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The right to play in paediatric healthcare: policy and practice in Chile
Aleksandra Glos1, Alejandra Santana López2, Javiera Celedón Juricic3
1Center for Bioethics, Faculty of Medicine/Faculty of Law, Pontifical Catholic University of Chile, Santiago 8330077, Chile.
Insights
Children's right to play in Chilean hospitals is recognized but poorly implemented due to lack of funding and resources. Standardized policies are needed to ensure this right for all children in pediatric care.
Area of Science:
- Pediatric Healthcare
- Child Rights Law
- Public Health Policy
Background:
- The right to play is essential for child-friendly healthcare.
- Chilean public hospitals' implementation of this right requires examination.
- Assessing the normative basis and practical application of play rights in healthcare settings.
Purpose of the Study:
- To examine the normative foundation of the right to play in healthcare.
- To evaluate the implementation of play rights in Chilean public hospitals.
- To identify barriers and facilitators to providing play opportunities in pediatric care.
Main Methods:
- A two-stage READ document analysis was employed.
- Reviewed Chilean laws and public health policies on play in pediatric healthcare.
- Assessed institutional compliance via freedom of information requests from 55 hospitals.
Main Results:
- Chilean legislation acknowledges the right to play, but implementation varies by hospital and lacks public funding.
- Only 9% of analyzed hospitals met satisfactory standards for play provision.
- Hospitals face infrastructural, material, and human resource barriers limiting play opportunities.
Conclusions:
- Standardized public health policies are urgently needed to ensure the right to play nationwide in pediatric care.
- This study provides initial insights for developing a comprehensive regulatory framework.
- Addressing resource limitations is crucial for effective implementation of play rights in hospitals.
Background:
The right to play is a fundamental aspect of child-friendly healthcare. This study aims to examine the normative basis of this right and to evaluate its implementation in public hospitals in Chile.
Methods:
A two-stage READ document analysis was conducted, encompassing both normative and institutional levels using qualitative and quantitative tools. First, Chilean laws and public health policies related to play in paediatric healthcare settings were reviewed. Second, institutional compliance was assessed through reports obtained via freedom of information requests from paediatric facilities across the country.
Results:
Although Chilean legislation and health policies acknowledge the significance of children's right to play, its implementation is left to individual hospitals' discretion and is not supported by public funding. Consequently, only 9% (n = 5) of the 55 analysed hospitals achieved satisfactory standards. Hospitals reported infrastructural, material, and human resource barriers that limit satisfactory provision of play opportunities.
Conclusion:
There is a pressing need to establish standardized public health policies to guarantee the right to play in paediatric care nationwide. This study offers preliminary insights and recommendations to guide the development of a comprehensive regulatory framework.
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