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Gaceta Sanitaria

Print version ISSN 0213-9111

Abstract

MORENO ZEGBE, Estephania; BECERRIL MONTEKIO, Víctor  and  ALCALDE RABANAL, Jacqueline. Tacit and explicit knowledge: comparative analysis of the prioritization of maternal health problems in Mexico. Gac Sanit [online]. 2018, vol.32, n.3, pp.251-261.  Epub Dec 07, 2020. ISSN 0213-9111.  https://dx.doi.org/10.1016/j.gaceta.2017.04.006.

Objective

To identify coincidences and differences in the identification and prioritization of maternal healthcare service problems in Mexico based on the perspective of tacit knowledge and explicit knowledge that may offer evidence that can contribute to attaining the Sustainable Development Goals.

Methods

Mixed study performed in three stages: 1) systematization of maternal healthcare service problems identified by tacit knowledge (derived from professional experience); 2) identification of maternal healthcare service problems in Latin America addressed by explicit knowledge (scientific publications); 3) comparison between the problems identified by tacit and explicit knowledge.

Results

The main problems of maternal health services identified by tacit knowledge are related to poor quality of care, while the predominant problems studied in the scientific literature are related to access barriers to health services. Approximately, 70% of the problems identified by tacit knowledge are also mentioned in the explicit knowledge. Conversely, 70% of the problems identified in the literature are also considered by tacit knowledge. Nevertheless, when looking at the problems taken one by one, no statistically significant similarities were found.

Conclusions

The study discovered that the identification of maternal health service problems by tacit knowledge and explicit knowledge is fairly comparable, according to the comparability index used in the study, and highlights the interest of integrating both approaches in order to improve prioritization and decision making towards the Sustainable Development Goals.

Keywords : Maternal health services; Maternal health; Tacit knowledge; Scientific knowledge; Explicit knowledge.

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