Bibliographic Details
| Title: |
BRECHAS ENTRE EL AVANCE NORMATIVO Y LA RESPUESTA CLÍNICA: LA INCLUSIÓN DE LA COMUNIDAD SORDA EN LA SALUD PÚBLICA CHILENA. |
| Alternate Title: |
GAPS BETWEEN NORMATIVE ADVANCEMENT AND CLINICAL RESPONSE: THE INCLUSION OF THE DEAF COMMUNITY IN CHILEAN PUBLIC HEALTH. |
| Authors: |
Campos, Valeria1 vcamposc@docente.uss.cl, Villalobos-Saldivia, Irene2, Quiñones, Sebastián3 |
| Source: |
Revista Peruana de Medicina Experimental y Salud Pública. 2026, Vol. 43 Issue 2, p251-259. 9p. |
| Abstract (English): |
Chile has experienced a progressive evolution of its regulatory framework toward a rights-based approach; however, the exclusion of the Deaf community in the health system persists. This research analyzes the political-institutional gaps between the regulatory framework of rights and clinical practices in the Chilean health system. The findings evidence a structural decoupling linked to institutional audism, which reduces Sign Language to an instrumental resource and prioritizes technocratic solutions of remote interpretation over in-person practices of cultural and communicative competence. Furthermore, judicialization has contributed to legitimizing the outsourcing of guarantees to the municipal level, deepening territorial inequities and worsening access, especially in high-complexity care. It is concluded that linguistic rights cannot depend on administrative wills and require a political-institutional reorientation with the structural incorporation of intercultural facilitators into the health network. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Chile ha experimentado una evolución progresiva de su marco normativo hacia un enfoque de derechos; sin embargo, la exclusión de la comunidad Sorda en el sistema de salud persiste. Esta investigación analiza las brechas político-institucionales entre el marco normativo de derechos y las prácticas clínicas del sistema de salud chileno. Los hallazgos evidencian un desacople estructural vinculado al audismo institucional, que reduce la Lengua de Señas a un recurso instrumental y prioriza soluciones tecnocráticas de interpretación remota por sobre prácticas presenciales de competencia cultural y comunicativa. Además, la judicialización ha contribuido a legitimar la externalización de garantías hacia el nivel municipal, profundizando inequidades territoriales y precarizando el acceso, especialmente en la atención de complejidad. Se concluye que los derechos lingüísticos no pueden depender de voluntades administrativas y requieren una reorientación político-institucional con incorporación estructural de facilitadores interculturales en la red sanitaria. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
