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

  • Ricardo Bruno Santos Ferreira Nurse, Masters. Professor at Universidade do Estado da Bahia, Brazil and Nurse at the Kidney Hospital of Guanambi, Bahia, Brazil. Email: ricardobrunoenf@gmail.com. Corresponding author
  • Climene Laura de Camargo Nurse, Ph.D. Full Professor at Universidade Federal da Bahia, Brazil. Email: climenecamargo@hotmail.com.
  • Maria Inês da Silva Barbosa Social Worker, PhD. Retired Professor of Universidade Federal do Mato Grosso, Brazil. Email: maria.br@terra.com.br
  • Maria Lúcia Silva Servo Nurse, Ph.D. Full Professor at Universidade Estadual de Feira de Santana, Brazil. Email: mlsservo@uefs.br
  • Marcia Maria Carneiro Oliveira Nurse, Ph.D. Assistant Professor at Universidade Federal da Bahia, Brazil. Email: marcia.carneiro@ufba.br
  • Juliana Alves Leite Leal Nurse, Ph.D. Adjunct Professor at Universidade Estadual de Feira de Santana, Brazil. Email: julileite@hotmail.com
Keywords: racismo, renal insufficiency, chronic, health services accessibility, ethnic inequality

Abstract

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: semistructured 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.

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Published
2020-07-10
How to Cite
Santos Ferreira, R. B., de Camargo, C. L., da Silva Barbosa, M. I., Silva Servo, M. L., Carneiro Oliveira, M. M., & Alves Leite Leal, J. (2020). Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure. Investigación Y Educación En Enfermería, 38(2). https://doi.org/10.17533/udea.iee.v38n2e09
Section
ORIGINAL ARTICLES / ARTÍCULOS ORIGINALES / ARTIGOS ORIGINAIS