The no-care of patients with spinal cord injuries in primary care: bioethical challenges for health policies

• Published in: Revista Brasileira de Enfermagem 2012-04, Vol.65 (2), p.236-243
• Main Authors: França, Inácia Sátiro Xavier de, Baptista, Rosilene Santos, Abrão, Fatima Maria da Silva, Coura, Alexsandro Silva, França, Eurípedes Gil de, Pagliuca, Lorita Marlena Freitag
• Format: Article
• Language: eng ; por
• Subjects: Bioethical Issues; Bioética; Brazil; Enfermería en rehabilitación; Health Policy; Humans; NURSING; Personas con discapacidad; Primary Health Care; Quality of Health Care; Regeneración de la medula espinal; Spinal Cord Injuries - therapy; Traumatismos de la médula espinal
• ISSN: 0034-7167; 1984-0446; 0034-7167
• DOI: 10.1590/S0034-71672012000200006

It was aimed to investigate what actions taken in Basic Health Units of the Family-(BHUF) to meet the demands of adults with spinal cord injury (SCI) post-rehabilitation, list facilities/difficulties to meet the demands of users. Descriptive study conducted in twenty BHUF. Twenty doctors and twenty nurses, randomly selected, participated in the study. To collect and analyze data, it was used semi-structured interviews and analysis of content. The categories were based on the integrality, universality, charity and justice principles. It was found: professional disqualification to assist people with SCI, fragmented care, difficult to schedule consultations and examinations, difficulties in the reference and counter reference system, and lack of ongoing actions to take care of individuals with SCI. The BHUF not ensure the protection of all citizens, there are challenges to the construction practices of health solidarity, warm and consequently more effective and decisive for individuals with SCI.