At the limits of pain: perceptions of health care for people experiencing homelessness.

OBJECTIVE

To understand the health needs and the main forms of access to healthcare among people experiencing homelessness.

METHOD: This is a qualitative study based on the theoretical framework of social phenomenology, conducted in Porto Alegre/RS with 12 participants between October and November 2024. The interviews were subjected to phenomenological analysis.

RESULTS

Needs related to sexual practices, nutrition, good physical capacity, spirituality, and self-care management were identified. Drug use to cope with pain and feelings of hopelessness is also highlighted. Drug use is not perceived as a health issue. The "Consultório na Rua" (Street Clinic) is the service with the strongest bond with this population, and hospital emergency services are sought during acute situations.

FINAL CONSIDERATIONS: The needs are grounded in basic survival, with barriers related to drug use and stigma. The main forms of access to healthcare services occur through the Street Clinic and hospital emergency services.