Nutrition care as a health policy in the 21st century: a phenomenological study

Vista sencilla de ítem
dc.contributor.authorPérez Cano, Angélica María
dc.contributor.authorMuñoz Díaz, Gustavo Alfonso
dc.contributor.authorParra-García, Irene
dc.contributor.authorChaparro, Diego
dc.contributor.authorGomez-Barrera, Luis Alejandro
dc.contributor.authorBermúdez, Charles Elleri
dc.contributor.orcidCardenas, Diana [https://orcid.org/0000-0002-0709-0307]
dc.contributor.orcidPacheco-Orozco, Rafael Adrián [https://orcid.org/0000-0002-1114-7812]
dc.date.accessioned2022-02-09T20:56:39Z
dc.date.available2022-02-09T20:56:39Z
dc.date.issued2022-02
dc.description.abstractBackground: Addressing the high prevalence of disease-related malnutrition (DRM) requires political will. The aim of this study is to define DRM as a health public policy issue from the point of view of the stakeholders. Methods: We conducted a qualitative phenomenological study consisting of grey data search and individual semi-structured in-depth interviews with stakeholders (policy-makers, academics, and civil society organization representatives) from 17 Latin American countries. The analyzed themes reflected ideas repeatedly found across the interviews. Results: 26 respondents were interviewed (5 policy-makers, 18 academics, 3 civil society organizations representatives). The grey data research and interviews showed that Brazil and Costa Rica were the only countries in the Region that had developed a specific public health policy addressing DRM and nutrition care issues. The rest of the Latin American countries had a nutrition policy which neither addressed DRM specifically nor included nutrition care, with important heterogeneity existing in terms of national regulation of selected nutritional care categories. Stakeholder opinions allowed to identify heterogeneity in the understanding of the nature and causes of DRM, confusing DRM with malnutrition caused by food insecurity and lack of food availability. Policy in the field of clinical nutrition can be addresses from two approaches: interdisciplinarity and a human rights-based approach. Conclusion: DRM is an unaddressed problem by health policy. Due to internal and external factor related to the health systems DRM has not been able to become a public policy issue. The study highlights the need for the development of public policy in clinical nutrition aimed at improving access to nutrition care. © 2021 European Society for Clinical Nutrition and Metabolismspa
dc.description.abstractenglishBackground: Addressing the high prevalence of disease-related malnutrition (DRM) requires political will. The aim of this study is to define DRM as a health public policy issue from the point of view of the stakeholders. Methods: We conducted a qualitative phenomenological study consisting of grey data search and individual semi-structured in-depth interviews with stakeholders (policy-makers, academics, and civil society organization representatives) from 17 Latin American countries. The analyzed themes reflected ideas repeatedly found across the interviews. Results: 26 respondents were interviewed (5 policy-makers, 18 academics, 3 civil society organizations representatives). The grey data research and interviews showed that Brazil and Costa Rica were the only countries in the Region that had developed a specific public health policy addressing DRM and nutrition care issues. The rest of the Latin American countries had a nutrition policy which neither addressed DRM specifically nor included nutrition care, with important heterogeneity existing in terms of national regulation of selected nutritional care categories. Stakeholder opinions allowed to identify heterogeneity in the understanding of the nature and causes of DRM, confusing DRM with malnutrition caused by food insecurity and lack of food availability. Policy in the field of clinical nutrition can be addresses from two approaches: interdisciplinarity and a human rights-based approach. Conclusion: DRM is an unaddressed problem by health policy. Due to internal and external factor related to the health systems DRM has not been able to become a public policy issue. The study highlights the need for the development of public policy in clinical nutrition aimed at improving access to nutrition care. © 2021 European Society for Clinical Nutrition and Metabolismeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.clnesp.2021.11.027
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn2405-4577
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/6782
dc.language.isoeng
dc.publisherElsevier Ltdspa
dc.publisher.journalClinical Nutrition ESPENspa
dc.relation.ispartofseriesClinical Nutrition ESPEN, 2405-4577, Vol 47, 2022, pag 306-314spa
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S2405457721011396?via%3Dihub
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.localAcceso abiertospa
dc.subjectDesnutrición relacionada con la enfermedadspa
dc.subjectNutriciónspa
dc.subjectPolítica públicaspa
dc.subject.keywordsDisease-related malnutritionspa
dc.subject.keywordsNutrition carespa
dc.subject.keywordsPublic policyspa
dc.titleNutrition care as a health policy in the 21st century: a phenomenological studyspa
dc.title.translatedNutrition care as a health policy in the 21st century: a phenomenological studyspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.coarversionhttps://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

Archivos

Bloque original
Mostrando 1 - 1 de 1
Miniatura
Nombre:
Nutrition care as a health policy in the 21st century A phenomenological study.pdf
Tamaño:
388.05 KB
Formato:
Adobe Portable Document Format
Descripción:
Nutrition care as a health policy in the 21st century: A phenomenological study
Descargar
Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Artículos