ArticleInvestigacion y educacion en enfermeria2020
Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure.
Article in Investigacion y educacion en enfermeria, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 6 citations in OpenAlex.
- The pervasiveness of racism in healthcare facilities in Latin America: a scoping review.Health policy and planning · 2026Article
- Mapping the expressions and impacts of racism on health in Brazil: a scoping review.Lancet regional health. Americas · 2026Review
- Therapeutic trajectories of families with rare diseases in Chile from the perspectives of patients, carers, and healthcare workers: a qualitative study.Orphanet journal of rare diseases · 2025Article
- Racism in healthcare: a scoping review.BMC public health · 2022Article
- Institutional procedural discrimination, institutional racism, and other institutional discrimination: A nursing research example.Nursing inquiry · 2022Article
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Authors and funding
6 authors at 4 institutions in 1 country.
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Abstract
objectivesTo 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.
methodsDescriptive, 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.
resultsBlack 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.
conclusionsThe 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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