Spatial Access Matters: An Analysis of Policy Change and Its Effects on Avoidable Infant Mortality in Portugal

M. Weiland, P. Santana, C. Costa, J. Doetsch, E. Pilot*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.
Original languageEnglish
Article number1242
Number of pages18
JournalInternational Journal of Environmental Research and Public Health
Volume18
Issue number3
DOIs
Publication statusPublished - 1 Feb 2021

Keywords

  • avoidable infant mortality
  • healthcare access
  • healthcare service
  • maternity unit
  • portugal
  • spatial inequalities
  • Portugal

Fingerprint

Dive into the research topics of 'Spatial Access Matters: An Analysis of Policy Change and Its Effects on Avoidable Infant Mortality in Portugal'. Together they form a unique fingerprint.

Cite this