[{"_id":"project:5728","_type":"project","abstract":{"en":"The project talks about racism in healthcare with diverse groups of providers and patients and through dialogue and shared learning, creates opportunities for progressive change.Despite evidence of the experience of racism by health service professionals and users, and of inequalities in health outcome for people of migrant background, there is very little discussion of racism in the Swedish healthcare system. The lack of official data around racialised categories and the emphasis on integration renders racism invisible, while very few cases of racism are reported via the official complaints system. Given the occluded and sensitive nature of racism for both professionals and patients, planned and widespread consultation, participatory methods to include all stakeholders in the provision and uptake of healthcare together with inductive qualitative analysis are needed as part of an implementation framework. Over four years, the process has 4 phases: 1 consulting participants, sampling and data collection; 2 networking and collaboration; 3 policy suggestions; 4 implementation, all of which involve dialogue conferences and consultation workshops to ensure widely informed discussion. The process of discussion, analysis of concepts and routines, peer-to-peer education and evaluation will support changed processes in the provision of healthcare to reduce institutional and individual racism. Anti-racist educational materials will be created through shared knowledge production."},"project_id":"2016-04078_VR","identifier_short":"2016-04078","dates":{"start_date":"2016-11-01","end_date":"2019-12-31"},"organizations":[{"funding":[{"_id":2,"id":"202100-5208","sv":"Vetenskapsrådet","en":"Swedish Research Council"}]},{"coordinating":[{"_id":978,"id":"202100-2932","sv":"Uppsala universitet","en":"Uppsala University"}]}],"people":[{"project_leaders":[{"_id":"authority-person:19135","orcid":"0000-0002-0664-1170","name":"Bradby, Hannah","role":"principal_investigator","affiliation":[{"_id":978,"id":"202100-2932","sv":"Uppsala universitet","en":"Uppsala University"}]}]},{"other_personnel":[]}],"tags":[{"_id":11748,"id":"50401","sv":"Sociologi (exklusive socialt arbete, socialpsykologi och socialantropologi)","en":"Sociology (excluding Social Work, Social Psychology and Social Anthropology)"}],"titles":{"sv":"Rasism inom hälso-och sjukvården: utveckling och implementering av antirasistiska strategier genom gemensam kunskapsproduktion och utvärdering","en":"Understanding racism in healthcare: Developing and implementing anti-racist strategies through shared knowledge production and evaluation"},"total_funding":"5262424","type_of_awards":{"sv":"Projektbidrag","en":"Project grant"},"publications":[{"id":"diva2:2025288","type":"article-journal","status":"Published","issued":{"date-parts":[[2026]]},"title":"Exclusionary and xenophobic speech in Swedish health care settings : the challenge of \"language\"","language":"eng","author":[{"family":"Bradby","given":"Hannah","ORCID":"0000-0002-0664-1170","localId":"hanbr864","affiliation":[{"id":"1257","name":"Uppsala universitet, Sociologiska institutionen"}]}],"abstract":"Ability in the local national language is a central object for discourses that de/legitimise immigrants and shape ideas of social reality and social action. In the context of Swedish health care settings, examples of reported speech from patients are offered to show how a presumed migrant’s accent in speaking a national language is conceptually multi-valent in terms of the regulation of legitimacy. Staff who are presumed to be migrants are regularly de-legitimised on the grounds of their speaking style, with foreign accents emphasised as a sign of illegitimacy. Staff who speak without an accent are de-legitimised as speaking Swedish that is too fluent to be compatible with status as an immigrant. The delegitimising of both accented and unaccented language in health care settings indicates the exclusionary and racist nature of language practice, mobilised to delegitimise presumed migrants.","DOI":"10.1080/10350330.2025.2601623","ScopusId":"2-s2.0-105025213396","NBN":"urn:nbn:se:uu:diva-574581","issue":"1","volume":"36","page":"130-141","container-title":"Social Semiotics","ISSN":"1470-1219","keyword":"Racism; healthcare; exclusion; language; migrant; xenophobia; Sweden","publisher":"Routledge","published":[{"raw":"2026-01-06T11:13:00.000+01:00"}],"created":[{"raw":"2026-01-06T11:13:36.243+01:00"}],"updated":[{"raw":"2026-04-01T14:53:02.995+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-574581"},{"id":"diva2:2009785","type":"article-journal","status":"Published","issued":{"date-parts":[[2025]]},"title":"Challenges of researching racism in healthcare","language":"eng","author":[{"family":"Bradby","given":"Hannah","ORCID":"0000-0002-0664-1170","localId":"hanbr864","affiliation":[{"id":"1257","name":"Uppsala universitet, Sociologiska institutionen"}]},{"family":"Thapar-Björkert","given":"Suruchi","ORCID":"0000-0002-1962-410x","localId":"surth892","affiliation":[{"id":"1258","name":"Uppsala universitet, Statsvetenskapliga institutionen"}]},{"family":"Ahlberg","given":"Beth Maina","ORCID":"0000-0003-1670-2843","localId":"bethahlb","affiliation":[{"id":"1257","name":"Uppsala universitet, Sociologiska institutionen"},{"name":"Skaraborg Institute for Research and Development, Skövde, Sweden"}]},{"family":"Hamed","given":"Sarah","ORCID":"0000-0001-8547-8772"}],"abstract":"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.","DOI":"10.55016/ojs/jcph.vi.81527","NBN":"urn:nbn:se:uu:diva-570664","issue":"2","volume":"3","page":"85-91","container-title":"Journal of Critical Public Health","ISSN":"3033-3997","keyword":"Racism; Anti-racism; Healthcare; Sweden; BLM","publisher":"Critical Public Health Network","published":[{"raw":"2025-10-28T17:53:00.000+01:00"}],"created":[{"raw":"2025-10-28T17:53:34.258+01:00"}],"updated":[{"raw":"2026-04-15T10:52:05.295+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-570664"},{"id":"diva2:1711218","type":"article-journal","status":"Published","issued":{"date-parts":[[2024]]},"title":"Healthcare staff's racialized talk : The perpetuation of racism in healthcare","language":"eng","author":[{"family":"Hamed","given":"Sarah","ORCID":"0000-0001-8547-8772","localId":"sarha777","affiliation":[{"id":"1257","name":"Uppsala universitet, Sociologiska institutionen"},{"name":"Department of Ethnology, History of Religion and Gender Studies, Stockholm University, Stockholm, Sweden"}]},{"family":"Bradby","given":"Hannah","ORCID":"0000-0002-0664-1170","localId":"hanbr864","affiliation":[{"id":"1257","name":"Uppsala universitet, Sociologiska institutionen"}]},{"family":"Thapar-Björkert","given":"Suruchi","ORCID":"0000-0002-1962-410x","localId":"surth892","affiliation":[{"id":"1258","name":"Uppsala universitet, Statsvetenskapliga institutionen"}]},{"family":"Ahlberg","given":"Beth Maina","ORCID":"0000-0003-1670-2843","localId":"bethahlb","affiliation":[{"id":"1257","name":"Uppsala universitet, Sociologiska institutionen"},{"name":"Skaraborg Institute for Research and Development, Skövde, Sweden"}]}],"abstract":"Research points to the existence of racial bias and beliefs among healthcare staff but does not explicate accounts of racialization in healthcare and the day-to-day utterances that have racializing effects excluding minoritized users' right to care. This study understands racism as structural and embedded in societies and institutions, including healthcare, as well as in interactions and talk. Through excavating accounts of healthcare staff's talk that devalues minoritized users, this study posits talk as reflective and constitutive of the dominant structure of racism within which it is situated. Drawing on qualitative interviews with 58 staff in Sweden, the study delineates three categories through which racialized talk differentiates between minoritized and majoritized users. These are: Characterizing minoritized users as ‘bad’ users, Characterizing minoritized users' health complaints as unworthy and finally, Devaluing minoritized users as justification for suboptimal and differential care. Healthcare staff accounts show that continuous racialization of minoritized users maintains existing power-relations representing Western users as civilized and non-Western users as uncivilized and problematic. Through reiteration, these practices of exclusion become invisible, normalized, and assume the status quo. It is imperative to address racialization as it has implications for the core ethics of healthcare.","DOI":"10.1016/j.socscimed.2024.117085","PMID":"39032198","ScopusId":"2-s2.0-85198968581","NBN":"urn:nbn:se:uu:diva-488467","volume":"355","number":"117085","container-title":"Social Science and Medicine","ISSN":"1873-5347","keyword":"racialization; racism; healthcare; healthcare staff; Sweden","publisher":"Elsevier","published":[{"raw":"2022-11-16T11:25:00.000+01:00"}],"created":[{"raw":"2022-11-16T11:25:13.684+01:00"}],"updated":[{"raw":"2025-09-02T13:27:25.956+02:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-488467"}],"links":[{"type":"pid","link":"https://uu.diva-portal.org/smash/api/project/swecris/project:5728"}]}]