批判性反种族主义话语分析应用于联邦合格卫生中心政策政策
Jennifer Jabson Tree1, Judson Laughter2, Sandra Wairimu2
1Purdue University, West Lafayette, IN, USA.
Health promotion practice
|December 26, 2024
概括
联邦合格卫生中心 (FQHCs) 可以无意中通过其政策来延续制度性种族主义. 使用批判性,反种族主义和话语分析 (CARDA) 分析政策揭示了需要更明确的问责制来消除种族主义的领域.
科学领域:
- 健康 公平 研究 健康 公平 研究
- 公共卫生政策分析 公共卫生政策分析
- 反种族主义研究研究.
背景情况:
- 联邦合格卫生中心 (FQHCs) 旨在为服务不足的人群推进健康公平.
- 现有的FQHC政策可能没有明确地解决或拆除系统性种族主义.
- 制度性种族主义可以嵌入组织政策,影响边缘化社区.
研究的目的:
- 分析FQHC政策,以发现可能的制度性种族主义的现实化.
- 确定可能延续种族不平等的具体政策特征.
- 在FQHC中倡导种族主义意识的政策制定.
主要方法:
- 批判性,反种族主义和话语分析 (CARDA) 对FQHC操作手册的应用.
- 确定与政策语言和结构中的制度性种族主义延续相关的主题.
- 政策文本对被动声音,未指定的责任和缺乏工作流程划分的定性分析.
主要成果:
- 卡达确定了三个关键主题,这些主题表明了机构种族主义的潜力:对行动的不确定的负责职位,在政策中使用被动的声音,以及缺乏明确的工作流责任.
- 这些政策特征可能会掩盖问责制,并延续种族不平等.
- 缺乏明确的责任划分,为体制种族主义开辟了道路.
结论:
- 拆除FQHC中的制度性种族主义需要对现有政策进行批判性审查.
- 制定明确的政策,定义责任和问责机制至关重要.
- 明确地解决潜在的危害,并指明责任人,促进信任,加强社区与机构的关系.
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