• Vanessa Alcaide Lozano, Alba Pérez Domínguez, Elisenda Lupresti Medina, and Cari Almazán Sáez.
• Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Barcelona , España. Electronic address: vanessa.alcaide@gencat.cat.
• Aten Primaria. 2021 Jun 1; 53 (6): 102045.

ObjectiveIdentify improvement proposals for approaching violence against women through the evaluation of 2009s Protocol for approaching Violence Against Women in Health Care in Cataluña (PAVIM).DesignQualitative ethnographic study, 2019.SettingPublic Health Care in Catalonia.ParticipantsOne hundred eighty one participants, of which: 104 health care professionals, 43 women's associations and/or experts in violence against women and 34 experts on health and violence against women.MethodIntentional sampling. Eighteen focus groups and 34 semi-structured interviews. Evaluation with a gender and intersectional perspective.ResultsResults are structured along PAVIM's phases.Preventionmandatory and institutionally recognized training for the whole professional team, with a gender and intersectional perspective. Detection: diagnostic code standardization for violence against women and improve coordination between primary care, emergency service, pediatrics and Assistance to Sexual and Reproductive Health. Care and recovery: territorial equity in the applied resources on cases of violence against women care (in the 9 sanitary regions of Catalonia) and improves communication between health and associative fields.ConclusionsThe improvement proposals identified are those that have generated a greater consensus among participants and are the most interesting to primary care. As limitations, stand out the temporality and heterogeneity of the Catalan territory.Copyright © 2021 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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