Sites of institutional racism in public health policy making in New Zealand
Sites of institutional racism in public health policy making in New Zealand
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DOI：
10.1016/j.socscimed.2014.01.055
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发表时间：
2014-04-01
影响因子：
5.4
通讯作者：
Came, Heather
中科院分区：
文献类型：
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作者：
Came, Heather
尽管新西兰人历来为自己是一个人人平等的国家而自豪，但毛利人和非毛利人之间系统性且长期存在的健康不平等现象表明，有些事情并不奏效。这篇由批判种族理论启发的论文，请读者考虑毛利人卫生领导人的相反叙述观点；这些观点表明，制度性种族主义已经渗透到新西兰的公共卫生政策制定中，并与殖民主义和获得健康决定因素的机会不均一起，是卫生不平等的因素之一。使用混合方法和批判性的反种族主义学术方法，本文确定了五个特定的制度性种族主义地点。这些网站是：多数派决策，滥用证据，文化能力和咨询过程中的缺陷，以及皇冠过滤器的影响。这些调查结果表明，在发现和消除种族主义方面，质量保证系统、现有的反种族主义倡议和卫生部门的领导都是失败的。作者呼吁在新西兰国内紧急解决制度性种族主义问题，本文件提醒在其他殖民背景下工作的政策制定者对这种种族主义保持警惕。(C)2014爱思唯尔有限公司。保留所有权利。
Although New Zealanders have historically prided ourselves on being a country where everyone has a 'fair go', the systemic and longstanding existence of health inequities between Maori and non-Maori suggests something isn't working. This paper informed by critical race theory, asks the reader to consider the counter narrative viewpoints of Maori health leaders; that suggest institutional racism has permeated public health policy making in New Zealand and is a contributor to health inequities alongside colonisation and uneven access to the determinants of health. Using a mixed methods approach and critical anti-racism scholarship this paper identifies five specific sites of institutional racism. These sites are: majoritarian decision making, the misuse of evidence, deficiencies in both cultural competencies and consultation processes and the impact of Crown filters. These findings suggest the failure of quality assurance systems, existing anti-racism initiatives and health sector leadership to detect and eliminate racism. The author calls for institutional racism to be urgently addressed within New Zealand and this paper serves as a reminder to policy makers operating within other colonial contexts to be vigilant for such racism. (C) 2014 Elsevier Ltd. All rights reserved.