Browsing by Author "Quezada, Constanza"

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    A crisis of authenticity: Becoming entrepreneurial and the quest for "cultural appropriateness" among the Mapuche
    (2024) Galvez, Marcelo Gonzalez; Gallegos, Fernanda; Turen, Valentina; Quezada, Constanza
    Based on multisite ethnographic work between 2018 and 2020, this article examines entrepreneurship promotion policies developed by the Chilean state directed at Mapuche people. We direct attention to how the notion of authenticity works as a hinge between Mapuche people, historical heritage, nongovernmental organizations, and public policymakers in their promotion of microentrepreneurship as a form of overcoming poverty and achieving full inclusion of Indigenous people in Chilean society. The negotiation processes concerning authenticity bring together people's aspiration to become entrepreneurs as authentic Mapuche and those seeking to initiate a "proper Mapuche business." Authenticity, its recognition and contestation, appears as a central tenet in the formation of a particular entrepreneurial self that combines entrepreneurs' aspirations for a better life with a simultaneous seeking of an appropriate sense of being Mapuche, with acknowledgment from others. In the process, the meaning of authenticity goes beyond a primordialist understanding of the term, acquiring polysemy and affecting the arena of Indigenous entrepreneurship, as other aspects of contemporary Mapuche lives.
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    Children’s right to play in Chilean hospitals: A forgotten right?—A qualitative study protocol
    (2025) Glos Aleksandra, Malgorzata; Santana López, Alejandra; Vargas Celis, Ivonne; Sanhueza Díaz, Lilian; Quezada, Constanza
    Background Despite being a recognised human right (art. 31 of the United Nations Convention on the Rights of the Child), children’s right to play is still insufficiently researched, understood and, above all, implemented. In Chile, the National Child Health Programme recognises the importance of this right for the hospitalised children but makes its provision dependent on the hospital’s capacity. We therefore hypothesise that the provision of children’s right to play in Chilean hospital settings will be irregular, varying from institution to institution, possibly reflecting the existing socio-economic inequalities in the country, thereby leaving much room for improvement. Aims This study aims to collect qualitative data on the institutional arrangements and opportunities for children’s play in public hospitals in Chile. Specifically, our goal is to (a) interpret the conditions and opportunities for play that Chilean public hospitals provide to children and adolescents; (b) interpret institutional arrangements and professional experiences of children’s play in those institutions; (c) identify factors that favour and/or limit opportunities for children’s play in the Chilean hospital setting. Methods This is exploratory qualitative research, combining multiple and instrumental case study with ethnographic research. Its data collection techniques are semi-structured interviews with professionals in hospital settings (supported by a self-assessment questionnaire), and non-participant observations of hospital playrooms (and/or other play spaces). Conclusion This will be the first study to investigate children’s right to play in Chilean hospitals, with a particular focus on the extent of its implementation, its understanding among health professionals, as well as existing limitations and opportunities for its development.
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    Factors influencing the implementation of shared decision-making in breast cancer care: protocol for a mixed-methods study
    (2023) Bravo Valenzuela, Paulina Fabiola; Dois C., Angelina M.; Villarroel Del Pino, Luis Antonio; González Aguero, Marcela Margot; Fernandez González, Loreto; Sánchez Rojel, César Giovanni; Martínez, Alejandra; Turen Croquevielle, Valentina; Quezada, Constanza; Guasalaga María, Elisabeth; Härter, Martin
    Chile is committed to actively involving patients in their healthcare. However, little is known about how this is translated into clinical encounters. Breast cancer (BC) is the first cause of cancer-related death in Chilean women. National policy guarantees standard care, and treatment decisions should be made along this process that can have long-term consequences for women. So, BC is a particularly well-suited case study to understand the complexity of patient participation in decision-making.
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    Transferring Knowledge on Patient-Centered Care through the Establishment of an International Network
    (2025) Lages, Nadine; Scholl, Isabelle; Quezada, Constanza; Hahlweg, Pola; Zeh, Stefan; Dois Castellón, Angelina Maria; Bravo, Paulina; Härter, Martin
    Background: Patient-centered care (PCC) is a key principle of high-quality health care. Recently, PCC has become increasingly relevant in many countries. In 2006, Chile declared PCC as a fundamental pillar of its health care system. However, PCC im-plementation in the Chilean healthcare system still lags. Some factors contributing to this are 1) the complexity of the concept, 2) the interdependence between healthcare activities and policy regulations, and 3) the need for a cultural change in health politics and care. This paper shares experiences of how we have tried to address some of these challenges by establishing an international network for PCC. Methods: As part of a collaborative project between researchers and clinicians based in Chile and Germany, we have established the International Network for Patient-Centered Care (PCC NET). The network offered knowledge exchange and trainings through different means. Results: Knowledge exchange was addressed by developing and launching a website that serves as a platform to share knowledge. Furthermore, a series of online semi-nars on PCC was organized, each conducted by an international expert in the field. In January 2023, several face-to-face workshops were developed and held in Chile. In total, 51 participants have attended the workshops. They were either health profes-sionals responsible for implementing PCC in the country, working for the Ministry of Health or in primary care in Chile. We evaluated the workshops by assessing the par-ticipants' reactions via surveys, and the participants rated the workshops positively. In January 2024, the first Latin American Conference on Patient-Centered Care occurred in Santiago de Chile. Four keynotes, two roundtables, five workshops, 31 oral and 19 poster presentations from both research and clinical practice took place during the two conference days with 196 participants on location. Conclusion: Establishing the PCC NET has facilitated international collaboration, knowledge exchange, and capacity-building for PCC implementation in Chile. Through different communication strategies, such as workshops, seminars and a conference, it was possible to enhance awareness and practical knowledge among healthcare pro-fessionals and policymakers. These initiatives represent significant steps toward ad-vancing PCC in Chile, although continued efforts are needed to address remaining challenges and sustain momentum in policy and practice.