The meanings attributed to disability by health professionals and the access of people with disabilities to health services
DOI:
https://doi.org/10.11606/issn.2238-6149.v32i1-3pe205240Keywords:
Disability, Disabled person, Meanings of disability, Access to health services, Biomedical model of disability, Social model of disabilityAbstract
Objective: The study analyzes how professionals from the public health network in twelve municipalities in the State of São Paulo, Brazil - attribute meanings to “disability”. Method: 121 semi-structured interviews were carried out in 63 services. The professionals answered the question: For you, what is disability? The testimonies were organized into thematic nuclei and interpreted from a sociohistorical perspective. Results: It was found that a prejudiced, charity and paternalistic understanding of disability prevails. A hesitation between the meanings attributed to disability and incapacity was observed in the testimonies, with reductionist approaches based on organicist paradigms and/or grounded in common sense. There were no statements that explained the concepts of disability from the perspective of the social model of disability. Conclusion: It is essential that health services promote spaces for reflection among professionals about their values and meanings they attribute to disability and care practice, which can contribute to the cultural transformation of the meanings attributed to the phenomenon of disability and to access to goods of health.
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