Perceptions and experiences regarding the impact of race on the quality of healthcare in Southeast Brazil: a qualitative study
s.l; s.n; 2018. 17 p. tab.
Não convencional
em Inglês
| Sec. Est. Saúde SP, SESSP-ILSLPROD, Sec. Est. Saúde SP, SESSP-ILSLACERVO, Sec. Est. Saúde SP
| ID: biblio-1097752
Biblioteca responsável:
BR191.1
Localização: BR191.1; 9733/S
ABSTRACT
OBJECTIVE:
To explore the impact of race on the quality of healthcare received by patients attending a primary care centre in Brazil.DESIGN:
This was a qualitative study consisting of 19 semi-structured interviews conducted on patients from six racial groups (as defined in Brazil as white, yellow, brown, black and indigenous and one self-identified 'other' group). The interviews were analysed using thematic analysis.RESULTS:
Four main themes were identified during analysis; factors affecting the access to healthcare, experiences regarding quality of healthcare, discrimination in healthcare and deep-rooted societal discrimination, which were categorised into a number of sub-themes. Within these themes, interviewees reported (1) experiences of racism in society towards the black racial group, (2) one personal perception and two observations of racial discrimination in healthcare, (3) perceived racial discrimination due to healthcare professional behaviour and (4) other factors, such as delays in appointments and long waiting times in health facilities were felt to impact access to care.CONCLUSION:
The findings suggest that racial discrimination exists in Brazilian society but its direct impact on healthcare access was felt to be less obvious. Instead, organisational level factors were felt to contribute to difficulty accessing care. Interviewees perceived that racial discrimination may affect the quality of care, particularly for those designated as 'black'. Socio-economic factors were felt to influence discrimination in healthcare. The findings can help inform further studies and educational initiatives to help address discrimination and access to healthcare in Brazil.
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Coleções:
Bases de dados nacionais
/
Brasil
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
Agenda de Saúde Sustentável para as Américas
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ODS3 - Saúde e Bem-Estar
Problema de saúde:
Arranjos de Entrega
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Objetivo 11 Desigualdades e iniquidades na saúde
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Meta 3.8 Atingir a cobertura universal de saúde
Base de dados:
Sec. Est. Saúde SP
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SESSP-ILSLACERVO
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SESSP-ILSLPROD
Assunto principal:
Qualidade da Assistência à Saúde
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Grupos Raciais
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Racismo
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Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Estudo prognóstico
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Pesquisa qualitativa
Aspecto:
Determinantes sociais da saúde
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Equidade e iniquidade
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Ano de publicação:
2018
Tipo de documento:
Não convencional