Browsing by Author "Basualto, Patricia"

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    Cuidar a los que cuidan: Experiencias de cuidadores informales de personas mayores dependientes en contexto COVID-19
    (2021) Aracena Álvarez, Marcela; Balladares, Jaime; Carvacho, Raffaela; Basualto, Patricia; Coli Acevedo, Jazmin; Molina Garzón, Mónica; Catalán, Loreto; Gray-Gariazzo, Nora
    La pandemia COVID ha tenido consecuencias catastróficas a nivel mundial en diversos ámbitos: salud, educación, vivienda, entre otras. Una de ellas fue revelar la fragilidad de los sistemas de protección social en países latinoamericanos, plasmada en la falta de mecanismos alternativos para atender las complejas demandas que la pandemia trajo. Respecto de los sistemas de salud, todos sus esfuerzos se han concentrado en pacientes COVID-19, relegando a aquellos adultos (mayores) dependientes quienes solían recibir atención complementaria en sus hogares. Este hecho, ha provocado un gran estrés en sus cuidadores informales y familia en general. La presente investigación analizó las percepciones, desafíos y expectativas de cuidadores informales en el contexto de pandemia. Se realizaron 12 entrevistas semiestructuradas online durante seis meses. La información analizada mediante los principios de la Teoría Fundada muestra que el periodo ha sido particularmente negativo para los cuidadores a nivel de oferta de servicios públicos de apoyo y organización familiar, además de incrementar la percepción de abandono y vulnerabilidad de estos. Se discute en torno a la necesidad de desarrollar políticas públicas específicas para este grupo.
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    Mixed-methods evaluation of the initial implementation of advanced home visits in Chile
    (2022) García-Huidobro Munita, Diego Nicolás; Vergés, Álvaro; Basualto, Patricia; Calvo Miranda, Carlos; Boetto Puebla, Carolina; Soto, Mauricio; Kopplin Ibáñez, Erika Blanca; Martínez Pérez, Mayra Alicia; Aracena Álvarez, Marcela
    Home visiting programs are evidence-based interventions that have a myriad outcomes for mothers and newborns. Chile offers these services as part of the Chile Crece Contigo, a nationwide program. However, implementing home visiting programs in community settings is difficult. In this study, we report clinic, provider, and participant engagement with the implementation of advanced home visits (ViDAs) in Chilean primary care clinics. ViDAs include a high number of visits, external supervision, and the use of technology. In this study, qualitative and quantitative data were collected to assess the initial implementation of the home visiting strategy. Qualitative data consisted of individual interviews and focus groups with directors of city health departments, clinic managers, and providers conducting home visits. Quantitative data included clinic, provider, and participant recruitment. City health departments were approached to authorize the participation of primary care clinics in the ViDAs program. Then, clinic directors were invited to approve the implementation of the home visiting program at their health centers. In total, 16 clinics, 42 practitioners, and 185 participants were recruited. A large amount of resources was needed to recruit clinics, providers, and participants. The intervention had low acceptability, low adoption, and a high implementation cost. Initial program implementation experienced several challenges. Identified facilitators and barriers both highlighted the need for community engagement at all levels for the successful implementation of an innovation in Chilean primary care clinics. In addition, this article provides recommendations for practitioners and researchers regarding the conduct of research in community-based settings.