Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz. Av. Brasil 4365, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil.
Universidade Federal Fluminense. Niterói RJ Brasil.
Cien Saude Colet. 2024 Mar;29(3):e07622023. doi: 10.1590/1413-81232024293.07622023. Epub 2023 Nov 1.
This study scrutinizes structural racism's influence on the training and work of Black professionals in primary health care (PHC) in Rio de Janeiro, particularly focusing on the experiences of Black female physicians. Employing a qualitative approach via a Focus Group, conducted in November 2022, we adopted symbolic interactionism to interpret racism-related experiences. Our findings encompass two primary dimensions: the manifestation of structural and institutional racism within the Unified Health System (SUS), and how racism permeates health work processes and consequences. Results highlight enduring impacts, spanning education to PHC roles, hindering healthcare process recalibration. Participants identify institutional and structural racism, from managerial neglect to territorial violence and physician scarcity, constraining comprehensive care. It is crucial to unveil and grasp racism's structural essence within healthcare, aligned with the vision of health as a fundamental right.
这项研究审视了结构性种族主义对里约热内卢初级卫生保健（PHC）中黑人专业人员的培训和工作的影响，特别关注黑人女医生的经历。我们采用焦点小组的定性方法，并于 2022 年 11 月采用符号互动主义来解释与种族主义相关的经历。我们的研究结果包含两个主要方面：在统一卫生系统（SUS）内表现出的结构性和制度性种族主义，以及种族主义如何渗透到卫生工作过程和后果中。结果突出了持久的影响，从教育到 PHC 角色，阻碍了医疗保健过程的重新调整。参与者确定了机构和结构性种族主义，从管理上的忽视到领土暴力和医生短缺，限制了全面护理。揭示和理解医疗保健中种族主义的结构性本质至关重要，这与健康作为一项基本权利的愿景是一致的。
