Institute for Lifecourse Development, The University of Greenwich, London, England.
Nurs Inq. 2022 Jan;29(1):e12441. doi: 10.1111/nin.12441. Epub 2021 Aug 9.
Racism in health and healthcare has long been recognised as a structural issue. While there has been growing research and a number of important initiatives that have come from approaching racism as a structural issue, there is a range of implications that yet have to be explored as they relate to health and healthcare. Conceptualising racism in this way provides a means to consider how it shapes and is shaped by a range of global injustices and serves as a foundation for more egregious harms. It also suggests that if we are to dismantle racism, we need to look both within and beyond the traditional domains of health and healthcare and account for a range of broader forces that sustain and re-enforce racism. We first discuss the issue of responsibility, drawing on Young's social connection model to argue that we all have a responsibility to take action in addressing structural racism. We will then deal with a question that naturally follows, namely how we discharge our responsibilities, with a focus on the role of disruptive action in challenging power and ignorance in dismantling racism in health and healthcare.
长期以来，健康和医疗保健领域的种族主义一直被认为是一个结构性问题。虽然越来越多的研究和一些重要的举措已经从将种族主义视为一个结构性问题的角度出发，但仍有一系列与之相关的影响需要探讨，因为这些影响与健康和医疗保健有关。以这种方式概念化种族主义提供了一种思考它如何塑造和被一系列全球不公正现象塑造的手段，并为更严重的伤害提供了基础。它还表明，如果我们要消除种族主义，我们不仅需要在健康和医疗保健的传统领域内，而且需要在其之外，考虑到维持和加强种族主义的一系列更广泛的力量。我们首先讨论责任问题，借鉴杨的社会联系模型，认为我们都有责任采取行动解决结构性种族主义。然后，我们将处理一个自然而然随之而来的问题，即我们如何履行我们的责任，重点是在挑战权力和消除健康和医疗保健中的种族主义方面，颠覆性行动的作用。
