A partir da análise de entrevistas feitas com profissionais de saúde que atuam na atenção básica na cidade de São Paulo, este artigo busca identificar: 1.Como descrevem pessoas LGBTI+ e suas demandas de saúde; 2. Como avaliam sua formação para lidar com esse segmento; 3. Quais os principais obstáculos para atendê-lo e 4. Como descrevem o atendimento provido. Por meio de uma análise foucaultiana do discurso e fontes da sociologia da medicina reconheceu-se a preponderância do olhar anatomopatológico no reconhecimento do segmento LGBTI+, a avaliação negativa da formação para lidar com essa população, assim como a persistência de obstáculos ao atendimento dessas pessoas que ainda é avaliado como deficiente. Conclui-se que a hegemonia do modelo biomédico e do imperativo do aprendizado prático criam obstáculos ao provimento de atendimento integral à população LGBTI+.
Based on interviews with health professionals that work in primary healthcare in the city of São Paulo (Brazil), this paper identifies: 1. How the professionals describe LGBTI+ people and their health demands; 2. How they evaluate their education to deal with this segment; 3. Which are the main obstacles to provide services to them and 4. How they describe the healthcare provided to LGBTI+ people. Through Foucauldian discourse analysis and sources of sociology of medicine the research identified the preponderance of the anatomopathological gaze in the recognition of the LGBTI+ segment, a negative evaluation of previous education to deal with this population, the persistence of obstacles to provide healthcare to this segment, and the perception that service provided for these people is still deficient. The conclusion is that the hegemony of the biomedical model and the imperative of practical training create obstacles to provide comprehensive healthcare to the LGBTI+ population.
Keywords:
LGBTI+ health; health professionals; biomedical model; anatomopathological gaze; primary healthcare
What a Basic Health Unit can offer to LGBTI+ people?
Resumo (abstract):
Based on interviews with health professionals that work in primary healthcare in the city of São Paulo (Brazil), this paper identifies: 1. How the professionals describe LGBTI+ people and their health demands; 2. How they evaluate their education to deal with this segment; 3. Which are the main obstacles to provide services to them and 4. How they describe the healthcare provided to LGBTI+ people. Through Foucauldian discourse analysis and sources of sociology of medicine the research identified the preponderance of the anatomopathological gaze in the recognition of the LGBTI+ segment, a negative evaluation of previous education to deal with this population, the persistence of obstacles to provide healthcare to this segment, and the perception that service provided for these people is still deficient. The conclusion is that the hegemony of the biomedical model and the imperative of practical training create obstacles to provide comprehensive healthcare to the LGBTI+ population.
Palavras-chave (keywords):
LGBTI+ health; health professionals; biomedical model; anatomopathological gaze; primary healthcare
Miskolci, R., Oliveira, F. S., Teixeira, F. B., Deslandes, K., Pereira, P. P. G.. O que uma UBS pode oferecer às pessoas LGBTI+?. Cien Saude Colet [periódico na internet] (2024/abr). [Citado em 04/05/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-que-uma-ubs-pode-oferecer-as-pessoas-lgbti/19157
