Structural stigma refers to the rules, policies and procedures of institutions that restrict the rights and opportunities for members of stigmatized groups [ 8, 11].
While increasingly patient orientation is called for as one aspect of quality care, this demand conflicts with existing structures, goals, and a number of basic values, behaviour of professions and organizational procedures of institutions [ 25].
In Anderson's account, Glanton swept onto the Barnes board like Genghis Khan, throwing out the established procedures of the institution and setting up a new order that served his interests entirely.
Alfonso, an assistant professor in the department of biological sciences at UIC, advises faculty members to "follow the procedures of your institution.
This study was a retrospective data review and so was carried out under the clinical governance procedures of our institution.
The Human Ethics Committee of The Hospital for Sick Children approved the study and it was conducted in accordance with the policies and procedures of this institution and the Canadian Tri-Council policy statement on ethical conduct of research involving human subjects [ 28].
Cancer was diagnosed according to the routine procedures of both institutions, based on gastrectomy specimens, endoscopic biopsy material or the evaluation of metastases.
For this reason, it is important to understand the coverage procedures of these institutions before proceeding to a wider international comparison.
The anatomic site (cardia, proximal, middle, distal or not defined) and histological type of the tumours (intestinal, diffused or mixed) were classified according to the routine procedures of both institutions, based on gastrectomy specimens or endoscopic biopsy material.
13584/2006, aims to provide an instrument of assistance to the person lacking in autonomy because of an illness or incapacity, and therefore the judge with respect to the degree of intensity of this situation excludes the more invasive procedures of traditional institutions aimed at protecting incompetents, such as interdiction and incapacitation.
Quality assurance was very often discussed from the viewpoint of 'provider' and 'receiver' institutions and countries: the degree of autonomy of either branches or local institutions granted by the 'home' institution to adhere to procedures of the 'home' institution or develop their own quality assurance processes [ 19- 25, 25].
