The concept of neglect is defined as the failure of adults to meet the needs, ensure the well-being and protect the children whose care is their responsibility. It is classified as a type of child maltreatment and is grouped into 6 categories, namely physical, cognitive, supervisory, cognitive, educational and medical neglect. Medical neglect is of significant importance due to its probable consequences and is defined as the failure to provide medical care and the inability to meet the child's basic health needs. While some cases of medical neglect may emerge due to reasons such as the loss of family function as a result of domestic violence, poverty, parental mental health issues, or parents use of drugs and alcohol, in some cases, it occurs when the parents or caregivers actively reject the administration of medical care to the child. It can lead to severe health problems and even fatality and emerges as a public health concern. Despite the fact that the concept of medical neglect towards children is assessed within the scope of child abuse and neglect, it is of crucial importance to evaluate its origins and consequences within its own dynamics. Considering that the concept has become a severe social problem, the realization of preventive programs becomes a necessity. Within this context, in this study, the subject of medical neglect towards children will be addressed and suggestions for prevention will be made in line with its causes and effects.
Keywords: Child; medical neglect; causes; impacts; prevention
Erişkin bireylerin bakmakla yükümlü oldukları çocuklarının iyilik hâllerini sağlamakta, ihtiyaçlarını karşılamakta ve korumakta yetersiz kalmaları durumu olarak tanımlanan ve çocuk istismarı türlerinden biri olan çocuk ihmali kavramı, genel olarak duygusal, fiziksel, denetimsel ve bilişsel ihmal; eğitimin ihmali ve tıbbi ihmal olmak üzere 6 gruba ayrılmaktadır. Olası sonuçları açısından ele alındığında önemle üzerinde durulması gereken bir ihmal türü olarak ortaya çıkan tıbbi ihmal kavramı; çocuk için gerekli olan tıbbi bakımın temin edilmesinde yetersizlik, çocuğun zarar göreceği biçimde temel sağlık bakımı gereksinimlerinin karşılanamaması ve devam ettirilememesi gibi durumlar olarak tanımlanmaktadır. Bazı tıbbi ihmal olguları, aile içi şiddet, yoksulluk, ebeveyn ruh sağlığı sorunları, ebeveynin uyuşturucu ve alkol kullanımı sonucunda aile işlevlerinin bozulması gibi nedenlerle ortaya çıkabilirken, bazı durumlarda ise ebeveynler veya bakım verenler tarafından çocuklar adına tıbbi tedavinin aktif olarak reddedilmesi sonucu gerçekleşmektedir. Sonuçları açısından çocuğun sağlığının bozulmasına ve hatta ölümüne yol açabilmekte, yaygınlığı giderek artan bir halk sağlığı sorunu olarak görülmektedir. Çocuğa yönelik tıbbi ihmal kavramının, çocuk istismarı ve ihmali kapsamında ele alınmakla birlikte, ortaya çıkış nedenleri ve sonuçları bakımından kendi dinamikleri içinde değerlendirilmesi önem taşımaktadır. Olgunun önemli bir sosyal soruna dönüştüğü kabul edilecek olursa, önleyici programların hayata geçirilmesine büyük ihtiyaç duyulmaktadır. Bu noktadan hareketle bu çalışmada, çocuğa yönelik tıbbi ihmal kavramının üzerinde durulacak, nedenleri ve etkileri doğrultusunda tıbbi ihmali önlemeye ilişkin öneriler sunulacaktır.
Anahtar Kelimeler: Çocuk; tıbbi ihmal; nedenler; etkiler; önleme
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