Bar Ilan University, Ramat Gan, Israel.
Qual Health Res. 2013 Apr;23(4):507-16. doi: 10.1177/1049732312470214. Epub 2012 Dec 20.
In this study I explored the perceptions and responses of Jewish Israeli social workers to the health inequalities facing their Arab clients. Findings drawn from face-to-face, in-depth interviews with 26 Jewish Israeli social workers employed in the health field show that they were highly aware of the health inequalities. Although they uniformly insisted that there was no discrimination in the hospitals where they were employed, they observed extensive structural and individual discrimination outside the hospital and linguistic and sociocultural impediments to health equality within it. The discrimination provoked feelings of anger and moral outrage, guilt, and shame. Both the discrimination and the linguistic and sociocultural impediments filled them with frustration and led them, both individually and in concert with colleagues, to try to alleviate, circumvent, correct, or compensate for the impediments. Suggestions are made for practice and further research.
在这项研究中,我探讨了犹太裔以色列社工对其阿拉伯客户所面临的健康不平等现象的看法和反应。从在医疗领域工作的 26 名犹太裔以色列社工的面对面深入访谈中得出的研究结果表明,他们非常清楚健康不平等现象的存在。尽管他们一致坚持在他们所工作的医院里不存在歧视,但他们在医院外观察到了广泛的结构性和个人歧视,以及在医院内语言和社会文化障碍对健康平等的阻碍。这种歧视引发了他们的愤怒和道德义愤、内疚和羞耻感。歧视以及语言和社会文化障碍让他们感到沮丧,促使他们个人和与同事一起,试图减轻、规避、纠正或补偿这些障碍。本文为实践和进一步研究提出了建议。