RiGeV - Racism in health care

The project focuses on racisms in health care with exemplary consideration of inpatient acute care and rehabilitation. The project examines racism from the perspective of those affected and institutions. In doing so, attributions of health care personnel as well as the handling of racism in the institutions will be researched. The aim is to initiate organisational changes based on these findings.

Project management: Prof. Dr. Regina Brunnett
Research assistant: Ksenia Meshkova
Duration: 01.01.2023 - 31.12.2025
Contact: rigev(at)hs-fulda.de

Project description RiGeV

Racial discrimination is a significant barrier to health care that can constitute exclusionary mechanisms (Razum et al. 2020; Brunnett 2019; Borde et al. 2015) and violate human and fundamental rights. The relevance of the project derives from the entitlement to equitable health care and equal access for all people as an essential component of the realisation of the right to health. For this reason, it is important to reduce discrimination-related barriers for people marked as racialised (ethno-cultural minorities, BIPoC's and people with a migration background) in order to be able to guarantee discrimination-free health care.
Empirically sound findings on racism in health care have been available in Germany only in very isolated cases and on the basis of small samples. The project aims to contribute to closing this knowledge gap. Experiences and ways of dealing with racist discrimination by patients and relatives, orientations for action and attributions of actors in health care facilities as well as institutional ways of dealing with it will be researched using the example of hospitals and rehabilitation facilities. Experiences of discrimination are to be differentiated and recorded with regard to their intersection with other categories of difference that cause social inequality.

  • Borde, T.; Brenne, S.; Breckenkamp, J.; Razum; O. David, M. (2015): Delivery by caesarean section - facts and debates in the transnational and transcultural context between Germany and Turkey. In: T. Borde; E. Esen (eds.): Germany and Turkey - Volume III. Ankara: Siyasal Kitabevi, 309-334.
  • Brunnett, R. (2019): The impact of racial discrimination on health. Critical Whiteness Research and Public Health, in: C. Resch; T. Wagner (eds.): Migration as Social Practice. Münster: Westfälisches Dampfboot, 136-152.
  • Razum, O., Akbulut, N., Bozorgmehr, K. (2020): Diversity and discrimination in the example of health and health care for migrants and refugees, in: O. Razum; P. Kolip (eds.): Handbuch Gesundheitswissenschaften. 7th ed. Weinheim: Beltz Juventa, 621-646.
  1. How do patients and their relatives experience racist discrimination in health care and how do they deal with it?
  2. How do health professionals (doctors, nurses, physiotherapists and occupational therapists) perceive their professional actions with racialised patients, and what patterns of interpretation and attributions underlie them?
  3. Which institutional conditions favour racism in inpatient acute care and rehabilitation, and which counteract it?
  4. How do institutions deal with racist discrimination at the institutional level?
  5. How do structural conditions of regions (such as federal state/geographical location, prevalence of specific political and/or religious attitudes) affect the occurrence of racism in health care?
  6. How can institutional learning and change processes be initiated in health care institutions?

The RiGeV project is carried out jointly with ASH Berlin (Prof. Dr. Dr. Hürrem Tezcan-Güntekin, Dr. Sibille Merz, Ariam Hibtay and Hilal Yücesoy) and Witten/Herdecke University (Prof. Dr. Patrick Brzoska, Yüce Yilmaz-Aslan, Tuğba Aksakal and Kübra Annac).

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The project is part of the funding guideline "Current and historical dynamics of right-wing extremism and racism".

The RiGeV project is a member of the WinRa - Knowledge Network on Racism