Overwork as a concept to understand health inequities for ethnicised patients in health care.
Denmark
Whiteness
biomedicine
discrimination
doings
ethnicity
ethnography
health inequities
overwork
Journal
Sociology of health & illness
ISSN: 1467-9566
Titre abrégé: Sociol Health Illn
Pays: England
ID NLM: 8205036
Informations de publication
Date de publication:
01 Jun 2024
01 Jun 2024
Historique:
received:
07
11
2023
accepted:
02
05
2024
medline:
1
6
2024
pubmed:
1
6
2024
entrez:
1
6
2024
Statut:
aheadofprint
Résumé
Health inequities for ethnically minoritised patients are well-documented. In this ethnographic study, we follow thirteen patients categorised as 'ethnic minorities' in Danish health care during hospitalisation in three orthopaedic wards across two hospitals. The categorisation of 'ethnic minority patient' has been problematised for its Eurocentric origin and practices within Westernised health care. We use ethnicised to emphasise the process of becoming minoritised based on markers of physical appearance, religious symbols, language or names. Access to health care also rely on perceived legitimacy as health-care recipients which requires work by patients. We demonstrate the workings patients categorised as 'ethnic minorities' engage in by (re)producing othering ideas about non-Danishness, including distancing from other patients perceived as problematic. These were then (counter)produced by positioning oneself as the opposite, as deserving health-care receivers by displaying welfare reciprocity, supporting egalitarian ideas by discounting discriminatory experiences, showing gratitude and identifying staff with good vibes. We propose these doings as creating overwork. This theoretical approach enables a sensitivity towards subtle and covert workings for patients placed in the margins of health care. In this study, overwork is closely related to notions of Danishness and takes on specific forms within a modernised and universalised Danish health-care system.
Identifiants
pubmed: 38822818
doi: 10.1111/1467-9566.13796
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.
Références
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. https://doi.org/10.3389/fsoc.2021.741202
Ahmad, W. I. U., & Bradby, H. (2007). Locating ethnicity and health: Exploring concepts and contexts. Sociology of Health & Illness, 29(6), 795–810. Article 6. https://doi.org/10.1111/j.1467‐9566.2007.01051.x
Ahmed, S. (2012). On being included: Racism and diversity in institutional life. In On being included. Duke University Press. https://doi.org/10.1515/9780822395324
Arora, S., Straiton, M., Rechel, B., Bergland, A., & Debesay, J. (2019). Ethnic boundary‐making in health care: Experiences of older Pakistani immigrant women in Norway. Social Science & Medicine, 239, 112555. https://doi.org/10.1016/j.socscimed.2019.112555
Bhopal, R. S. (2004). Glossary of terms relating to ethnicity and race: For reflection and debate. Journal of Epidemiology & Community Health, 58(6), 441–445. https://doi.org/10.1136/jech.2003.013466
Bhopal, R. S. (2007). Ethnicity, race, and health in multicultural societies: Foundations for better epidemiology, public health, and health care. OUP Oxford.
Bradby, H. (2003). Describing ethnicity in health research. Ethnicity and Health, 8(1), 5–13. Article 1. https://doi.org/10.1080/13557850303555
Bradby, H., Humphris, R., & Padilla, B. (2020). Universalism, diversity and norms: Gratitude, healthcare and welfare chauvinism. Critical Public Health, 30(2), 166–178. Article 2. https://doi.org/10.1080/09581596.2018.1522420
Browne, A. (2001). The influence of liberal political ideology on nursing science. Nursing Inquiry, 8(2), 118–129. Article 2. https://doi.org/10.1046/j.1440‐1800.2001.00095.x
Browne, A., Varcoe, C., Wytenbroek, L., De Sousa, I., & Crosschild, C. (2023). Using philosophical inquiry to dismantle dominant thinking in nursing about race and racism. In Routledge handbook of philosophy and nursing. Routledge.
Butler, J. (2004). Undoing gender. Routledge. https://doi.org/10.4324/9780203499627
Chauhan, A., Walton, M., Manias, E., Walpola, R. L., Seale, H., Latanik, M., Leone, D., Mears, S., & Harrison, R. (2020). The safety of health care for ethnic minority patients: A systematic review. International Journal for Equity in Health, 19(1), 118. Article 1. https://doi.org/10.1186/s12939‐020‐01223‐2
Clarke, A. E. (2003). Situational analyses: Grounded theory mapping after the postmodern turn. Symbolic Interaction, 26(4), 553–576. Article 4. https://doi.org/10.1525/si.2003.26.4.553
Clarke, A. E. (2016). Situational analysis. In The blackwell encyclopedia of Sociology (pp. 1–2). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781405165518.wbeos0777
Collins, P. H. (2019). 3. Intersectionality and resistant knowledge projects. In 3. Intersectionality and resistant knowledge projects (pp. 87–120). Duke University Press. https://doi.org/10.1515/9781478007098‐005
Crenshaw, K. (1990). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241. https://doi.org/10.2307/1229039
Culley, L. (2006). Transcending transculturalism? Race, ethnicity and health‐care. Nursing Inquiry, 13(2), 144–153. Article 2. https://doi.org/10.1111/j.1440‐1800.2006.00311.x
De Sousa, I., & Varcoe, C. (2022). Centering Black feminist thought in nursing praxis. Nursing Inquiry, 29(1). Article 1. https://doi.org/10.1111/nin.12473
Devakumar, D., Selvarajah, S., Abubakar, I., Kim, S.‐S., McKee, M., Sabharwal, N. S., Saini, A., Shannon, G., White, A. I. R., & Achiume, E. T. (2022). Racism, xenophobia, discrimination, and the determination of health. The Lancet, 400(10368), 2097–2108. https://doi.org/10.1016/S0140‐6736(22)01972‐9
Dixon‐Woods, M., Cavers, D., Agarwal, S., Annandale, E., Arthur, A., Harvey, J., Hsu, R., Katbamna, S., Olsen, R., Smith, L., Riley, R., & Sutton, A. J. (2006). Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Medical Research Methodology, 6(1), 35. https://doi.org/10.1186/1471‐2288‐6‐35
Drevdahl, D. J. (2018). Culture shifts: From cultural to structural theorizing in nursing. Nursing Research, 67(2), 146–160. Article 2. https://doi.org/10.1097/NNR.0000000000000262
Emerson, R. M., Fretz, R. I., & Shaw, L. L. (2011). Writing ethnographic fieldnotes (2nd ed.). University of Chicago Press.
Epstein, S. (2008). Inclusion: The politics of difference in medical research. University of Chicago Press.
Faucett, E. A., Brenner, M. J., Thompson, D. M., & Flanary, V. A. (2022). Tackling the minority tax: A roadmap to redistributing engagement in diversity, equity, and inclusion initiatives. Otolaryngology‐Head and Neck Surgery, 166(6), 1174–1181. https://doi.org/10.1177/01945998221091696
Frederiksen, H. W. (2018). Cardiac rehabilitation among migrants. University of Copenhagen.
Goldberg, D. T. (2006). Racial europeanization. Ethnic and Racial Studies, 29(2), 331–364. Article 2. https://doi.org/10.1080/01419870500465611
Gültekin, E., Sørensen, D., & Frederiksen, K. (2023). An inconvenience to the nurse’s practice: A foucault‐inspired study of ethnic minority patients. Nursing Inquiry, 30(1), e12497. https://doi.org/10.1111/nin.12497
Halberg, N. (2023). Reflections of a white healthcare professional researching ethnicized and racialized minorities: Autoethnographically explored emotions revealing implicit advantages and consequences. Health, 13634593231185260. https://doi.org/10.1177/13634593231185261
Halberg, N., Larsen, T. S., & Holen, M. (2022). Ethnic minority patients in healthcare from a Scandinavian welfare perspective: The case of Denmark. Nursing Inquiry, 29(1), e12457. https://doi.org/10.1111/nin.12457
Hamed, S., Thapar‐Björkert, S., Bradby, H., & Ahlberg, B. M. (2020). Racism in European health care: Structural violence and beyond. Qualitative Health Research, 30(11), 1662–1673. https://doi.org/10.1177/1049732320931430
Haraway, D. (1988). Situated knowledges: The science question in feminism and the privilege of partial perspective. Feminist Studies, 14(3), 575–599. https://doi.org/10.2307/3178066
Harding, S. (2015). Objectivity for sciences from below. In F. Padovani, A. Richardson, & J. Y. Tsou (Eds.), Objectivity in science: New perspectives from science and technology studies (pp. 35–55). Springer International Publishing. https://doi.org/10.1007/978‐3‐319‐14349‐1_3
Helberg‐Proctor, A. (2017). (Un) doing ethnicity: Analyses of the socio‐scientific production of ‘ethnicity’in health research in The Netherlands.
Hervik, P. (2019a). Denmark’s blond vision and the fractal logics of a nation in danger. Identities: Global Studies in Power and Culture, 26(5), 529–545. Article 5. https://doi.org/10.1080/1070289X.2019.1587905
Hervik, P. (2019b). Racialization in the nordic countries: An introduction. In P. Hervik (Ed.), Racialization, racism, and anti‐racism in the nordic countries (pp. 3–37). Springer International Publishing. https://doi.org/10.1007/978‐3‐319‐74630‐2_1
Hilario, C. T., Browne, A. J., & McFadden, A. (2018). The influence of democratic racism in nursing inquiry. Nursing Inquiry, 25(1). Article 1. https://doi.org/10.1111/nin.12213
Holen, M. (2011). Medinddragelse og lighed‐en god idé? En analyse af patienttilblivelser i det moderne hospital. Roskilde Universitet.
Holmberg, T., Ahlmark, N., & Curtis, T. (2009). State of the art report. sif. https://www.sdu.dk/da/sif/rapporter/2009/state_of_the_art_report
Horrill, T., McMillan, D. E., Schultz, A. S. H., & Thompson, G. (2018). Understanding access to healthcare among indigenous peoples: A comparative analysis of biomedical and postcolonial perspectives. Nursing Inquiry, 25(3), e12237. https://doi.org/10.1111/nin.12237
Johnson, J. L., Bottorff, J. L., Browne, A. J., Grewal, S., Hilton, B. A., & Clarke, H. (2004). Othering and being othered in the context of health care services. Health Communication, 16(2), 255–271. Article 2. https://doi.org/10.1207/S15327027HC1602_7
Khawaja, I. (2022). Minoritetsstress: Begrebet, dets anvendelighed og potentiale. Kvinder, Køn & Forskning, 2, 91–107. Article 2. https://doi.org/10.7146/kkf.v34i1.130488
Khawaja, I., & Mørck, L. L. (2009). Researcher positioning: Muslim “otherness” and beyond. Qualitative Research in Psychology, 6(1–2), 28–45. https://doi.org/10.1080/14780880902900713
Leopold, S. S., Beadling, L., Calabro, A. M., Dobbs, M. B., Gebhardt, M. C., Gioe, T. J., Manner, P. A., Porcher, R., Rimnac, C. M., & Wongworawat, M. D. (2018). Editorial: The complexity of reporting race and ethnicity in orthopaedic research. Clinical Orthopaedics and Related Research, 476(5), 917–920. Article 5. https://doi.org/10.1007/s11999.0000000000000259
Liberati, E., Richards, N., Parker, J., Willars, J., Scott, D., Boydell, N., Pinfold, V., Martin, G., Jones, P. B., & Dixon‐Woods, M. (2022). Qualitative study of candidacy and access to secondary mental health services during the COVID‐19 pandemic. Social Science & Medicine, 296, 114711. https://doi.org/10.1016/j.socscimed.2022.114711
Lock, M. M., & Nguyen, V.‐K. (2018). An anthropology of biomedicine. John Wiley & Sons.
Mackenzie, M., Gannon, M., Stanley, N., Cosgrove, K., & Feder, G. (2019). ‘You certainly don’t go back to the doctor once you’ve been told, “I’ll never understand women like you.”’ Seeking candidacy and structural competency in the dynamics of domestic abuse disclosure. Sociology of Health & Illness, 41(6), 1159–1174. https://doi.org/10.1111/1467‐9566.12893
Madison, D. S. (2011). Critical ethnography: Method, ethics, and performance. SAGE Publications.
Mock‐Muñoz de Luna, C. J., Vitus, K., Torslev, M. K., Krasnik, A., & Jervelund, S. S. (2019). Ethnic inequalities in child and adolescent health in the scandinavian welfare states: The role of parental socioeconomic status – A systematic review. Scandinavian Journal of Public Health, 47(7), 679–689. Article 7. https://doi.org/10.1177/1403494818779853
Padela, A. I., & Zaidi, D. (2018). The Islamic tradition and health inequities: A preliminary conceptual model based on a systematic literature review of Muslim health‐care disparities. Avicenna Journal of Medicine, 8(1), 1–13. Article 1. https://doi.org/10.4103/ajm.AJM_134_17
Prodan‐Bhalla, N., & Browne, A. J. (2019). Exploring women’s health care experiences through an equity lens: Findings from a community clinic serving marginalised women. Journal of Clinical Nursing, 28(19–20), 3459–3469. https://doi.org/10.1111/jocn.14937
Rytter, M. (2019). Writing against integration: Danish imaginaries of culture, race and belonging. Ethnos, 84(4), 678–697. Article 4. https://doi.org/10.1080/00141844.2018.1458745
Rytter, M., & Pedersen, M. H. (2014). A decade of suspicion: Islam and Muslims in Denmark after 9/11. Ethnic and Racial Studies, 37(13), 2303–2321. Article 13. https://doi.org/10.1080/01419870.2013.821148
Schatzki, T. R. (2002). The site of the social: A philosophical account of the constitution of social life and change. Pennsylvania State University Press.
Shannon, G., Morgan, R., Zeinali, Z., Brady, L., Couto, M. T., Devakumar, D., Eder, B., Karadag, O., Mukherjee, M., Peres, M. F. T., Ryngelblum, M., Sabharwal, N., Schonfield, A., Silwane, P., Singh, D., Van Ryneveld, M., Vilakati, S., Watego, C., Whyle, E., & Muraya, K. (2022). Intersectional insights into racism and health: Not just a question of identity. The Lancet, 400(10368), 2125–2136. Article 10368. https://doi.org/10.1016/S0140‐6736(22)02304‐2
Skadegård, M. C. (2018). The space between: A study of structural discrimination in Danish contexts.
Skeggs, B. (1997). Formations of class & gender: Becoming respectable. Formations of Class & Gender, 1–200.
Slemon, A. (2018). Embracing the wild profusion: A foucauldian analysis of the impact of healthcare standardization on nursing knowledge and practice. Nursing Philosophy, 19(4). Article 4. https://doi.org/10.1111/nup.12215
Somerson, J. S., Bhandari, M., Vaughan, C. T., Smith, C. S., & Zelle, B. A. (2014). Lack of diversity in orthopaedic trials conducted in the United States. JBJS, 96(7), e56. Article 7. https://doi.org/10.2106/JBJS.M.00531
Staunæs, D. (2003). Where have all the subjects gone? Bringing together the concepts of intersectionality and subjectification. NORA ‐ Nordic Journal of Feminist and Gender Research, 11(2), 101–110. https://doi.org/10.1080/08038740310002950
Tang, S. Y., Browne, A. J., Mussell, B., Smye, V. L., & Rodney, P. (2015). ‘Underclassism’ and access to healthcare in urban centres. Sociology of Health & Illness, 37(5), 698–714. https://doi.org/10.1111/1467‐9566.12236
Thorsen, T. S. S. (2019). Minoritetsbeskatning—Et værktøj til at forstå opretholdelse af strukturelle uligheder i dansk akademia. Kvinder, Køn & Forskning, 1–2. Article 1–2. https://doi.org/10.7146/kkf.v28i1‐2.116115
Togeby, L. (2003). Fra fremmedarbejdere til etniske minoriteter. Aarhus universitetsforlag.
Tørslev, M. K., Nørredam, M., & Vitus, K. (2016). Doing race and ethnicity – exploring the lived experience of whiteness at a Danish Public School. Whiteness and Education, 1(2), 137–149. https://doi.org/10.1080/23793406.2016.1260045
Varcoe, C., Browne, A. J., Wong, S., & Smye, V. L. (2009). Harms and benefits: Collecting ethnicity data in a clinical context. Social Science & Medicine, 68(9), 1659–1666. Article 9. https://doi.org/10.1016/j.socscimed.2009.02.034
Vrangbaek, K. (2020). The Danish health care system. International Profiles of Health Care Systems, 47.
Werner, A., & Malterud, K. (2003). It is hard work behaving as a credible patient: Encounters between women with chronic pain and their doctors. Social Science & Medicine, 57(8), 1409–1419. https://doi.org/10.1016/S0277‐9536(02)00520‐8
West, C., & Zimmerman, D. (1987). Doing gender. Gender & Society, 1(2), 125–151. Article 2. https://doi.org/10.1177/0891243287001002002
White, J. J. E., Houghton‐Clemmey, R., & Marval, P. (2013). Enhanced recovery after surgery (ERAS): An orthopaedic perspective. Journal of Perioperative Practice, 23(10), 228–232. Article 10. https://doi.org/10.1177/175045891302301004