Iniquidades em saúde e os desafios no acesso ao direito integral à saúde de crianças e adolescentes com cardiopatias congênitas internados(as) em um hospital universitário

Abstract

This article aims to analyze the expressions of social inequities in health in the determination of congenital heart disease in children and adolescents admitted to the Child and Adolescent Health Care Unit of the Onofre Lopes University Hospital, with a view to contributing to guaranteeing the right universal access to health and other social rights of this population. This is a qualitative research, guided by the critical-dialectical method, developed from a broad bibliographical review, documentary analysis of medical records and field research with a structured interview directed to a Nursing professional inserted (a) in the research locus scenario, using the content analysis technique. The results demonstrate that children and adolescents from Rio Grande do Norte with congenital heart defects face several challenges in accessing health services, considering that there is no structured care network for this public, which implies that their realities are crossed by inequities and social inequalities. in health arising from capitalism, intensified in the context of counter-reform, super precariousness and privatization of health. In this sense, it is understood that children and adolescents with congenital heart defects experience rights violations, especially the full right to health, in contrast to the principles of the SUS and the doctrine of full protection that governs the ECA.