Abstract
Objective:to understand the path taken in the public health system by people with morbid obesity in the search for bariatric surgery.Method:qualitative research based on the social phenomenology of Alfred Schütz, with 17 hospitalized morbidly obese people, with a scheduled date for bariatric surgery. The phenomenological interview with open questions was used and the statements were analyzed in the light of the theoretical-methodological framework and literature related to the theme.Results:the participants were able to schedule bariatric surgery by referring friends, family and public people. The waiting list for the procedure generated anguish and anxiety due to fear of surgery, weight gain, risk of worsening health and physical limitations, but it helped prepare for its performance. The experience lived in the search for bariatric surgery led these people to want continuity of care in the Basic Health Unit, after the surgery, by professionals trained to meet their needs.Conclusion:the aspects inscribed in the path of people in search of bariatric surgery signal the need to strengthen the assistance-related flows of the public health system and to invest in professional training to reduce the social inequalities in access to bariatric surgery and increased quality of services.
Highlights
Obesity is a worldwide public health problem that requires the organization of the health system to serve those who experience this condition
The construction of this research was made by the following question: How people with morbid obesity perceive the path taken in the public health system, from entering the health system to admission to bariatric surgery? the objective of this study is to understand the path taken in the public health system by people with morbid obesity in the search for bariatric surgery
The first and second categories are related to the reasons “why” the experience of people with morbid obesity in the journey through the public health system in search of bariatric surgery, representing the past and the present of this experience
Summary
Obesity is a worldwide public health problem that requires the organization of the health system to serve those who experience this condition. It is a complex, multicausal disease, rooted in the sedentary nature of modern life, provided by the offer of more widely available and accessible foods, by the change in the nature and composition of diets and stimuli for the consumption of multi-processed foods. If the world population continue to gain weight at the current rate, about a fifth of the world’s people will be overweight in less than ten years. In 2025, the prevalence of global obesity will reach 18% in men and exceed 21% in women, and obesity grade III or more will exceed 6% in men and 9% in women[2]
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