Challenges of researching racism in healthcare
DOI:
https://doi.org/10.55016/ojs/jcph.vi.81527Keywords:
Racism, Anti-racism, Healthcare, Sweden, BLMAbstract
The unprecedented transnational protests following the killing of George Floyd highlighted the need to re-examine institutions that uphold various social injustices experienced by racialised minorities. Black Lives Matter protests thus created a serious reckoning with racism and facilitated global conversations. Against the backdrop of these protests, we evaluate our study of healthcare workers, exploring racialisation in Swedish healthcare including the design and implementation of an anti-racist initiative in healthcare education. We reflect on how the silencing of discussion around racism in Sweden led to difficulties in recruiting participants and the effect of the shift in public discourse following the Black Lives Matter uprising of 2020. The project was ultimately successful in recruitment and outreach to professional and regional authorities. However, this success is contrasted by the lack of structural change in embedding anti-racism as a core value in healthcare practice. We conclude by noting that conversations about anti-racism differ from implementing anti-racist practice in commissioning, evaluation, and service delivery.
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Ahlberg, B. M., Hamed, S., Bradby, H., Moberg, C., & Thapar-Björkert, S. (2022) “Just throw it behind you and just keep going”: Emotional labor when ethnic minority healthcare staff encounter racism in healthcare. Frontiers in Sociology, 6, 741202. https://doi.org/10.3389/fsoc.2021.741202 DOI: https://doi.org/10.3389/fsoc.2021.741202
Alinia, M. (2020) White ignorance, race, and feminist politics in Sweden. Ethnic and Racial Studies, 43(16), 249–267. https://doi.org/10.1080/01419870.2020.1775861 DOI: https://doi.org/10.1080/01419870.2020.1775861
Bäärnhielm, S., Ekblad, S., Ekberg, J., & Ginsburg, B. E. (2005) Historical reflections on mental health care in sweden: The welfare state and cultural diversity. Transcultural Psychiatry, 42(3), 394–419. https://doi.org/10.1177/1363461505055622 DOI: https://doi.org/10.1177/1363461505055622
Bihagen, E., & Härkönen, J. (2016) The direct and indirect effects of social background on occupational positions in Sweden: New evidence on old questions. In F. Bernardi & G. Ballarino (Eds.), Education, occupation and social origin: A comparative analysis of the transmission of socio-economic inequalities (pp. 182–197). Edward Elgar Publishing. https://doi.org/10.4337/9781785360459.00017 DOI: https://doi.org/10.4337/9781785360459.00017
Bradby, H. (2022) Teaching material: Racism in healthcare case studies and student questions: In Swedish and English. https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-467925
Bradby, H., Hamed, S., Thapar-Björkert, S., & Ahlberg, B. M. (2023) Designing an education intervention for understanding racism in healthcare in Sweden: Development and implementation of anti-racist strategies through shared knowledge production and evaluation. Scandinavian Journal of Public Health, 51(4), 531–534. https://doi.org/10.1177/14034948211040963 DOI: https://doi.org/10.1177/14034948211040963
Bradby, H., Thapar-Björkert, S., Hamed, S., & Ahlberg, B. M. (2019) Undoing the unspeakable: Researching racism in Swedish healthcare using a participatory process to build dialogue. Health Research Policy and Systems, 17(1), 43. https://doi.org/10.1186/s12961-019-0443-0 DOI: https://doi.org/10.1186/s12961-019-0443-0
Cavelaars, A. E., Kunst, A. E., Geurts, J. J., Crialesi, R., Grötvedt, L., Helmert, U., ... & Mackenbach, J. P. (2000) Educational differences in smoking: International comparison. BMJ, 320(7242), 1102–1107. https://doi.org/10.1136/bmj.320.7242.1102 DOI: https://doi.org/10.1136/bmj.320.7242.1102
Hamed, S. (2022) Healthcare staff’s racialised talk: Examining accounts of racialisation in healthcare. Acta Universitatis Upsaliensis. DOI: https://doi.org/10.4337/9781839104756.00032
Hamed, S., Bradby, H., Thapar-Björkert, S., & Ahlberg, B. M. (2024). Healthcare staff’s racialized talk: The perpetuation of racism in healthcare. Social Science & Medicine, 355, 117085. https://doi.org/10.1016/j.socscimed.2024.117085 DOI: https://doi.org/10.1016/j.socscimed.2024.117085
Heyman, S. (2021, August 9) Regeringen vill ha samtal om rasism i vården. Dagens Medicin. https://www.dagensmedicin.se/vardens-styrning/politik/regeringen-vill-ha-samtal-om-rasism-i-varden/ (Accessed 10 Oct 2025)
Jansson, D. (2018) Deadly exceptionalisms, or, would you rather be crushed by a moral superpower or a military superpower? Political Geography, 64, 83–91. https://doi.org/10.1016/j.polgeo.2017.12.007 DOI: https://doi.org/10.1016/j.polgeo.2017.12.007
Lundberg, O. (2020) Next steps in the development of the social determinants of health approach: The need for a new narrative. Scandinavian Journal of Public Health, 48(5), 473–479. https://doi.org/10.1177/1403494819894789 DOI: https://doi.org/10.1177/1403494819894789
Mackenbach, J. P., Kulhánová, I., Artnik, B., Bopp, M., Borrell, C., Clemens, T… & De Gelder, R. (2016). Changes in mortality inequalities over two decades: Register based study of European countries. BMJ, 353, i1732. https://doi.org/10.1136/bmj.i1732 DOI: https://doi.org/10.1136/bmj.i1732
Milberg, A., Torres, S., & Ågård, P. (2016) Health care professionals’ understandings of cross-cultural interaction in end-of-life care: A focus group study. PLOS ONE, 11(11), e0165452. https://doi.org/10.1371/journal.pone.0165452 DOI: https://doi.org/10.1371/journal.pone.0165452
Mulinari, D., & Neergaard, A. (2017) Theorising racism: Exploring the Swedish racial regime. Nordic Journal of Migration Research, 7(2), 88-96. https://doi.org/10.1515/njmr-2017-0016 DOI: https://doi.org/10.1515/njmr-2017-0016
Odzakovic, E., Huus, K., Ahlberg, B. M., Bradby, H., Hamed, S., Thaper-Björkert, S., & Björk, M. (2023) Discussing racism in healthcare: A qualitative study of reflections by graduate nursing students. Nursing Open. https://doi.org/10.1002/nop2.1619 DOI: https://doi.org/10.1002/nop2.1619
Odzakovic, E., Raphael‐Grimm, T., Falck, J., Hamed, S., Lindblom, J., Huus, K., & Björk, M. (2025) International learning initiative Part 2: Enhancing antiracism awareness among nursing students in Sweden and the USA. Scandinavian Journal of Caring Sciences, 39(3), e70067. https://doi.org/10.1111/scs.70067 DOI: https://doi.org/10.1111/scs.70067
Socialstyrelsen (The National Board of Health and Welfare) (2023, November 23) Rasism och bemötande i vården [Educational material]. Socialstyrelsens Utbildning. https://utbildning.socialstyrelsen.se/learn/course/external/view/elearning/492/rasism-och-bemotande-i-varden
Thakur, S., Keen, M., Horváth, B., & Cerra, V. (2003) Sweden’s welfare state: Can the bumblebee keep flying? International Monetary Fund. https://www.imf.org/external/pubs/nft/2003/sweden/index.htm
Torres, S., Ågård, P., & Milberg, A. (2016) The ‘other’ in end-of-life care: providers’ understandings of patients with migrant backgrounds. Journal of Intercultural Studies, 37(2), 103–117. https://doi.org/10.1080/07256868.2016.1141756 DOI: https://doi.org/10.1080/07256868.2016.1141756
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Copyright (c) 2025 Hannah Bradby, Suruchi Thapar-Björkert, Beth Maina Ahlberg, Sarah Hamed
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