title: [Institutional abuse toward the elderly: perceptions of health care providers and older adults].
abstract: OBJECTIVE
  To analyze the health care providers (HCP) and elderly patients' perceptions about abuse of the elderly by health personnel of public health services, in selected cities in Mexico.
  
  
  METHODS
  A qualitative study and a strategy of data triangulation were performed during 2009 and 2012; 13 HCPs and 12 elders were interviewed, in order to obtain their experience regarding elder abuse. Grounded Theory proceedings were used for the analysis.
  
  
  RESULTS
  Elder abuse is a naturalized practice, from HCP and elderly people's point of view; these perceptions are showed in different ways.
  
  
  CONCLUSIONS
  Institutionalization, historical professionalization and lack of consciousness about needs of the elderly (sociocultural and economic), require changes in planning, organization and monitoring process in the Health System; training and educational interventions on staff and exchange attitudes and behavior are necessary in order to offer a health care that is comprehensive, decent, human and with respect for the human rights.
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: M Guadalupe
authors.initials: MG
authors.lastname: Ruelas-González
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Blanca Estela
authors.initials: BE
authors.lastname: Pelcastre-Villafuerte
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors.forename: Hortensia
authors.initials: H
authors.lastname: Reyes-Morales
mesh_terms: D000328:Adult; D000368:Aged / Q000523:psychology*; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D004552:Elder Abuse / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006268:Health Facilities; D006282:Health Personnel / Q000523:psychology*; D006299:Health Services for the Aged; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008800:Mexico; D008875:Middle Aged; D036301:Qualitative Research