Department of Sociology, Uppsala University, Uppsala, Sweden.
Department of Government, Uppsala University, Uppsala, Sweden.
Health Res Policy Syst. 2019 Apr 23;17(1):43. doi: 10.1186/s12961-019-0443-0.
Racism is difficult to discuss in the context of Swedish healthcare for various cultural and administrative reasons. Herein, we interpret the fragmentary nature of the evidence of racialising processes and the difficulty of reporting racist discrimination in terms of structural violence.
In response to the unspeakable nature of racism in Swedish healthcare, we propose a phased participatory process to build a common vocabulary and grammar through a consultative framework involving healthcare providers and service users as well as policy-makers. These stakeholders will be involved in an educational intervention to facilitate discussion around and avoidance of racism in service provision.
Both the participatory process and outcomes of the process, e.g. educational interventions, will contribute to the social and political conversation about racism in healthcare settings. Creating new ways of discussing sensitive topics allows ameliorative actions to be taken, benefitting healthcare providers and users. The urgency of the project is underlined.
由于文化和行政等诸多原因，在瑞典的医疗保健背景下，人们很难讨论种族主义问题。在此，我们根据结构暴力理论来解释种族化过程证据的零散性以及报告种族歧视的困难。
针对瑞典医疗保健领域中难以言说的种族主义问题，我们提出了一个分阶段的参与式进程，通过一个包含医疗保健提供者、服务使用者和政策制定者的协商框架，构建一个共同的词汇和语法体系。这些利益攸关方将参与一个教育干预措施，以促进在服务提供中围绕和避免种族主义的讨论。
参与式进程及其结果，如教育干预措施，将有助于围绕医疗保健环境中的种族主义问题展开社会和政治对话。创造讨论敏感话题的新方法，可以采取改善措施，使医疗保健提供者和使用者受益。该项目的紧迫性被强调。
