<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5307</journal-id>
<journal-title><![CDATA[Investigación y Educación en Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Invest. educ. enferm]]></abbrev-journal-title>
<issn>0120-5307</issn>
<publisher>
<publisher-name><![CDATA[Imprenta Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-53072020000200009</article-id>
<article-id pub-id-type="doi">10.17533/udea.iee.v38n2e09</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Implications of institutional racism in the therapeutic itinerary of people with chronic renal failure]]></article-title>
<article-title xml:lang="es"><![CDATA[Implicaciones del racismo institucional en el itinerario terapéutico de personas con insuficiencia renal crónica]]></article-title>
<article-title xml:lang="pt"><![CDATA[Implicações do racismo institucional no itinerário terapêutico de pessoas com insuficiência renal crônica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos Ferreira]]></surname>
<given-names><![CDATA[Ricardo Bruno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Camargo]]></surname>
<given-names><![CDATA[Climene Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[da Silva Barbosa]]></surname>
<given-names><![CDATA[Maria Inês]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva Servo]]></surname>
<given-names><![CDATA[Maria Lúcia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carneiro Oliveira]]></surname>
<given-names><![CDATA[Marcia Maria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leite Leal]]></surname>
<given-names><![CDATA[Juliana Alves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Estado da Bahia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal da Bahia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade Federal do Mato Grosso  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Estadual de Feira de Santana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade Federal da Bahia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade Estadual de Feira de Santana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>38</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-53072020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-53072020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-53072020000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[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: 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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo. Comprender las implicaciones del racismo institucional en el itinerario terapéutico de pacientes con insuficiencia renal crónica (IRC) en la búsqueda del diagnóstico y tratamiento de la enfermedad.  Métodos.  Estudio descriptivo, cualitativo, desarrollado con la participación de 23 personas con IRC en un hospital regional de referencia para tratamiento de hemodiálisis en el noreste de Brasil. Se utilizaron dos técnicas de recolección de datos: entrevista semiestructurada y consulta a la historia clínica electrónica NEFRODATA. Para la sistematización y el análisis, se utilizó la técnica de análisis de contenido.  Resultados.  Las personas negras y blancas con IRC mostraron divergencias y diferencias en sus itinerarios terapéuticos: mientras que las personas blancas tuvieron acceso al diagnóstico durante la atención ambulatoria con otra especialidad médica, las personas negras solo fueron diagnosticadas durante la hospitalización. Además, las personas blancas tenían más acceso a planes de salud privados en comparación con las personas negras, lo que les brindaba una doble posibilidad de acceso a los servicios de salud. También se agrega que, incluso, cuando las características en el itinerario de las personas blancas y negras eran convergentes, el acceso al diagnóstico y al tratamiento fue más difícil para las personas negras.  Conclusión.  El estudio evidenció la presencia de racismo institucional en el itinerario terapéutico de las personas con enfermedad renal, en el que las personas negras tienen mayor dificultad para acceder a los servicios de salud. En este sentido, es necesario crear estrategias para enfrentar el racismo institucional y consolidar la Política Nacional para la Salud Integral de la Población Negra.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo. Compreender as implicações do racismo institucional no itinerário terapêutico de pacientes com insuficiência renal crônica (IRC) na busca pelo diagnóstico e tratamento da doença.  Métodos. Estudo descritivo, qualitativo, desenvolvido com 23 pessoas com IRC em um hospital de referência regional para tratamento hemodialítico no Nordeste do Brasil. Foi utilizado duas técnicas de coleta de dados: entrevista semiestruturada e consulta ao prontuário eletrônico NEFRODATA. Para sistematização e análise utilizou-se a técnica de análise de conteúdo.  Resultados.  As pessoas negras e brancas com IRC apresentaram divergências e diferenças em seus itinerários terapêuticos: enquanto as pessoas brancas tiveram acesso ao diagnóstico durante o atendimento ambulatorial com outra especialidade médica, as pessoas negras só foram diagnosticadas durante internação hospitalar. Ademais, as pessoas brancas tiveram mais acesso a planos privados de saúde quando comparados às pessoas negras, o que confere dupla possibilidade de acesso aos serviços de saúde. Acrescenta-se ainda que, mesmo quando as características no itinerário das pessoas negras e brancas foram convergentes, o acesso ao diagnóstico e tratamento se mostrou mais dificultado para pessoas negras.  Conclusão.  O estudo evidenciou a presença de racismo institucional no itinerário terapêutico de pessoas com doença renal, em que pessoas negras possuem maior dificuldade de acesso aos serviços de saúde. Nesse sentido, há necessidade de criar estratégias para o enfrentamento do racismo institucional e para consolidação da Política Nacional de Saúde Integral da População Negra.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[racismo]]></kwd>
<kwd lng="en"><![CDATA[renal insufficiency, chronic]]></kwd>
<kwd lng="en"><![CDATA[health services accessibility]]></kwd>
<kwd lng="en"><![CDATA[ethnic inequality.]]></kwd>
<kwd lng="es"><![CDATA[racismo]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia renal crónica]]></kwd>
<kwd lng="es"><![CDATA[accesibilidad a los servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[inequidad étnica.]]></kwd>
<kwd lng="pt"><![CDATA[racismo]]></kwd>
<kwd lng="pt"><![CDATA[insuficiência renal crónica]]></kwd>
<kwd lng="pt"><![CDATA[acesso aos serviços de saúde]]></kwd>
<kwd lng="pt"><![CDATA[iniquidade étnica.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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