Discursos sobre o acesso e a qualidade da atenção integral à saúde da população LGBT entre médicos(as) da estratégia saúde da família

Abstract

This research aims to identify the discourses about the access and the quality of health care for LGBT population among physicians working at the Family Health Strategy in Belo Horizonte-MG and Uberlândia-MG. In Uberlândia 5 (five) physicians were interviewed and, in Belo Horizonte, 10 physicians. All of them were randomly selected by raffle (one for each city) covering all health units in each city. All physicians selected were invited to freely participate in the research and, after acceptance, to sign an informed consent form. After transcription, each interview was read carefully and more than once. From these readings, it was possible to construct the categories of analysis from the perspective of social constructionism. Three categories of analysis were built, united by the same axis, which was called "The No Speeches". The three categories created were named as "Non-difference Speech", "Unknowing Speech" and "Not Wanting Speech". The deconstruction of these categories, which made this analysis possible, and what each of them allows us to do will be presented. With the results, we concluded that the non-integrality and non-equity can only be heard or perceived as well as faced, overcome or reduced, if we understand them in the general notion of social determination of the health-illness-care process in its individual, subjective and singular dimensions, within each service, in the meeting of each user with their unique health needs and the professional and/or healthcare team. We hope that the reading of this material allows the critical and reflective debate and that it has the potential to trigger the necessary changes for the benefit of the Public Health System we want and defend, likewise for the LGBT population.