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
Hauptverfasser: Hamed, Sarah, Thapar-Björkert, Suruchi, Bradby, Hannah, Ahlberg, Beth Maina
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container_issue 11
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container_title Qualitative health research
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creator Hamed, Sarah
Thapar-Björkert, Suruchi
Bradby, Hannah
Ahlberg, Beth Maina
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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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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