A violência institucional praticada contra mulheres idosas usuárias dos serviços de saúde pública do Distrito Federal

Abstract

The overall objective of the study is to investigate and analyze the occurrence of institutional violence committed against older women users of public health service at Distrito Federal in power relationships. This is a qualitative survey in which two meetings were held with seven older women users of public health services of the Distrito Federal, attending a Family Center at the Administrative Region of the Guará Distrito Federal, in November 2011. Content analysis was chosen to interpret the data. Institutional violence manifests and expresses itself invisibly in the institutional apparatus and diversified way. There are bureaucratic barriers, poor health services, conditions that do not match the assumptions of the constitutional right to health care, visits and periods of hospitalization have been reported as nightmares, especially by contact with death. Although it was found verbal abuse, neglect, delay, burden. However there were references to good personal care, but not as standard but due to personal attention. The poor quality was related to lack of policies for health as lack of inputs, impunity to errors in prescribing drugs and providing the right to health as a favor. The experience of violence brought the brunt of the suffering and fear. In relation with the professionals was verified both good communication and a lack of communication, dependent on the professional. The seven participants said they found some kind of difficulty in accessing public health services, especially regarding access to examinations and medicines. The private health plan is presented as an alternative to the lack of access to public health, but is related to ability to pay and success in accessing health services. We believe that efforts should be developed so that the right to health is guaranteed, as provided by law and that the treatment is done in a humane way for the realization of the strategies set out in Policy Health of the Elderly, with particular attention to older women asbetter access to mammograms and continual use of drugs. The spaces of implementation of public policies should constitute privileged locus of rights warrant.