Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure

Objective. To understand the implications of institutional racism in the therapeutic itinerary of patients with chronic renal failure (CRF) in the search for diagnosis and treatment of the disease. Methods. Descriptive, qualitative study developed with 23 people with CRF in a regional reference h...

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Autores principales:	Ricardo Bruno Santos Ferreira, Climene Laura de Camargo, Maria Inês da Silva Barbosa, Maria Lúcia Silva Servo, Marcia Maria Carneiro Oliveira, Juliana Alves Leite Leal
Formato:	article
Lenguaje:	EN
Publicado:	Universidad de Antioquia 2020
Materias:	racismo renal insufficiency chronic health services accessibility ethnic inequality Nursing RT1-120
Acceso en línea:	https://doaj.org/article/1bceb4c23beb431393d545e5f58416cc
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spelling	oai:doaj.org-article:1bceb4c23beb431393d545e5f58416cc2021-11-26T20:11:50ZImplications of institutional racism in the therapeutic itinerary of people with chronic renal failure2216-028010.17533/udea.iee.v38n2e09https://doaj.org/article/1bceb4c23beb431393d545e5f58416cc2020-07-01T00:00:00Zhttps://revistas.udea.edu.co/index.php/iee/article/view/342796https://doaj.org/toc/2216-0280Objective. To understand the implications of institutional racism in the therapeutic itinerary of patients with chronic renal failure (CRF) in the search for diagnosis and treatment of the disease. Methods. Descriptive, qualitative study developed with 23 people with CRF in a regional reference hospital for hemodialysis treatment in Northeast Brazil. Two techniques of data collection were used: semi-structured interview and consultation to the NEFRODATA electronic medical record. For systematization and analysis, the technique of content analysis was used. Results. Black and white people with CRF showed significant divergences and differences in their therapeutic itineraries: while white people had access to diagnosis during outpatient care in other medical specialties, black people were only diagnosed during hospitalization. In addition, white people had more access to private health plans when compared to black people, which doubles the possibility of access to health services. Moreover, even when the characteristics in the itinerary of black and white people were convergent, access to diagnosis and treatment proved to be more difficult for black people. Conclusion. The study showed the presence of institutional racism in the therapeutic itinerary of people with kidney disease in which black people have greater difficulty in accessing health services. In this sense, there is a need to create strategies to face institutional racism and to consolidate the National Policy for Comprehensive Health Care of the Black Population.Ricardo Bruno Santos FerreiraClimene Laura de CamargoMaria Inês da Silva BarbosaMaria Lúcia Silva ServoMarcia Maria Carneiro OliveiraJuliana Alves Leite LealUniversidad de Antioquiaarticleracismorenal insufficiencychronichealth services accessibilityethnic inequalityNursingRT1-120ENInvestigación y Educación en Enfermería, Vol 38, Iss 2 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	racismo renal insufficiency chronic health services accessibility ethnic inequality Nursing RT1-120
spellingShingle	racismo renal insufficiency chronic health services accessibility ethnic inequality Nursing RT1-120 Ricardo Bruno Santos Ferreira Climene Laura de Camargo Maria Inês da Silva Barbosa Maria Lúcia Silva Servo Marcia Maria Carneiro Oliveira Juliana Alves Leite Leal Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure
description	Objective. To understand the implications of institutional racism in the therapeutic itinerary of patients with chronic renal failure (CRF) in the search for diagnosis and treatment of the disease. Methods. Descriptive, qualitative study developed with 23 people with CRF in a regional reference hospital for hemodialysis treatment in Northeast Brazil. Two techniques of data collection were used: semi-structured interview and consultation to the NEFRODATA electronic medical record. For systematization and analysis, the technique of content analysis was used. Results. Black and white people with CRF showed significant divergences and differences in their therapeutic itineraries: while white people had access to diagnosis during outpatient care in other medical specialties, black people were only diagnosed during hospitalization. In addition, white people had more access to private health plans when compared to black people, which doubles the possibility of access to health services. Moreover, even when the characteristics in the itinerary of black and white people were convergent, access to diagnosis and treatment proved to be more difficult for black people. Conclusion. The study showed the presence of institutional racism in the therapeutic itinerary of people with kidney disease in which black people have greater difficulty in accessing health services. In this sense, there is a need to create strategies to face institutional racism and to consolidate the National Policy for Comprehensive Health Care of the Black Population.
format	article
author	Ricardo Bruno Santos Ferreira Climene Laura de Camargo Maria Inês da Silva Barbosa Maria Lúcia Silva Servo Marcia Maria Carneiro Oliveira Juliana Alves Leite Leal
author_facet	Ricardo Bruno Santos Ferreira Climene Laura de Camargo Maria Inês da Silva Barbosa Maria Lúcia Silva Servo Marcia Maria Carneiro Oliveira Juliana Alves Leite Leal
author_sort	Ricardo Bruno Santos Ferreira
title	Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure
title_short	Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure
title_full	Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure
title_fullStr	Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure
title_full_unstemmed	Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure
title_sort	implications of institutional racism in the therapeutic itinerary of people with chronic renal failure
publisher	Universidad de Antioquia
publishDate	2020
url	https://doaj.org/article/1bceb4c23beb431393d545e5f58416cc
work_keys_str_mv	AT ricardobrunosantosferreira implicationsofinstitutionalracisminthetherapeuticitineraryofpeoplewithchronicrenalfailure AT climenelauradecamargo implicationsofinstitutionalracisminthetherapeuticitineraryofpeoplewithchronicrenalfailure AT mariainesdasilvabarbosa implicationsofinstitutionalracisminthetherapeuticitineraryofpeoplewithchronicrenalfailure AT marialuciasilvaservo implicationsofinstitutionalracisminthetherapeuticitineraryofpeoplewithchronicrenalfailure AT marciamariacarneirooliveira implicationsofinstitutionalracisminthetherapeuticitineraryofpeoplewithchronicrenalfailure AT julianaalvesleiteleal implicationsofinstitutionalracisminthetherapeuticitineraryofpeoplewithchronicrenalfailure
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Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure

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