Abstract
to describe the journey of foreigners with chronic kidney diseases searching for treatment in the Brazilian Unified Health System in a border area. this is a qualitative research conducted with thirteen foreign participants. Data were collected by interviews and analyzed based on the theoretical-methodological framework of the therapeutic itinerary. empirical evidence showed seven thematic categories, indicating poor illness perception; poor family support throughout treatment; social aspects such as work, income, and housing as sources of distress; search for alternative treatments; interrupted search for healthcare abroad due to financial problems; journey to healthcare-seeking in Brazil eased by family members and social networks. the asymmetries within the Paraguayan and Brazilian health systems spur the search for cross-border integration actions. Identifying another country's assistance aspects may help in planning more welcoming policies in border regions.
Highlights
Over the past two decades, studies in the field of Public Health have emphasized the user’s perspective, as well as their management of the illness experience, the choices of therapeutic itineraries (TI), and the care trajectories to solve their needs or health problems
This study results from the dissertation entitled “Profile of patients seen in a nephrology service and therapeutic itinerary of foreign chronic renal patients in a border region”(11) presented in the postgraduate program in Public Health in a border region of the State University of Western Paraná (Unioeste) and meets the criteria established in resolution 466/12 of the National Health Council and was approved by the Ethics Committee in Human Research
Of the 23 Paraguayan patients registered at the dialysis treatment service during the study period, 13 were interviewed following the aforementioned methodological procedures
Summary
Over the past two decades, studies in the field of Public Health have emphasized the user’s perspective, as well as their management of the illness experience, the choices of therapeutic itineraries (TI), and the care trajectories to solve their needs or health problems. These studies approach symbolic and sociocultural aspects of care that are often disregarded by Health Systems care management(1). Understanding how people and social groups build their itineraries can substantiate health practices, qualifying care lines construction. To construct therapeutic projects centered on people’s needs and contextualized in their histories, needs, and desires, one must develop new modalities and evaluation criteria, as well as differentiated modeling of multiprofessional practices that are not reduced to mere assistance and technical flows(3)
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