BRECHAS ENTRE EL AVANCE NORMATIVO Y LA RESPUESTA CLÍNICA: LA INCLUSIÓN DE LA COMUNIDAD SORDA EN LA SALUD PÚBLICA CHILENA.

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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]
Copyright of Revista Peruana de Medicina Experimental y Salud Pública is the property of Instituto Nacional de Salud (Peru) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: BRECHAS ENTRE EL AVANCE NORMATIVO Y LA RESPUESTA CLÍNICA: LA INCLUSIÓN DE LA COMUNIDAD SORDA EN LA SALUD PÚBLICA CHILENA.
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  Data: GAPS BETWEEN NORMATIVE ADVANCEMENT AND CLINICAL RESPONSE: THE INCLUSION OF THE DEAF COMMUNITY IN CHILEAN PUBLIC HEALTH.
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  Data: <searchLink fieldCode="AR" term="%22Campos%2C+Valeria%22">Campos, Valeria</searchLink><relatesTo>1</relatesTo><i> vcamposc@docente.uss.cl</i><br /><searchLink fieldCode="AR" term="%22Villalobos-Saldivia%2C+Irene%22">Villalobos-Saldivia, Irene</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Quiñones%2C+Sebastián%22">Quiñones, Sebastián</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Peruana+de+Medicina+Experimental+y+Salud+Pública%22">Revista Peruana de Medicina Experimental y Salud Pública</searchLink>. 2026, Vol. 43 Issue 2, p251-259. 9p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: 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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Revista Peruana de Medicina Experimental y Salud Pública is the property of Instituto Nacional de Salud (Peru) and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.17843/rpmesp.2026.432.15099.
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        Text: Spanish
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            – D: 01
              M: 04
              Text: 2026
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              Y: 2026
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