Revista Brasileira de Enfermagem (Dec 2019)

Accessibility of children with special health needs to the health care network

  • Eliane Tatsch Neves,
  • Aline Cristiane Cavicchioli Okido,
  • Fernanda Luisa Buboltz,
  • Raíssa Passos dos Santos,
  • Regina Aparecida Garcia de Lima

DOI
https://doi.org/10.1590/0034-7167-2017-0899
Journal volume & issue
Vol. 72, no. suppl 3
pp. 65 – 71

Abstract

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ABSTRACT Objective: To know how children with special health needs access the health care network. Method: This is a qualitative research of descriptive-exploratory type, developed using semi-structured interviews mediated by the Talking Map design. Participants were 19 family caregivers of these children in two Brazilian municipalities. Data were submitted to inductive thematic analysis. Results: Difficulties were mentioned from the diagnosis moment to the specialized follow-up, something represented by the itinerary of the c hild and his/her family in the search for the definition of the medical diagnosis and the access to a specialized professional; a gap between the children’s needs and the care offered was observed in primary health care. Conclusion: The access of children with special health needs is filled with obstacles such as slowness in the process of defining the child’s diagnosis and referral to a specialist. Primary health care services were replaced by care in emergency care units.

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