Introduction:

The physician-patient relationship requires an ethical approach that assumes its maximum expression in communication. This relationship becomes important and complex when it is established with pediatric patients with hematological malignancies and their families.

Objective:

to characterize the contents of the ethical dimension of the communicative process in the pediatric patient-physician relationship with hematological malignancies in primary care.

Methods:

a descriptive, non-experimental, cross-sectional study with a qualitative design was carried out. The phenomenological method and empirical level methods were used. The focal group was formed by 15 pediatricians of primary health care belonging to the "1ro de Enero" Polyclinic of the Consolación del Sur municipality. The research categories were the ethical dimension, the communicative process and the doctor-patient relationship. The results were processed establishing regularities and frequencies.

Results:

there is a positive valuation of the pediatric doctor-patient relationship with malignant hemopathy. The criteria on the emotional handling of information and coherence in the forms of expression establish limitations to the communicative process, the overuse of technologies, waiting processes, low socio-cultural level of some families, as well as their dysfunctionality. Difficulties are reported for diagnosis due to limitations or delay in complementary processing, which generates anxiety in the family.

Conclusions:

The ethical dimension of the communicative process in primary care is susceptible to be improved considering greater use of informed consent, involving the subject of care and considering the resources that support it.

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