[What a basic health unit can offer to LGBTI+ people?]

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ciencia & saude coletiva Pub Date : 2025-04-01 Epub Date: 2024-04-09 DOI:10.1590/1413-81232025304.19072023

Richard Miskolci, Fernando Sanches de Oliveira, Flávia do Bonsucesso Teixeira, Keila Deslandes, Pedro Paulo Gomes Pereira

{"title":"[What a basic health unit can offer to LGBTI+ people?]","authors":"Richard Miskolci, Fernando Sanches de Oliveira, Flávia do Bonsucesso Teixeira, Keila Deslandes, Pedro Paulo Gomes Pereira","doi":"10.1590/1413-81232025304.19072023","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"30 4","pages":"e19072023"},"PeriodicalIF":1.1000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ciencia & saude coletiva","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1413-81232025304.19072023","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/4/9 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

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.

查看原文本刊更多论文

[基本医疗机构能为LGBTI+人群提供什么？］

基于对巴西圣保罗市初级卫生保健工作的卫生专业人员的访谈，本文确定：1)专业人员如何描述LGBTI+人群及其健康需求；2)他们如何评估自己的教育，以应对这一群体；3)向他们提供服务的主要障碍；4)他们如何描述为LGBTI+人群提供的医疗保健服务。通过福柯式的话语分析和医学社会学的来源，研究确定了解剖病理学视角在认识LGBTI+群体中的优势，对以前处理这一群体的教育的负面评价，为这一群体提供医疗保健的持续障碍，以及为这些人提供的服务仍然不足的看法。结论是，生物医学模式的霸权和实践培训的必要性为LGBTI+人群提供全面的医疗保健创造了障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

11.80%

发文量

533

审稿时长

12 weeks

期刊介绍： Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.