RESUMEN
OBJECTIVES: To know the experience of male users' in the primary health care and to build data based theory that represents this experience. METHODOLOGY: This is a qualitative study, in which was used the reference of Grounded Theory and Symbolic Interactionism, respectively, methodological and theoretical. We interviewed 33 male users of three units of primary health care. RESULTS: After comparative analysis of data was built the data based theory feeling excluded, which includes: living with prejudice; living with the limitations of infra-structure services; reflecting on the health service environment. The analysis showed the need for a change in logistics services and professionals' attitude guided in respectful and effective communication, the problem solving in readiness in attendance, in addressing gender issues. CONCLUSION: For to take care of men users of the Unified Health System and/or preserve their health, the construction of another rationality in health is imperative, based on reflection and respect for the autonomy and individuality of the male gender.
Asunto(s)
Actitud del Personal de Salud , Relaciones Interpersonales , Atención Primaria de Salud/organización & administración , Relaciones Profesional-Paciente , Adulto , Anciano , Comunicación , Teoría Fundamentada , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Prejuicio , Factores SexualesRESUMEN
The aim of this study was to know the constraining and facilitating aspects of adherence to highly active antiretroviral therapy (HAART) among people with HIV/AIDS. This was a qualitative study, carried out with 26 individuals receiving HAART and assisted by a referral service in Belo Horizonte, Minas Gerais, Brazil. The analysis of the interviews regarding the constraints found by users, resulted in categories relating to Day-by-day life, HIV representations, and the complexity of the treatment. As for the facilitating aspects, the categories found were absence of side effects, remembering the symptoms of the disease, improved survival, and influences from the social networks. Results have shown the importance of an effective follow-up so that health care professionals can build strategies to improve adherence to HAART together with the individuals.