Access to the Unified Health System in the perspective of male homosexuals

Abstract

Objectives: To analyze the perception of male homosexuals regarding the access to the Unified Health System. Methods: A qualitative study with male homosexuals in a city in the Northeast Brazil. Eight subjects participated, a socioeconomic questionnaire was used for data collection and a focal group was carried out, in which the narratives were recorded and later transcribed. For the analysis of the speeches, the analysis of thematic content was used. Results: The analysis revealed five thematic categories that express the limitations on humanization and reception, as well as in the quality of health care offered to subjects, disregarding the psychosocial and lifestyle-related demands. Final considerations: It was emphasized that the focus group technique contributed to the approach of the research with the perception of male homosexuals marked by prejudice and discrimination, reflecting the subjects’ dissatisfaction with the care received in the health services.

National Policy for Comprehensive Health of Lesbians, Gays, Bisexuals,Transvestites and Transgender: image analysis

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“…Nos campos da saúde essa diferença está na atenção dada a comunidade LGBT nos serviços públicos, onde permanece a distinção entre os gêneros e desigualdade regada pela heteronormatividade e homofobias, o que deixa aquém os princípios da equidade, universalidade e integralidade, uma desigualdade pautada no binarismo, que não acontecem no fluxo em que as atividades em saúde devem ser fornecidas, mas conforme os "padrões" são identificados 35 .…”

Knowledge and practice of primary care nurses about gender and care for LGBTQIA+ people

“…Outros estudos são similares, ao afirmar a existência de práticas de saúde fragmentadas, insuficientes e baseadas em julgamentos oriundos dos próprios profissionais, o que dificulta a resolutividade e aplicabilidade do cuidado. Estes evidenciam, ainda, que as (pré-)concepções dos profissionais são barreiras ao acolhimento das pessoas LGBTQIA+, pois estas sentem um desconforto ao serem questionadas acerca da sua sexualidade e concluem expressando que os serviços de saúde não conseguem acolher e resolver suas especificidades (3,26) .…”