Invisibility of drug use and support for professionals of the AIDS services
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32358 |
Resumo: | OBJECTIVE: To describe the influence of conceptions of health professionals on the care given to HIV/AIDS patients using drugs. METHODS: Qualitative study based on semi-structured interviews with 22 professionals of different levels from two specialized STD/AIDS public services of the city of São Paulo was conducted in 2002. The interviews were recorded and submitted to a thematic analysis. RESULTS: Professionals reported difficulties in identifying drug users among their patients, indicating the invisibility of the issue. They find drug users more difficult to treat, because they disturb the service and do not comply with treatment. Although they acknowledge the special needs of users, and that it is important to deal with drug use, health professionals believe that these issues are not their responsibility. Professionals showed personal and technical limits in handling these cases, showing the importance of their lack of specific capacity building. Thus, they recommend the creation of specialized services for this care, recognizing their own services as inappropriate. Although they were aware of the harm reduction project, there was a little participation in it. CONCLUSIONS: Technical, ideological and personal elements such as beliefs, values and affective/emotional dimensions were relevant to enhance or refuse to develop more specific bonds with drug user patients. The conceptions on drug use may interfere in the development of a better care and equity in health care. |
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Invisibility of drug use and support for professionals of the AIDS services Invisibilidade do uso de drogas e a assistência de profissionais dos serviços de Aids Síndrome de imunodeficiência adquiridaEquipe de assistência ao pacienteAssistência ao pacienteEfeitos psicossociais da DoençaPreconceitoServiços de saúde^i1^srecursos humaConhecimentos^i1^satitudes e prática em saPesquisa qualitativaAcquired immunodeficiency syndromePatient care teamPatient careCost of illnessPrejudiceHealth services^i2^smanpoHealth knowledge^i2^sattituHealth knowledge^i2^spractQualitative research OBJECTIVE: To describe the influence of conceptions of health professionals on the care given to HIV/AIDS patients using drugs. METHODS: Qualitative study based on semi-structured interviews with 22 professionals of different levels from two specialized STD/AIDS public services of the city of São Paulo was conducted in 2002. The interviews were recorded and submitted to a thematic analysis. RESULTS: Professionals reported difficulties in identifying drug users among their patients, indicating the invisibility of the issue. They find drug users more difficult to treat, because they disturb the service and do not comply with treatment. Although they acknowledge the special needs of users, and that it is important to deal with drug use, health professionals believe that these issues are not their responsibility. Professionals showed personal and technical limits in handling these cases, showing the importance of their lack of specific capacity building. Thus, they recommend the creation of specialized services for this care, recognizing their own services as inappropriate. Although they were aware of the harm reduction project, there was a little participation in it. CONCLUSIONS: Technical, ideological and personal elements such as beliefs, values and affective/emotional dimensions were relevant to enhance or refuse to develop more specific bonds with drug user patients. The conceptions on drug use may interfere in the development of a better care and equity in health care. OBJETIVO: Descrever a influência das concepções dos profissionais de saúde sobre o cuidado prestado a pacientes usuários de drogas vivendo com HIV/Aids. MÉTODOS: Estudo qualitativo baseado em entrevistas semi-estruturadas com 22 profissionais de diferentes categorias, pertencentes a dois serviços especializados em DST/Aids da rede municipal de São Paulo, em 2002. As entrevistas foram gravadas e submetidas à análise temática. RESULTADOS: Os profissionais relataram dificuldades em identificar usuários de drogas entre seus pacientes, indicando a invisibilidade da questão. Acham os usuários de drogas pacientes mais difíceis de tratar, por tumultuarem o serviço e/ou não aderirem ao tratamento. Embora reconheçam necessidades especiais dos pacientes usuários e que lidar com o uso de drogas seja importante, os profissionais de saúde acreditam que essas questões fogem de suas atribuições. Os profissionais mostraram limites pessoais e técnicos para o manejo desses casos, indicando sua falta de capacitação específica como importante. Assim, recomendam a criação de serviços especializados para esse atendimento, reconhecendo os serviços em que atuam como inadequados e, embora conhecessem o projeto de redução de danos, pouco participavam dele. CONCLUSÕES: Elementos técnicos, ideológicos e pessoais, tais como crenças, valores e dimensões afetivo-emocionais, mostraram-se relevantes para ampliar ou recusar vínculos mais específicos com o paciente usuário de drogas. As concepções sobre o uso de drogas podem interferir no desenvolvimento de uma assistência melhor e da eqüidade no cuidado em saúde. Universidade de São Paulo. Faculdade de Saúde Pública2007-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3235810.1590/S0034-89102007000900004Revista de Saúde Pública; Vol. 41 No. suppl.2 (2007); 6-13 Revista de Saúde Pública; Vol. 41 Núm. suppl.2 (2007); 6-13 Revista de Saúde Pública; v. 41 n. suppl.2 (2007); 6-13 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32358/34547https://www.revistas.usp.br/rsp/article/view/32358/34548Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessLima, Márcia deCosta, Janete Aparecida daFigueiredo, Wagner dos SantosSchraiber, Lilia Blima2012-07-09T00:48:09Zoai:revistas.usp.br:article/32358Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:48:09Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Invisibility of drug use and support for professionals of the AIDS services Invisibilidade do uso de drogas e a assistência de profissionais dos serviços de Aids |
title |
Invisibility of drug use and support for professionals of the AIDS services |
spellingShingle |
Invisibility of drug use and support for professionals of the AIDS services Lima, Márcia de Síndrome de imunodeficiência adquirida Equipe de assistência ao paciente Assistência ao paciente Efeitos psicossociais da Doença Preconceito Serviços de saúde^i1^srecursos huma Conhecimentos^i1^satitudes e prática em sa Pesquisa qualitativa Acquired immunodeficiency syndrome Patient care team Patient care Cost of illness Prejudice Health services^i2^smanpo Health knowledge^i2^sattitu Health knowledge^i2^spract Qualitative research |
title_short |
Invisibility of drug use and support for professionals of the AIDS services |
title_full |
Invisibility of drug use and support for professionals of the AIDS services |
title_fullStr |
Invisibility of drug use and support for professionals of the AIDS services |
title_full_unstemmed |
Invisibility of drug use and support for professionals of the AIDS services |
title_sort |
Invisibility of drug use and support for professionals of the AIDS services |
author |
Lima, Márcia de |
author_facet |
Lima, Márcia de Costa, Janete Aparecida da Figueiredo, Wagner dos Santos Schraiber, Lilia Blima |
author_role |
author |
author2 |
Costa, Janete Aparecida da Figueiredo, Wagner dos Santos Schraiber, Lilia Blima |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Lima, Márcia de Costa, Janete Aparecida da Figueiredo, Wagner dos Santos Schraiber, Lilia Blima |
dc.subject.por.fl_str_mv |
Síndrome de imunodeficiência adquirida Equipe de assistência ao paciente Assistência ao paciente Efeitos psicossociais da Doença Preconceito Serviços de saúde^i1^srecursos huma Conhecimentos^i1^satitudes e prática em sa Pesquisa qualitativa Acquired immunodeficiency syndrome Patient care team Patient care Cost of illness Prejudice Health services^i2^smanpo Health knowledge^i2^sattitu Health knowledge^i2^spract Qualitative research |
topic |
Síndrome de imunodeficiência adquirida Equipe de assistência ao paciente Assistência ao paciente Efeitos psicossociais da Doença Preconceito Serviços de saúde^i1^srecursos huma Conhecimentos^i1^satitudes e prática em sa Pesquisa qualitativa Acquired immunodeficiency syndrome Patient care team Patient care Cost of illness Prejudice Health services^i2^smanpo Health knowledge^i2^sattitu Health knowledge^i2^spract Qualitative research |
description |
OBJECTIVE: To describe the influence of conceptions of health professionals on the care given to HIV/AIDS patients using drugs. METHODS: Qualitative study based on semi-structured interviews with 22 professionals of different levels from two specialized STD/AIDS public services of the city of São Paulo was conducted in 2002. The interviews were recorded and submitted to a thematic analysis. RESULTS: Professionals reported difficulties in identifying drug users among their patients, indicating the invisibility of the issue. They find drug users more difficult to treat, because they disturb the service and do not comply with treatment. Although they acknowledge the special needs of users, and that it is important to deal with drug use, health professionals believe that these issues are not their responsibility. Professionals showed personal and technical limits in handling these cases, showing the importance of their lack of specific capacity building. Thus, they recommend the creation of specialized services for this care, recognizing their own services as inappropriate. Although they were aware of the harm reduction project, there was a little participation in it. CONCLUSIONS: Technical, ideological and personal elements such as beliefs, values and affective/emotional dimensions were relevant to enhance or refuse to develop more specific bonds with drug user patients. The conceptions on drug use may interfere in the development of a better care and equity in health care. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32358 10.1590/S0034-89102007000900004 |
url |
https://www.revistas.usp.br/rsp/article/view/32358 |
identifier_str_mv |
10.1590/S0034-89102007000900004 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32358/34547 https://www.revistas.usp.br/rsp/article/view/32358/34548 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 41 No. suppl.2 (2007); 6-13 Revista de Saúde Pública; Vol. 41 Núm. suppl.2 (2007); 6-13 Revista de Saúde Pública; v. 41 n. suppl.2 (2007); 6-13 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221786884800513 |