Filling out the race/skin color item in the patient identification form: aspects of its implementation in a university hospital

Thirteen years after the publication of the National Policy for the Comprehensive Health of the Black Population (PNSIPN, Politica Nacio-nal da Saude Integral da Populacao Negra), fill-ing out the race/skin color question in the patient identification form remains a challenge. Authors have focused on the need to integrate knowledge from the science of implementation into public policies. The aim of this article is to describe and analyze the implementation of the collection of the race/skin color item carried out by the profes-sionals responsible for the registration of patients at a university hospital in the city of Sao Paulo. This was an exploratory and descriptive study, structured from three constructs of the Consoli-dated Framework for Implementation Research (CFIR): intervention, internal scenario and char-acteristics of individuals. Most records of race/ skin color in the observed institution are made by heteroidentification. Based on the CFIR con-structs, aspects identified as obstacles and facil-itators are identified. The implementation of the collection of the race/skin color item by self-dec-laration, as provided for in the PNSIPN and in Ordinance n. 344/2017, is still incipient and de-pends mainly on organizational changes, which can favor its effectiveness.