Percepções de pessoas trans sobre o cuidado recebido por profissionais de saúde em um ambulatório transexualizador: estudo transversal

Abstract

Transgender populations face longstanding barriers to accessing health care, and Brazil’s SUS transsexualizing process represents a key strategy to promote equity and comprehensive care. This study aimed to investigate the satisfaction and experiences of transgender people regarding the care provided by health professionals at the Gender-Affirming health outpatient clinic of the University Hospital of Lagarto, Federal University of Sergipe (HUL/UFS). This is a cross-sectional study with a mixed-methods (quantitative–qualitative) approach, conducted with n=98 users (35.8% of the total number of users in the period; N=274). Data were collected using a questionnaire and analyzed through descriptive statistics in jamovi, alongside content analysis of open-ended responses. The sample had a mean age of 29.8 years, with a predominance of Black participants (n=61; 62.2%) and low income. Forty-five participants reported having discontinued follow-up at some point (n=45; 45.9%), mainly due to logistical and geographic barriers and failures in institutional communication. Although all participants recommended the service (n=98; 100%), more than half considered it difficult to access (n=56; 57.1%). Hormone therapy was the main demand (n=82; 83.7%), and 57 users reported improvements after the implementation of in-house pharmaceutical dispensing (n=57; 58.2%). The clinic was positively evaluated regarding welcoming practices and humanized care, consolidating itself as a regional reference; however, barriers related to access and institutional communication, along with training gaps among residents and students, still undermine continuity of care and comprehensiveness.