Hospital Dr. Exequiel González Cortés. The rights approach into health care

Abstract

Introduction. In daily practice, there is a lack of knowledge about the rights of children and adolescents by the health team, as well as the users- patients and family -. This is mainly observed in the persistence of paternalistic or protective attitudes towards the children and adolescents who attend to the services. As indicated in the first publication, the Convention on the Rights of the Child founds a new paradigm when considering children and adolescents as subjects of rights. Objective. To report the experience of the realization of a participative congress of children and adolescents, on the rights of the children, destined to the integration of their perspective in the assistance practice of the Dr. Exequiel González Cortés Hospital. Methodology. An encounter of children and adolescents was developed, in which, under a semi-structured survey, adjusted for age, which consists of 3 dimensions: care, treatment and re- cognition as subjects of rights. This was applied to focus groups formed by age, the rights that are most at risk - or are effectively - violated in the care at our hospital were identified. Results: The child is recognized as a subject of rights, which requires a development scenario, a space where they can interact and express freely their point of view of the environment where they develop as a social actor. Therefore, a hospital for interaction and reconstruction of the environment where it is housed should be conceived. Enabling the realization of children and adolescents as subjects of law in a place of inclusion. Through the exercise of systematization, the following assessments were made in relation to the dimensions analyzed: 1. Attention: good attitude, the hospital is always a new experience; 2. treatment: it is important to be listened to, to receive medical information. Do not be treated like young children. Participate in the processes; 3. about rights: to recreation, inclusion, being taken into account, being with family and friends seem like more significant rights in the collective productions of groups. Conclusion. Incorporating the rights approach implies a change in the institutional culture. This experience invites us to think about the development of reeducation strategies that allow officials to reflect and transform practices that are invisible in the normalized world of adults. NNA participation meetings should be developed with more continuity where opinions and proposals for improvement or change of practices in both hospitals and users or patients are given, understanding this as mutual learning processes. The incorporation of the perspective of children and adolescents on the rights of children related to hospital care will contribute to the recognition of children and adolescents as subjects of rights.