What a basic health unit can offer to LGBTI+ people?

Based on interviews with health professionals that work in primary healthcare in the city of São Paulo (Brazil), this paper identifies: 1) how the professionals describe LGBTI+ people and their health demands; 2) how they evaluate their education to deal with this segment; 3) which are the main obstacles to provide services to them; and 4) how they describe the healthcare provided to LGBTI+ people. Through Foucauldian discourse analysis and sources of sociology of medicine the research identified the preponderance of the anatomopathological gaze in the recognition of the LGBTI+ segment, a negative evaluation of previous education to deal with this population, the persistence of obstacles to provide healthcare to this segment, and the perception that service provided for these people is still deficient. The conclusion is that the hegemony of the biomedical model and the imperative of practical training create obstacles to provide comprehensive healthcare to the LGBTI+ population.

Key words:
LGBTI+ health; Health professionals; Biomedical model; Anatomopathological perspective; Primary healthcare