":"Henrique","family":"Barros","sequence":"additional","affiliation":[{"name":"EPIUnit\u2014Instituto de Sa\u00fade P\u00fablica da Universidade do Porto (ISPUP), Porto, Portugal"},{"name":"Laborat\u00f3rio para a Investiga\u00e7\u00e3o Integrativa e Translacional em Sa\u00fade Populacional (ITR), Porto, Portugal"},{"name":"Departamento de Ci\u00eancias da Sa\u00fade P\u00fablica e Forenses e Educa\u00e7\u00e3o M\u00e9dica, Faculdade de Medicina, Universidade do Porto (FMUP), Porto, Portugal"}]}],"member":"286","published-online":{"date-parts":[[2021,7,27]]},"reference":[{"year":"2018","key":"2021102610352093000_ckab125-B1","first-page":"52"},{"year":"2020","key":"2021102610352093000_ckab125-B2"},{"key":"2021102610352093000_ckab125-B3","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1007\/s10995-010-0619-2","article-title":"Explaining ethnic differences in late antenatal care entry by predisposing, enabling and need factors in the Netherlands. 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