Racism in European Health Care: Structural Violence and Beyond
Research shows how racism can negatively affect access to health care and treatment. However, limited theoretical research exists on conceptualizing racism in health care. In this article, we use structural violence as a theoretical tool to understand how racism as an institutionalized social struct...
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Veröffentlicht in: | Qualitative health research 2020-09, Vol.30 (11), p.1662-1673, Article 1049732320931430 |
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description | Research shows how racism can negatively affect access to health care and treatment. However, limited theoretical research exists on conceptualizing racism in health care. In this article, we use structural violence as a theoretical tool to understand how racism as an institutionalized social structure is enacted in subtle ways and how the “violence” built into forms of social organization is rendered invisible through repetition and routinization. We draw on interviews with health care users from three European countries, namely, Sweden, Germany, and Portugal to demonstrate how two interrelated processes of unequal access to resources and inequalities in power can lead to the silencing of suffering and erosion of dignity, respectively. The strength of this article lies in illuminating the mechanisms of subtle racism that damages individuals and leads to loss of trust in health care. It is imperative to address these issues to ensure a responsive and equal health care for all users. |
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Thapar-Björkert, Suruchi ; Bradby, Hannah ; Ahlberg, Beth Maina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-75ebb8d49def406b609f9317d07596f4a1700f062282b7c5d40be42538d1e2bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biomedical Social Sciences</topic><topic>Europe</topic><topic>health care</topic><topic>Health care access</topic><topic>Health services</topic><topic>Health technology assessment</topic><topic>Human dignity</topic><topic>Inequality</topic><topic>Information Science & Library Science</topic><topic>Life Sciences & Biomedicine</topic><topic>Public, Environmental & Occupational Health</topic><topic>Qualitative research</topic><topic>Racism</topic><topic>Repetition</topic><topic>Resources</topic><topic>Science & Technology</topic><topic>Social organization</topic><topic>Social Sciences</topic><topic>Social Sciences - Other Topics</topic><topic>Social Sciences, Biomedical</topic><topic>Social Sciences, Interdisciplinary</topic><topic>Social structure</topic><topic>structural violence</topic><topic>Suffering</topic><topic>Technology</topic><topic>Violence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamed, Sarah</creatorcontrib><creatorcontrib>Thapar-Björkert, Suruchi</creatorcontrib><creatorcontrib>Bradby, Hannah</creatorcontrib><creatorcontrib>Ahlberg, Beth Maina</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>Web of Knowledge</collection><collection>Web of Science - Social Sciences Citation Index – 2020</collection><collection>Web of Science Core Collection</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI & AHCI)</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SWEPUB Uppsala universitet full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Uppsala universitet</collection><collection>SwePub Articles full text</collection><jtitle>Qualitative health research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamed, Sarah</au><au>Thapar-Björkert, Suruchi</au><au>Bradby, Hannah</au><au>Ahlberg, Beth Maina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racism in European Health Care: Structural Violence and Beyond</atitle><jtitle>Qualitative health research</jtitle><stitle>QUAL HEALTH RES</stitle><addtitle>Qual Health Res</addtitle><date>2020-09-01</date><risdate>2020</risdate><volume>30</volume><issue>11</issue><spage>1662</spage><epage>1673</epage><pages>1662-1673</pages><artnum>1049732320931430</artnum><issn>1049-7323</issn><issn>1552-7557</issn><eissn>1552-7557</eissn><abstract>Research shows how racism can negatively affect access to health care and treatment. However, limited theoretical research exists on conceptualizing racism in health care. In this article, we use structural violence as a theoretical tool to understand how racism as an institutionalized social structure is enacted in subtle ways and how the “violence” built into forms of social organization is rendered invisible through repetition and routinization. We draw on interviews with health care users from three European countries, namely, Sweden, Germany, and Portugal to demonstrate how two interrelated processes of unequal access to resources and inequalities in power can lead to the silencing of suffering and erosion of dignity, respectively. The strength of this article lies in illuminating the mechanisms of subtle racism that damages individuals and leads to loss of trust in health care. 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subjects | Biomedical Social Sciences Europe health care Health care access Health services Health technology assessment Human dignity Inequality Information Science & Library Science Life Sciences & Biomedicine Public, Environmental & Occupational Health Qualitative research Racism Repetition Resources Science & Technology Social organization Social Sciences Social Sciences - Other Topics Social Sciences, Biomedical Social Sciences, Interdisciplinary Social structure structural violence Suffering Technology Violence |
title | Racism in European Health Care: Structural Violence and Beyond |
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