Percepções de idosos e profissionais do serviço de convivência em Sobral sobre violência institucional nos serviços de saúde

Abstract

The progressive increase in the elderly population has generated a demand for action in various areas such as aesthetics, leisure, culture, health and welfare, as well as the need to discuss and ensure rights of the elderly. The elderly are more who seek health services and unfortunately is faced with institutional violence, which differs from other violence to be practiced by those who should protect the elderly and ensure their access to fundamental rights. Data and records on this type of violence are scarce because the institutions do not recognize themselves as potential perpetrators of this classification. This context led to a study that found the satisfaction of the elderly with the attention paid in the Family Health Strategy; He met the view of the professionals who work with seniors on Violence and identified the correlation between the speeches of the elderly and professionals regarding the Institutional Violence in Health Care. To achieve these purposes we used one Quantiqualitative approach. As regards the quantitative interviewed is one hundred and eleven (111) elderly Coexistence service using an adapted instrument Evaluation of Access Improvement Programme and The Quality of Basic-PMAQ attention. As for the qualitative approach was conducted one focus group with eight (08) CRAS professionals that allows us to understand these perceptions about aging and violence against the elderly. Data collection occurred in May and analytical methodology used for quantitative data was the descriptive statistics as to the Focus Group Discourse Analysis (DA) Flick. The results showed the satisfaction of the elderly with access indicators spend thirty minutes from home to health unit (90.1%); can make appointments (99.1%), feel welcomed, respected and care by health professionals and have a good physical structure. Among the dissatisfactions it was pointed out: lack of privacy at the time of inspection by interference from other professionals, lack of physical examination in consultations and home visits by other professionals and especially the shortage of medicines. These dissatisfactions not correspond to the principles and guidelines of SUS and are configured as manifestations of institutional violence against the user. The professionals interviewed knew various types of violence, except institutional violence. However they pointed out the difficulties faced by older people as a pilgrimage in search of care, lack of medicines, abuse of professionals. The study coincides with other studies that expose about ignorance, invisibility and the naturalization of institutional violence, because it is not perceived by society as violence. The knowledge of the manifestations of different types of violence against the elderly is necessary for a more human intervention in health services and protection of the elderly population in the face of vulnerability to which they are exposed.